Ohio improved significantly on a national scorecard released today by AARP that measures state performance on long term services and supports for older adults, people with physical disabilities, and family caregivers. Overall, Ohio climbed 10 positions to 34 from 44 in 2014, in part related to recent reforms that improve care coordination and expand access to home and community based alternatives to nursing facilities. Ohio gained more than most states based on substantial improvement on 9 of 23 indicators, little or no change on 13 indicators, and a substantial decline on only one indicator related to the percent of people with 90-day nursing home stays or more transitioning back into the community. On this last measure, Governor Kasich’s budget would accelerate improvement by relying on private sector managed care plans to facilitate transitions from nursing homes to community settings, and to pay more for quality as an incentive for nursing facilities to improve. The House of Representatives voted to delay these reforms until 2021 and the issue is now under consideration in the Senate.