The federal Commission on Long-Term Care. Established as part of the American Taxpayer Relief Act of 2012 and signed into law January 2, 2013, the commission's goal was to advise Congress on how comprehensive, high-quality long-term care can be better provided and financed for the nation's older adults and people with disabilities. The Commission is composed of 15 members of the Senate and House of Representatives and released this final report on September 18, 2013. In this document, the commission charted a vision of a fiscally sustainable and effective service delivery system built around concepts of person-and-family-centered care, with integration of long-term services and supports (LTSS) and medicare for both older and younger people with significant cognitive or physical functional limitations. The report provides a solid foundation from which Congress and federal agencies can initiate a more extensive effort to confront the identified LTSS challenges and to move forward on the development and implementation of a better, more comprehensive LTSS system.