Among the many concerns currently facing America's healthcare system, few are more significant, both medically and fiscally, than long-term care (LTC). Broadly defined as a range of services that support individuals who are limited in their ability to care for themselves, long-term care stands to become one of America's foremost healthcare challenges in the years ahead. With the continuing rise of U.S citizens 65 and over — statistically, the demographic most in need of LTC — states need to begin preparing for the growing pressures that will be placed on their budgets by the nation's aging population. This SLC Special Series Report explores the challenges long-term care poses for states in the SLC region. Subsequent reports will examine possibilities for managing long-term care and highlight actions that states in the SLC region have taken to tackle this important issue.