The nation’s fragmented LTSS system means that people with Medicare who desire to age in the community often largely rely on unpaid family caregivers and undervalued home care workers to do so. Congress must better support these families and paid workers, including by creating federal paid family and medical leave that recognizes caring for relatives of all ages, adequately funding annually appropriated HCBS and caregiver support programs, and recruiting and retaining a robust home care workforce.