In 2025, ADvancing States announced that it will assume stewardship of the Long-Term Quality Alliance (LTQA). Under the agreement, ADvancing States will own LTQA’s intellectual property, and all prior LTQA publications and reports will be housed and maintained by ADvancing States to ensure continuity, accessibility, and ongoing impact. LTQA is now an initiative of ADvancing States, continuing the Alliance’s mission to improve the quality of care and quality of life for older adults, people with disabilities, and family caregivers across long-term services and supports (LTSS). 

Through the LTQA initiative, ADvancing States will: 

• Maintain and expand the public archive of LTQA reports, briefs, and tools, ensuring open access for policymakers, advocates, researchers, and practitioners.
• Advance quality measurement and improvement that reflects consumer goals and real world outcomes across home- and community-based services and institutional settings.
• Accelerate spread of promising practices by convening state leaders, plans, providers, and consumer organizations to test, refine, and implement evidence-informed models of care during the annual HCBS conference.