A major goal for those seeking change in Medicaid in New Hampshire and in many other states is to steer people away from nursing homes.
Instead, policy makers would like to see more people cared for in their homes, in day care centers, or in group residences.
Last week House members voted to take a preliminary step toward that goal.
It wasn't the first time they tackled the issue.
Six years ago the legislature approved a program designed to reform long term care.
NHPR's Kerry Grens reports on the lessons learned from this first attempt, and what they can offer as New Hampshire gears up for a second round.