Congressional Research Service The Library of CongressReport for CongressReceived through the CRS WebOrder Code RL31850A CRS Review of 10 States: Home andCommunity-Based Services States Seek toChange the Face of Long-Term Care: PennsylvaniaUpdated April 2, 2003Carol OShaughnessySpecialist in Social LegislationDomestic Social Policy DivisionRob Weissert, Julie Stone, and Sidath PanangalaDomestic Social Policy DivisionMeridith WaltersConsultantDomestic Social Policy Division