Looking Forward in Long Term Care

Clif Porter II, President and CEO of the American Health Care Association and the National Center for Assisted Living, reflects on his first year of leadership, marked by significant victories against the federal staffing mandate and successful navigation of Medicaid policy threats. The sector’s resilience stems from a mission-driven commitment to serving residents, supported by a diverse network of facilities that mirror their local communities. With record-high membership and the expansion of data-driven quality initiatives, the association is transitioning from a defensive posture to an offensive strategy for 2026. Key priorities include rationalizing the regulatory environment, reforming Medicare Advantage plan behaviors, and addressing ongoing workforce challenges. By prioritizing first-hand engagement with legislators and maintaining a steadfast focus on the "main thing"—delivering high-quality, compassionate care—the industry aims to strengthen its role as an essential pillar of the broader healthcare ecosystem.