In an interview, Barbara Gay, director of advocacy information for the American Association of Homes and Services for the Aging and Cynthia Morton, senior director of congressional affairs for the American Health Care Association, talked about long-term care policy and future trends. According to Gay, their primary advocacy so far on Medicaid has been to get the biggest possible increase in the federal Medicaid match included in the economic stimulus package. They also are keeping a close eye out for any proposals to withhold the Medicare payment update that nursing homes, home healthcare providers, and hospices would receive in 2010. Morton anticipates that prospects for federal supports for information technology for long-term care are very good. Her belief is federal support on quality improvements will come through the Five-Star Program. Sure, there is always hope of making long-term care financing a part of healthcare reform. But hope is different than action.