Recent years have seen an increasing number of federal and state initiatives intended to encourage older people to remain in the community longer by promoting home and community-based services. This is in response to consumer demands, legal precedents (e.g. the Supreme Court's Olmstead decision), and fiscal pressures to reduce costly nursing home care and increase home and community-based options. Indeed, Medicaid, which is the primary payer of long-term care, is increasingly focused on programs that help individuals to remain in the community for as long as possible. One common element of these initiatives is a reliance on in-home caregivers - both paid caregivers and family caregivers. Their roles and responsibilities are steadily increasing, yet their education and training requirements are often limited. Going forward, it is clear that successful home and community-based initiatives will require quality caregiving, and policymakers (and care recipients) have a vested interest in ensuring that those providing such care receive the appropriate education and training.