This document provides witness testimony and prepared statements from the Congressional hearing called to investigate the cost of long-term care for the chronically ill and disabled. The merits of a public-private initiative on long-term care insurance are considered by the witnesses, who include a woman struggling to care for herself and her son, a representative from the Children of Aging Parents organization, and the coordinator of the insurance division of the American Association for Retired Persons. Statements are also presented from the director of the Columbus Home Health Services; the chairperson of the long-term care insurance task force of the American Health Care Association; and the chairman of the public policy committee, National Council on Aging. Testimony is also provided by the director of medical assistance for the North Carolina Department of Human Resources and the chairman of the Task Force on Long-Term Care Insurance, Health Insurance Association of America. The appendices contain materials on long-term care and insurance issues, submitted by witnesses, and letters and statements from individuals and organizations. (NRB)