​In this episode, host Debbie Stadtler is joined by Jalene Carpenter, president and CEO of the Nebraska Health Care Association, and Zach Shamberg, president and CEO of the Pennsylvania Health Care Association, about the pressing challenges and emerging opportunities in long term care. Carpenter shares Nebraska’s innovative approaches to workforce development, including licensing reform, hybrid training models, and early engagement strategies. Schamberg discusses Pennsylvania’s legislative efforts to improve reimbursement structures and tackle staffing shortages. Together, they explore the importance of collaboration at the state and national levels, the role of community, and what’s ahead for long term care reform.