This study reviewed the assisted living and board and care policies in each of the 50 states. Fifteen states have existing licensure regulations for assisted living facilities. Regulations are being developed by an additional nine states. Twenty two states reimburse, or plan to reimburse, assisted living as a Medicaid service including states that do not have a licensure category for assisted living. Six states provide Medicaid payments for services in board and care settings and thirteen states had created a task force or a process within a state agency to make recommendations for the development of assisted living rules.