Throughout 2014, the South Carolina Institute of Medicine & Public Health (IMPH) convened a taskforce of providers, researchers and advocates to explore the complex, long-term care needs of older adults and people living with disabilities and how those needs are addressed through the system of long-term services and supports. The Long-Term Care Taskforce engaged experts from across our state in exploring critical issues and identifying solutions to current and future challenges. The result of this process was the development of 30 actionable recommendations that create direction for improving long-term care in South Carolina over the next five years. This report highlights different components of the long-term care system and describes the recommendations of the taskforce along with potential action steps for achieving them. It is the goal of the LongTerm Care Taskforce that improvements to South Carolina’s system of long-term services and supports occur as a result of these recommendations.