There are several laws informing the planning of allocation and expenditure of public resources for the entire health (SUS) and social care (SUAS) systems which, together, finance the LTC services provided to older people in Brazil (Brasil, 2011). SUS has several participatory forums at federal, state, and municipality levels, which help inform the healthcare strategy nationally. These occur at different points in time along the year and are secured by different laws. As Brazil does not have a unified LTC system, and it is unclear which services are classified as being LTC, it is difficult to estimate how and how much of the total amount is allocated to LTC specifically every month/year. Further, for the financing of public/philanthropic LTC institutions, in addition to the budget coming from the public system financed mostly through taxation, the budget may come from the older person/family funds, older people’s pensions, philanthropy, donations, and others, all of which are varied (Freire et al., 2012; Watanabe, 2018). In the private LTC institutions, the main source of financing is through individual payment (e.g. pension, family funding) (Freire et al., 2012).

References:

Brasil, no. L12435 (2011). http://www.planalto.gov.br/ccivil_03/_ato2011-2014/2011/lei/l12435.htm

Freire, F. de S., Mendonça, L. H. de, & Costa, A. de J. B. (2012). Sustentabilidade econômica das instituições de longa permanência para idosos. Saúde em Debate, 36(95), 533–543. https://doi.org/10.1590/S0103-11042012000400005

Watanabe, H. (2018). Instituições de Longa Permanência conveniadas com o MDS.