Reforms beginning in 2003 have moved the program toward more consumer-directed care, including the choice of a cash option for LTC services in lieu of formal services. In addition, more responsibility has been shifted to local governments. A new act, the Social
Support Act of 2006, will encompass those portions of the AWBZ program related
to domestic help and supportive counseling with independent living.52 This transfer
will come into force in January 2007, if passed by the Upper House of Parliament
at the end of June 2006. Services under this act will now be provided by municipalities