Congress established Money Follows the Person in 2005, and states set a combined goal of moving out more than 37,000 residents from nursing homes and other facilities by 2013.

Congress established Money Follows the Person in 2005, and states set a combined goal of moving out more than 37,000 residents from nursing homes and other facilities by 2013. Most states started their programs in 2008. Two years later, just 5,774 residents have moved nationally states the USA Today.

Most states are moving slowly for various reasons: problems finding affordable housing, resistance from nursing homes and stringent federal rules that limit who is eligible and what types of community settings they can move into.

• Texas has moved 2,029 people out of nursing homes and other long-term care facilities. That's more than one-third of the national total.

• A dozen states have moved fewer than 60 people. States moving the fewest: Louisiana (10), North Dakota (19) and Delaware (22).

• Illinois, which set the highest goal, is furthest from its target. The state had set 3,357 transitions as its goal by 2013, but through last year has done just 58. "Meeting that goal by 2013 appears nearly impossible," said Jean Summerfield, the Illinois project director.

The new health care law extends the program to 2016, adds $900 million to what was a five-year, $1.3 billion initiative and loosens eligibility rules.