Wages & Benefits – The vast majority of frontline workers earn wages below $10.00 per hour and nearly one in three lack health insurance coverage.
Training & Support – Improving training for direct‐care workers is critical to preparing greater numbers of workers for direct‐care jobs as well as to ensuring quality of care.
Workforce Data Collection & Monitoring – State policymakers need hard data to help them accurately identify the gaps in their systems and then to choose the most appropriate tools to address these gaps.
Consumer Direction & Family Caregiving – It is time for a new paradigm – one that integrates and supports both informal and formal care under a single overarching policy agenda..
Quality Assurance – The most significant lever that policymakers have over the quality of care provided to long-term care consumers is the quality of jobs for direct‐care workers.

