As consumers and their families struggle to afford long-term services and supports (LTSS), a growing number of states are beginning to consider social insurance programs that would offset these costs. This joint report from PHI and Caring Across Generations responds to this trend, outlining a policy framework with nine areas where state-level policymakers can strengthen the direct care workforce in these social insurance programs.
Direct care workers will be critical to the success of new state-based social insurance programs in long-term care.
State-based social insurance programs can raise compensation, enhance training, promote advanced roles, and improve supervision in the direct care sector.
State policymakers should make long-term care more affordable to families, and boost workforce capacity to make it more accessible.