Improving wages and benefits for direct-care workers is key to stabilizing employment and providing greater economic security for many low-income families.

Health Coverage

Affordable health coverage is critical to workforce recruitment and stability and ensuring quality care for elders and people with disabilities.

Training & Credentialing

A significant investment in training standards, curricula, and infrastructure is needed to prepare greater numbers of workers for direct-care jobs.

State Workforce Monitoring

State policymakers need to develop or enhance workforce data collection and reporting systems to get the hard data they need to make smart decisions.

Consumer Direction

Multifaceted intermediaries are needed to support consumers and workers in consumer-directed programs, as well as family caregivers.

Payment Policy Reform

State contracting standards and reimbursement methods are needed that reward providers for superior performance with regard to improving job quality.

Advanced Roles for Aides

If properly supported and trained, direct-care workers can provide timely information and observations to other health care team members and offer an enhanced level of client support.

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