Alaska is reportedly considering a tax-based LTC program. The median age of Alaska's population is low, but Alaska has the highest cost-of-service in the U.S. by a large margin.
An LTC task force feasibility assessment of five strawman programs for a tax-based LTC social insurance program was delivered to California Governor Gavin Newsom in December 2022. The five options — each with multiple variations — are being evaluated through actuarial analysis. All options include employer contributions and exemptions for private insurance.
California's Long Term Care Insurance Taskforce has links to upcoming meetings and recordings of past meetings. California legislation is often a model for other states, so these meetings are a way to anticipate what lies ahead.
Colorado is reported to be considering a tax-based LTC program, but no legislation has been introduced.
Hawaii has attempted to move LTC legislation forward several times, without passage. Currently, no specific legislation is being considered. It's reported that the state continues to assess the need, given its population's above-average median age. About one third of state revenues are tourist based, so sales tax might be apportioned instead of a new payroll tax.
The first of four 2023 quarterly advisory board meetings was convened on February 11, 2023. Given the super majority and the political alignment with Governor J.B. Pritzker, Illinois is a state to watch in 2023.
Illinois Long-Term Care Facility Advisory Board lists upcoming meetings and events, and has agendas and minutes for past meetings.
Bill HD.2610 was filed on January 19, 2023 but has not been introduced or voted upon. This resolution would establish a long-term care subcommittee that would steer action surrounding an actuarial assessment similar to California's task force project.
Bill H.2610 shows the progress of An Act Establishing a Special Commission on a Statewide Long-term Care Insurance Program.
Michigan is on the list of states considering a new LTC program, but nothing as surfaced legislatively. The state flipped politically from a split between the legislature and the governor to full Democratic control, so Michigan is state worth watching.
Minnesota has an actuarial assessment in process relative to a potential long-term care social program that could involve a new tax. Results from this initial assessment are due June 2023.
Minnesota Office for Ombudsman for Long-Term Care lists state and federal laws and statues related to long-term care settings.
Missouri is reported to be considering a tax-based LTC program but no legislation has been introduced.
The New York Long-Term Care Trust Act, Senate bill 9082, was introduced to the floor in May 2022 and moved to committee. It was largely modeled after the WA Cares Act. Any additional legislative action will require the bill be re-drafted and/or re-introduced. Given that New York has a Democratic governor and a Democratic supermajority, any new bill that gets traction is likely to pass. The issue of LTC has significant attention because of the number of COVID-related deaths in nursing homes in 2020 and 2021.
New York State Senate Bill S9082 shows the progress of the New York Long-Term Care Trust Act.
North Carolina is reported to be considering a tax-based LTC program, but no legislation has been introduced.
Oregon reportedly is considering a tax-based LTC program, and the state's proximity to Washington state makes LTC a front-and-center issue. Oregonians who work in Washington will pay the WA Cares tax, so Oregon is a state to watch in 2023.
House Bill 2779 was introduced to the floor in August 2022 and moved to committee. It uses elements of the WA Cares Act, including a payroll tax of 0.58%. With Democrats newly in control of the legislature and a Democratic governor, Pennsylvania is a state worth watching in 2023.
Pennsylvania House Bill 2779 shows the progress of the Long Term Care Trust Act.
Utah is reported to be considering a tax-based LTC program, but no legislation has been introduced.
The WA Cares Act passed, and tax collection begins July 1, 2023. The legislature will be presented with new elements/amendments to consider pertaining to exemptions, portability and eligibility. But now that the state's actuarial analysis projects solvency for 75 years based on current provisions, it's unlikely anything significant would be added that would impact these projections. The window to obtain exemptions for private insurance holders ended in November 2022. Benefits start in 2026.
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