Building an Accessible Long-Term Care System for the Future

The nation’s long-term care system has struggled for many years, and those constraints are expected to deepen as our nation ages. In 2019, Washington State became the first in the United States to pass legislation that would enable a public state-operated long-term care insurance program, the Washington Cares Fund. We conducted research with the goal to identify concrete ways for Washington State to implement this fund so that it is accessible to all and it supports living-wage jobs for care workers. In this report, we discuss our research methods, we present personas of individuals seeking long-term supports and services from the Washington Cares Fund, and we offer a list of recommendations that, while intended for Washington State, we see as applicable to other states that will embark on offering similar long-term services to residents.