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Support for Family Caregivers
Indicators Best State US Average
Nurse Delegation Health maintenance tasks that nurses may delegate to a direct care aide 22 15
Indicators No Credit Partial Credit Full Credit
CARE Act Legislation CARE Act Legislation passed into law 8 States 0 States 43 States
Respite Care through Medicaid Waivers Availability of respite to family caregivers as service through Medicaid HCBS waivers 3 States 37 States 11 States
State Caregiver Tax Credits Availability of state caregiver tax credits 45 States 0 States 6 States
Mandatory Paid Sick Days Statewide policy mandating provision of paid sick days or leave 34 States 0 States 18 States
Flexible Sick Days Statewide policy that allows for paid sick time to be used to care for someone else 34 States 0 States 18 States
Unemployment Insurance for Family Caregivers States with unemployment insurance laws that provide good cause for separation for family caregiving 24 States 0 States 27 States
Spousal Impoverishment Protections Spousal Impoverishment Protections 38 States 1 State 12 States
Nurse Scope of Practice Nurse practitioner scope of practice 11 States 12 States 28 States
Family Responsibility Protected Classification Family Responsibility Protected Classification 44 States 0 States 7 States
State Exceeds Federal FMLA State Exceeds Federal FMLA 40 States 0 States 11 States
Paid Family Leave Statewide paid family leave enacted 39 States 0 States 12 States
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State Performance on Support for Family Caregivers

In a high-performing LTSS system, family caregivers are recognized and their needs are assessed and addressed so they can receive the support they need to continue their essential roles. A robust LTSS workforce limits over-reliance on family caregivers. Family caregiver supports are culturally appropriate and accessible to all communities.