Dimensions

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
Paid Family Leave Statewide paid family leave enacted 39 States 0 States 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
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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.

THE 2023 LTSS STATE SCORECARD IS HERE

See what’s new in this edition…how did your state do?
Explore the LTSS State Scorecard

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