{"id":68,"date":"2023-09-19T13:26:25","date_gmt":"2023-09-19T13:26:25","guid":{"rendered":"https:\/\/web.csg.org\/long-term-care\/?page_id=68"},"modified":"2025-03-24T17:24:31","modified_gmt":"2025-03-24T17:24:31","slug":"increasing-compensation","status":"publish","type":"page","link":"https:\/\/web.csg.org\/long-term-care\/state-strategies-to-revitalize-the-long-term-care-workforce\/increasing-compensation\/","title":{"rendered":"Increasing Compensation"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"68\" class=\"elementor elementor-68\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b4de9a9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b4de9a9\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c3d9039\" data-id=\"c3d9039\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-419edb4 elementor-widget elementor-widget-heading\" data-id=\"419edb4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">INCREASING COMPENSATION<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1674a50 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1674a50\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ee61fb7\" data-id=\"ee61fb7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-403a46a elementor-widget elementor-widget-text-editor\" data-id=\"403a46a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Nationwide, workers struggle in low-paying, poverty-level jobs across all long-term care settings. Few of these jobs offer any paid sick leave or other common employee benefits, such as employer-sponsored health insurance.<\/p><p><a href=\"https:\/\/www.bls.gov\/ooh\/healthcare\/home-health-aides-and-personal-care-aides.htm\">In 2017<\/a>, the average national wage of home health and personal care aides was $11.12 an hour. Among home care workers, <a href=\"https:\/\/www.phinational.org\/wp-content\/uploads\/legacy\/phi-facts-3.pdf\">49% were dependent on some form of public assistance<\/a> and over half lived below 200% of the federal poverty level.<\/p><p><a href=\"https:\/\/leadingage.org\/sites\/default\/files\/Making%20Care%20Work%20Pay%20Report.pdf\">Pay raises<\/a> providing direct care workers with a living wage enhance their financial security, reduce turnover and staffing shortages, boost caregiver productivity, enhance quality of care for patients, and increase economic growth.<\/p><p>Recent state initiatives to increase compensation for direct care workers include temporary pandemic-era measures, initiatives to address Medicaid rate changes, 1915(c) waivers and Appendix K measures to pay family caregivers, managed care contracts, and wage pass-throughs.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2556dfb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2556dfb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0031df5\" data-id=\"0031df5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-930bb01 elementor-widget elementor-widget-heading\" data-id=\"930bb01\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">STATE POLICIES RELEVANT TO INCREASING COMPENSATION FOR LONG-TERM CARE WORKERS<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1d7d2ec elementor-widget elementor-widget-shortcode\" data-id=\"1d7d2ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"> <div id=\"mapplic-id69\" data-mapdata=\"{&quot;mapwidth&quot;:&quot;960&quot;,&quot;mapheight&quot;:&quot;600&quot;,&quot;action&quot;:&quot;none&quot;,&quot;fillcolor&quot;:&quot;#2459a9&quot;,&quot;maxscale&quot;:&quot;3&quot;,&quot;fullscreen&quot;:false,&quot;hovertip&quot;:false,&quot;hovertipdesc&quot;:false,&quot;smartip&quot;:false,&quot;deeplinking&quot;:false,&quot;linknewtab&quot;:false,&quot;minimap&quot;:false,&quot;animations&quot;:false,&quot;zoom&quot;:false,&quot;zoombuttons&quot;:false,&quot;clearbutton&quot;:false,&quot;zoomoutclose&quot;:false,&quot;closezoomout&quot;:false,&quot;mousewheel&quot;:false,&quot;mapfill&quot;:false,&quot;sidebar&quot;:false,&quot;search&quot;:false,&quot;searchdescription&quot;:false,&quot;alphabetic&quot;:false,&quot;thumbholder&quot;:false,&quot;sidebartoggle&quot;:false,&quot;filtersopened&quot;:false,&quot;highlight&quot;:false,&quot;customcss&quot;:&quot;&quot;,&quot;levels&quot;:[{&quot;id&quot;:&quot;usa&quot;,&quot;title&quot;:&quot;USA&quot;,&quot;map&quot;:&quot;\\\/\\\/web.csg.org\\\/long-term-care\\\/wp-content\\\/plugins\\\/mapplic\\\/maps\\\/usa.svg&quot;,&quot;minimap&quot;:&quot;https:\\\/\\\/web.csg.org\\\/long-term-care\\\/wp-content\\\/plugins\\\/mapplic\\\/maps\\\/usa-mini.jpg&quot;}],&quot;styles&quot;:[],&quot;categories&quot;:[],&quot;locations&quot;:[{&quot;id&quot;:&quot;il&quot;,&quot;title&quot;:&quot;Illinois&quot;,&quot;description&quot;:&quot;&lt;p&gt;Example state.&lt;\\\/p&gt;&quot;,&quot;category&quot;:&quot;false&quot;,&quot;action&quot;:&quot;tooltip&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;x&quot;:&quot;0.6266&quot;,&quot;y&quot;:&quot;0.4282&quot;,&quot;color&quot;:&quot;#2459a9&quot;,&quot;level&quot;:&quot;usa&quot;},{&quot;title&quot;:&quot;Arizona&quot;,&quot;id&quot;:&quot;az&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.2266&quot;,&quot;y&quot;:&quot;0.5982&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Colorado&quot;,&quot;id&quot;:&quot;co&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.3422&quot;,&quot;y&quot;:&quot;0.4482&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Hawaii&quot;,&quot;id&quot;:&quot;hi&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.3469&quot;,&quot;y&quot;:&quot;0.9620&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Idaho&quot;,&quot;id&quot;:&quot;id&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.1969&quot;,&quot;y&quot;:&quot;0.2532&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Maine&quot;,&quot;id&quot;:&quot;me&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.9320&quot;,&quot;y&quot;:&quot;0.1495&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Maryland&quot;,&quot;id&quot;:&quot;md&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.8406&quot;,&quot;y&quot;:&quot;0.3995&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;New Hampshire&quot;,&quot;id&quot;:&quot;nh&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.9039&quot;,&quot;y&quot;:&quot;0.2257&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;New Jersey&quot;,&quot;id&quot;:&quot;nj&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.8727&quot;,&quot;y&quot;:&quot;0.3307&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;New York&quot;,&quot;id&quot;:&quot;ny&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.8508&quot;,&quot;y&quot;:&quot;0.2507&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Pennsylvania&quot;,&quot;id&quot;:&quot;pa&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.8141&quot;,&quot;y&quot;:&quot;0.3495&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;South Dakota&quot;,&quot;id&quot;:&quot;sd&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.4414&quot;,&quot;y&quot;:&quot;0.2599&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Tennessee&quot;,&quot;id&quot;:&quot;tn&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.6836&quot;,&quot;y&quot;:&quot;0.5657&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Virginia&quot;,&quot;id&quot;:&quot;va&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.8203&quot;,&quot;y&quot;:&quot;0.4682&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Wisconsin&quot;,&quot;id&quot;:&quot;wi&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.5977&quot;,&quot;y&quot;:&quot;0.2470&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Washington&quot;,&quot;id&quot;:&quot;wa&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.1531&quot;,&quot;y&quot;:&quot;0.0820&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;California&quot;,&quot;id&quot;:&quot;ca&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.0820&quot;,&quot;y&quot;:&quot;0.4774&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Kansas&quot;,&quot;id&quot;:&quot;ks&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.4797&quot;,&quot;y&quot;:&quot;0.4862&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Cali&quot;,&quot;id&quot;:&quot;cal-d&quot;,&quot;pin&quot;:&quot;pin-ribbon pin-label&quot;,&quot;label&quot;:&quot;New &quot;,&quot;fill&quot;:&quot;#f24c00&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.7969&quot;,&quot;y&quot;:&quot;0.8091&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#f24c00&quot;},{&quot;title&quot;:&quot;Minnesota&quot;,&quot;id&quot;:&quot;mn&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.5336&quot;,&quot;y&quot;:&quot;0.1987&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Oregon&quot;,&quot;id&quot;:&quot;or&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.1211&quot;,&quot;y&quot;:&quot;0.2162&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Rhode Island&quot;,&quot;id&quot;:&quot;ri&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.9141&quot;,&quot;y&quot;:&quot;0.2799&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#2459a9&quot;},{&quot;title&quot;:&quot;Cali&quot;,&quot;id&quot;:&quot;cal-d-d-d&quot;,&quot;pin&quot;:&quot;pin-ribbon pin-label&quot;,&quot;label&quot;:&quot;New &quot;,&quot;fill&quot;:&quot;#f24c00&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.6974&quot;,&quot;y&quot;:&quot;0.3079&quot;,&quot;level&quot;:&quot;usa&quot;,&quot;color&quot;:&quot;#f24c00&quot;},{&quot;title&quot;:&quot;Florida&quot;,&quot;id&quot;:&quot;fl&quot;,&quot;description&quot;:&quot;&lt;p&gt;&lt;strong&gt;Florida&lt;\\\/strong&gt;\\u2019s 2024-25 budget included an &lt;a href=\\&quot;https:\\\/\\\/skillednursingnews.com\\\/2024\\\/06\\\/nursing-home-operators-in-florida-see-8-jump-in-medicaid-funding-470k-per-facility\\\/#:~:text=Nursing%20home%20operators%20in%20Florida%20will%20see%20an%208%25%20increase,Gov.\\&quot;&gt;8% increase in Medicaid funding&lt;\\\/a&gt; to support the growing demand for caregivers. Nursing home operators will see $247.8 million, which works out to about $470,000 per facility. Labor has represented one of the largest investment areas for operators. As the state works to overcome a nursing shortage, facilities have been increasing wages, enhancing training programs and offering tuition reimbursement to workers.&lt;\\\/p&gt;&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.8026&quot;,&quot;y&quot;:&quot;0.8117&quot;,&quot;level&quot;:&quot;usa&quot;},{&quot;title&quot;:&quot;Michigan&quot;,&quot;id&quot;:&quot;mi&quot;,&quot;description&quot;:&quot;&lt;p&gt;&lt;strong&gt;Michigan &lt;\\\/strong&gt;legislation &lt;a href=\\&quot;https:\\\/\\\/www.legislature.mi.gov\\\/documents\\\/2023-2024\\\/publicact\\\/htm\\\/2024-PA-0121.htm\\&quot;&gt;requires Medicaid-managed care organizations&lt;\\\/a&gt; to continue the direct care wage increase funded at $3.20 per hour and provide sufficient funding to increase the wages paid to direct care workers by $0.20 per hour more than the previous fiscal year.&lt;\\\/p&gt;&quot;,&quot;pin&quot;:&quot;hidden&quot;,&quot;action&quot;:&quot;default&quot;,&quot;x&quot;:&quot;0.6966&quot;,&quot;y&quot;:&quot;0.3092&quot;,&quot;level&quot;:&quot;usa&quot;}]}\" data-height=\"auto\"><\/div> <\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-92389cf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"92389cf\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4c5edf3\" data-id=\"4c5edf3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6428ad8 elementor-widget elementor-widget-text-editor\" data-id=\"6428ad8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong><a href=\"#2024\">2024-25 Updates: Increasing Compensation<\/a><\/strong><\/p><p><strong><a href=\"#2024\">2023-24 Updates: Increasing Compensation<\/a><\/strong><\/p><p><a href=\"#temp\"><strong>Temporary COVID-Era Measures<\/strong><\/a><\/p><p><a href=\"#medic\"><strong>Medicaid Reimbursement Rates<\/strong><\/a><\/p><p><a href=\"#medic2\"><strong>Medicaid Waivers and Appendix K Measures<\/strong><\/a><\/p><p><a href=\"#manage\"><strong>Managed Care Contracts<\/strong><\/a><\/p><p><a href=\"#wage\"><strong>Wage Pass-Throughs<\/strong><\/a><\/p><p><a href=\"#add\"><strong>Addressing Benefits Cliffs<\/strong><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-fed5c48\" data-id=\"fed5c48\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0113dc3 elementor-widget elementor-widget-menu-anchor\" data-id=\"0113dc3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"2025\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f9b76a elementor-widget elementor-widget-heading\" data-id=\"1f9b76a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">2024-25 Updates<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e33c252 elementor-widget elementor-widget-text-editor\" data-id=\"e33c252\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Florida<\/strong>\u2019s 2024-25 budget included an <a href=\"https:\/\/skillednursingnews.com\/2024\/06\/nursing-home-operators-in-florida-see-8-jump-in-medicaid-funding-470k-per-facility\/#:~:text=Nursing%20home%20operators%20in%20Florida%20will%20see%20an%208%25%20increase,Gov.\">8% increase in Medicaid funding<\/a> to support the growing demand for caregivers. Nursing home operators will see $247.8 million, which works out to about $470,000 per facility. Labor has represented one of the largest investment areas for operators. As the state works to overcome a nursing shortage, facilities have been increasing wages, enhancing training programs and offering tuition reimbursement to workers.<\/p><p><strong>Michigan <\/strong>legislation <a href=\"https:\/\/www.legislature.mi.gov\/documents\/2023-2024\/publicact\/htm\/2024-PA-0121.htm\">requires Medicaid-managed care organizations<\/a> to continue the direct care wage increase funded at $3.20 per hour and provide sufficient funding to increase the wages paid to direct care workers by $0.20 per hour more than the previous fiscal year.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d108abb elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"d108abb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d65eb51 elementor-widget elementor-widget-menu-anchor\" data-id=\"d65eb51\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"2024\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b0c2e41 elementor-widget elementor-widget-heading\" data-id=\"b0c2e41\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">2023-24 Updates<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5d3c92 elementor-widget elementor-widget-text-editor\" data-id=\"f5d3c92\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>California<\/strong>\u00a0<a href=\"https:\/\/web.archive.org\/web\/20240804090639\/https:\/\/leginfo.legislature.ca.gov\/faces\/billNavClient.xhtml?bill_id=202320240SB525\">raised the state minimum wage<\/a>\u00a0for healthcare workers from $15.50\/hour to $25\/hour to be phased in by 2026 for large health systems and 2033 for smaller systems.<\/p><p><strong>Kansas<\/strong>\u00a0<a href=\"https:\/\/web.archive.org\/web\/20240804090639\/http:\/\/www.kslegislature.org\/li\/b2023_24\/measures\/hb2184\/\">appropriated $13 million<\/a>\u00a0to increase the home and community-based services frail elderly waiver reimbursement rates by 10% for FY2024 and appropriated $3 million to increase Program of All-Include Care for the Elderly (PACE) reimbursement rates by 5% for FY2024.<\/p><p><strong>Minnesota<\/strong>\u00a0<a href=\"https:\/\/web.archive.org\/web\/20240804090639\/https:\/\/www.revisor.mn.gov\/bills\/bill.php?b=House&amp;f=HF3342&amp;ssn=0&amp;y=2023\">established the nursing facility workforce incentive grant program<\/a>, provided payments to eligible workers for purposes such as retention, recruitment, and incentive payments, payments to employee-owned benefits, education and professional development, childcare, etc. Workers may receive up to $3,000 annually. This grant is funded by a onetime appropriation in FY24 of $74,500,000, to be spent by June 30, 2029.<\/p><p><strong>Oregon\u00a0<\/strong><a href=\"https:\/\/web.archive.org\/web\/20240804090639\/https:\/\/olis.oregonlegislature.gov\/liz\/2023R1\/Measures\/Overview\/HB3306\">required entities<\/a>\u00a0that receive funds for certain workforce program initiatives to establish wage standards and develop training plan for individuals who participate in the program administered by entity if entity provides individuals with paid work experience. Provided that the individual that performs work for recipient under program shall be considered employee of recipient for purposes of state wage and hour laws and state laws prohibiting discrimination and retaliation. Required industry consortia representing certain industry sectors to establish wage rate standards for skilled occupations within sectors.<\/p><p><strong>Rhode Island<\/strong>\u00a0<a href=\"https:\/\/web.archive.org\/web\/20240804090639\/https:\/\/status.rilegislature.gov\/bill_history_report.aspx?year=2023&amp;bills=5200\">required the state<\/a>\u00a0to include Medicaid reimbursement rate increases of 10-20% for home care providers, based on the services provided.<\/p><p><strong>South Dakota<\/strong>\u00a0<a href=\"https:\/\/web.archive.org\/web\/20240804090639\/https:\/\/sdlegislature.gov\/Session\/Bill\/23980\">approved<\/a>\u00a0a 30.8% increase in nursing home reimbursement rates and a 121% increase in reimbursement for adult day services.<\/p><p><strong>Washington<\/strong>\u00a0<a href=\"https:\/\/web.archive.org\/web\/20240804090639\/https:\/\/app.leg.wa.gov\/billsummary?BillNumber=5187&amp;Year=2023\">appropriated<\/a>\u00a0$5.5 million in FY2024 and $5.4 million in FY2025 for a dementia-specific rate increase of $43.48 per resident\/per day for specialized dementia care in all assisted living facilities<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa8fe4a elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"aa8fe4a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-159eb49 elementor-widget elementor-widget-menu-anchor\" data-id=\"159eb49\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"temp\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-86d22df elementor-widget elementor-widget-heading\" data-id=\"86d22df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Temporary COVID-Era Measures<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-29baa73 elementor-widget elementor-widget-text-editor\" data-id=\"29baa73\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The COVID-19 pandemic prompted several states to <a href=\"https:\/\/www.kff.org\/coronavirus-covid-19\/issue-brief\/medicaid-emergency-authority-tracker-approved-state-actions-to-address-covid-19\/\">implement temporary measures<\/a> to raise the compensation of direct care professionals or offer hazard pay. As of November 2020, 36 states temporarily increased provider payment rates through 1915(c) home and community-based services waivers. Eighteen of these states increased reimbursement for nursing home and home care.<\/p><p><a href=\"https:\/\/leadingage.org\/wp-content\/uploads\/drupal\/Workforce%20Vision%20Paper_FINAL.pdf\">According to analysts<\/a>, permanent changes to compensation are desperately needed, including a base rate that guarantees a living wage and health and other benefits, merit and longevity pay, bonuses, childcare and transportation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a05d7d elementor-widget elementor-widget-menu-anchor\" data-id=\"7a05d7d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"medic\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-667ffde elementor-widget elementor-widget-heading\" data-id=\"667ffde\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Medicaid Reimbursement Rates<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-69f3afa elementor-widget elementor-widget-text-editor\" data-id=\"69f3afa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Increasing Medicaid reimbursement rates and tying rates to wages is one way to provide a living wage. Approximately half the states\u00a0made a commitment to increasing wages through Medicaid rate changes in 2019 and 2020. However, among states that raised reimbursement rates, the increases <a href=\"https:\/\/leadingage.org\/wp-content\/uploads\/drupal\/Workforce%20Vision%20Paper_FINAL.pdf\">tended to be marginal<\/a> and did not keep up with inflation.\u00a0<\/p><p><strong>Illinois <\/strong>Gov. J.B. Pritzker signed <a href=\"https:\/\/www.illinois.gov\/news\/press-release.24981.html\">nursing home rate reform legislation<\/a> in 2022 that holds facility owners accountable by tying new funding to staffing levels and to improvement in key quality measures. A new pay scale for certified nursing assistants will increase wages based on years of experience. This reform model is believed to be the first for any state.<\/p><p>Other examples of recent state policy activities to improve reimbursement rates include:<\/p><ul><li><a href=\"https:\/\/legislature.idaho.gov\/sessioninfo\/2022\/legislation\/H0687\/\"><strong>Idaho<\/strong> appropriated<\/a> $46.2 million to increase rates to residential assisted living facilities and $10.9 million to increase rates for personal care providers.<\/li><li><a href=\"https:\/\/legislature.maine.gov\/LawMakerWeb\/summary.asp?ID=280082904\"><strong>Maine <\/strong>increased<\/a> rates for residential care and home and community-based services to implement cost-of-living adjustments and ensure care workers receive at least 125% of the state\u2019s minimum wage.<\/li><li><a href=\"https:\/\/legiscan.com\/NH\/text\/SB412\/id\/2580877\"><strong>New Hampshire<\/strong> increased<\/a> Medicaid reimbursement rates by 5% for all nursing homes.<\/li><li><a href=\"https:\/\/www.legis.state.pa.us\/cfdocs\/billinfo\/billinfo.cfm?syear=2021&amp;sind=0&amp;body=H&amp;type=B&amp;bn=1421\"><strong>Pennsylvania<\/strong> provided<\/a> a rate increase for skilled nursing facilities accepting Medicaid and requires that at least 70% of the nursing facility\u2019s costs be spent on direct care for the resident.<\/li><li><a href=\"https:\/\/sdlegislature.gov\/Session\/Bill\/23546\"><strong>South Dakota<\/strong> provided<\/a> a 6% increase in Medicaid reimbursements for all nursing homes.<\/li><li><a href=\"https:\/\/app.leg.wa.gov\/billsummary?BillNumber=5693&amp;Year=2021\"><strong>Washington<\/strong> increased<\/a> Medicaid reimbursement rates for all assisted living facilities and included a dedicated increase for the state\u2019s specialized dementia care assisted living rate.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2ab6174 elementor-widget elementor-widget-menu-anchor\" data-id=\"2ab6174\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"medic2\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-16e65b3 elementor-widget elementor-widget-heading\" data-id=\"16e65b3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Medicaid Waivers and Appendix K Measures<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e52d6e7 elementor-widget elementor-widget-text-editor\" data-id=\"e52d6e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/www.medicaid.gov\/medicaid\/home-community-based-services\/home-community-based-services-authorities\/home-community-based-services-1915c\/index.html\">States are allowed<\/a> to develop Medicaid 1915(c) waivers for home and community based services to meet the needs of people who prefer to receive long-term care services outside institutional settings. During emergency situations like pandemics, <a href=\"https:\/\/www.medicaid.gov\/resources-for-states\/disaster-response-toolkit\/home-community-based-services-public-health-emergencies\/emergency-preparedness-and-response-for-home-and-community-based-hcbs-1915c-waivers\/index.html\">states can request amendments<\/a> to their waivers to guarantee continuity of services. <a href=\"https:\/\/www.medicaid.gov\/state-resource-center\/downloads\/covid-19-appendix-k-instructions.pdf\">Appendix K was created<\/a> by the Centers for Medicare &amp; Medicaid Services \u201cto help states accelerate changes to their 1915(c) waiver operations or to request emergency amendments.\u201d Just a few months into the pandemic, nearly all states had an <a href=\"https:\/\/www.kff.org\/coronavirus-covid-19\/issue-brief\/medicaid-emergency-authority-tracker-approved-state-actions-to-address-covid-19\/#Table5\">approved Appendix K<\/a>,\u00a0and many included language\u00a0to <a href=\"https:\/\/nashp.org\/states-use-appendix-k-and-emergency-waivers-to-support-home-and-community-based-services-in-response-to-covid-19\/\">pay family caregivers<\/a> for\u00a0services\u00a0normally performed by direct care workers or others.<\/p><p>Prior to the pandemic, many states were already pursuing strategies to support family caregivers but have since<a href=\"https:\/\/www.chcs.org\/supporting-family-caregivers-in-the-time-of-covid-19-state-strategies\/\"> accelerated<\/a> the pursuit of new Medicaid flexibilities and coordination with Area Agencies on Aging and other system stakeholders to assess the needs of family caregivers and the pooling of state resources across interagency teams.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32f21b7 elementor-widget elementor-widget-menu-anchor\" data-id=\"32f21b7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"manage\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-505a93c elementor-widget elementor-widget-heading\" data-id=\"505a93c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Managed Care Contracts<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c5552f elementor-widget elementor-widget-text-editor\" data-id=\"7c5552f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Some states have\u00a0passed legislation\u00a0to support improved benefits and worker protections for aides that are hired through managed care contracts.<\/p><ul><li><a href=\"https:\/\/www.tn.gov\/tenncare\/health-care-innovation\/long-term-services-and-supports.html\"><strong>Tennessee<\/strong><\/a> pays managed care organizations a nursing home rate based on quality performance, with 25% of the score focused on staffing and staff competency measures, such as retention, training and consistent assignment.<\/li><li>A 2017 <a href=\"https:\/\/www.dhs.wisconsin.gov\/medicaid\/ltc-workforce-funding-faq.htm\"><strong>Wisconsin<\/strong><\/a> appropriations bill\u00a0increased\u00a0the portion of funds in managed care contracts that goes toward aid wages, bonuses, time off and benefits.\u00a0<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c4f57e1 elementor-widget elementor-widget-menu-anchor\" data-id=\"c4f57e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"wage\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d0f9173 elementor-widget elementor-widget-heading\" data-id=\"d0f9173\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Wage Pass-Throughs<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6400195 elementor-widget elementor-widget-text-editor\" data-id=\"6400195\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Some states have <a href=\"https:\/\/aspe.hhs.gov\/reports\/state-wage-pass-through-legislation-analysis-0#:~:text=A%20wage%20pass%2Dthrough%20is,compensation%20for%20direct%2Dcare%20workers.\">used wage pass-throughs<\/a>, which allow an additional allocation for increasing compensation for direct care support staff.<\/p><ul><li><a href=\"https:\/\/azjlbc.gov\/16novprop206fn.pdf\"><strong>Arizona<\/strong>\u2019s 2017 wage pass-through law<\/a> responded to the passage of Proposition 206 that raised the minimum wage from $8.05 to $12.00. The law designates a certain percentage of a reimbursement rate increase to be used for wages, and it applies to all direct care workers in facilities and in-home and community-based services.<\/li><li><a href=\"https:\/\/leg.colorado.gov\/bills\/sb19-238\"><strong>Colorado<\/strong>, with SB19-238 in 2019<\/a>, established a new hourly minimum wage for employees who provide direct care.<\/li><li><a href=\"https:\/\/www.payingforseniorcare.com\/hawaii\/kupuna-caregivers\">The <strong>Hawaii <\/strong>Kupuna Caregiver Program<\/a>, which initially\u00a0provided family caregivers direct payments of $350 per week has been incorporated into the state\u2019s overall long-term services and supports program called Kupuna Care and later provided family caregivers support of up to $210 a week of services such as adult day care to ensure they can maintain employment. Due to funding, the program has ended.<\/li><li><a href=\"https:\/\/mgaleg.maryland.gov\/2019RS\/bills\/hb\/hb0166E.pdf\"><strong>Maryland, <\/strong>with HB 166 in 2019<\/a><strong>,<\/strong> increased the rate of reimbursement for community service providers, including direct care staff, each fiscal year.<\/li><li><strong>Michigan<\/strong> direct care workers <a href=\"https:\/\/www.milbank.org\/wp-content\/uploads\/2022\/05\/DirectCareWorker_Toolkit_final.pdf\">received a $2 per hour wage increase<\/a> in 2020 from Coronavirus Aid, Relief, and Economic Security Act funding. The raise was bumped to $2.35 in fiscal year 2022.<\/li><li><a href=\"https:\/\/www.nj.com\/coronavirus\/2022\/04\/nj-ordered-nursing-homes-to-give-aides-a-raise-and-most-did-the-others-will-face-penalties.html\"><strong>New Jersey<\/strong><\/a> established a minimum wage that is $3 higher than the state minimum wage for certified nurse aides working in nursing facilities. When it reaches $15 per hour in 2024, the statewide minimum wage will be indexed to the Consumer Price Index.<\/li><li><strong>New York<\/strong>\u2019s $20 billion <a href=\"https:\/\/www.governing.com\/finance\/new-york-finalizes-multiyear-20-billion-health-care-plan?utm_campaign=Newsletter%20-%20GOV%20-%20Daily&amp;utm_medium=email&amp;_hsmi=209832191&amp;_hsenc=p2ANqtz-8kC8Q3FwA5_u6kRUU4a-EM2gz-Wt2okyMowjs7CxFeyyPqIy1Fh6MUQx8eK61g_2derP5ja9H4IYJQQuvCc-SPBR2ocQ&amp;utm_content=209832191&amp;utm_source=hs_email\">health care plan<\/a> included in the 2022-23 state budget will allow home health care workers to receive a $2 per hour increase in the minimum wage on Oct. 1, 2022, with an additional $1 increase in October 2023.<\/li><li><a href=\"https:\/\/lis.virginia.gov\/cgi-bin\/legp604.exe?212+ful+CHAP0449\"><strong>Virginia<\/strong> law<\/a> gives home health care workers one hour of paid sick leave for every 30 hours worked.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a5adba8 elementor-widget elementor-widget-menu-anchor\" data-id=\"a5adba8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"add\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f5f96c elementor-widget elementor-widget-heading\" data-id=\"5f5f96c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Addressing Benefits Cliffs<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a4d0742 elementor-widget elementor-widget-text-editor\" data-id=\"a4d0742\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Increasing pay for typically low-wage direct care workers may cause some to lose access to public benefits such as Medicaid or food and nutrition assistance. This issue is often called <a href=\"https:\/\/www.phinational.org\/an-innovative-approach-to-the-benefits-cliffs-quandary\/\">a benefits cliff<\/a>. The Federal Reserve Bank of Atlanta developed a set of tools, called the <em><a href=\"https:\/\/www.atlantafed.org\/economic-mobility-and-resilience\/advancing-careers-for-low-income-families\/cliff-tool\">Career Ladder Identifier and Financial Forecaster<\/a><\/em>, to address these benefits cliffs. The bank worked with the Oklahoma Department of Commerce to pilot these tools at job centers around the state, so workers are supported as they move into in-demand jobs and earn higher wages.<\/p><p>The <strong>Pennsylvania<\/strong> 2022-23 state budget includes $25 million to <a href=\"https:\/\/mailchi.mp\/ea1166a0b199\/how-the-dhs-2022-23-budget-will-help-pennsylvanians?e=d2e1bfd25f\">extend program eligibility<\/a> to people earning higher wages for Child Care Works, a program that helps low-income families pay for child care. The budget also provided $25 million for the <a href=\"https:\/\/www.revenue.pa.gov\/TaxTypes\/PIT\/Child%20and%20Dependent%20Care%20Enhancement%20Tax%20Credit\/Pages\/default.aspx\">Child and Dependent Care Enhancement Program<\/a>, a child care tax credit to benefit working families with children in daycare who already qualify for a similar federal program.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>INCREASING COMPENSATION Nationwide, workers struggle in low-paying, poverty-level jobs across all long-term care settings. Few of these jobs offer any paid sick leave or other common employee benefits, such as employer-sponsored health insurance. In 2017, the average national wage of home health and personal care aides was $11.12 an hour. Among home care workers, 49% [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":57,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-68","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/web.csg.org\/long-term-care\/wp-json\/wp\/v2\/pages\/68","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/web.csg.org\/long-term-care\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/web.csg.org\/long-term-care\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/web.csg.org\/long-term-care\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csg.org\/long-term-care\/wp-json\/wp\/v2\/comments?post=68"}],"version-history":[{"count":10,"href":"https:\/\/web.csg.org\/long-term-care\/wp-json\/wp\/v2\/pages\/68\/revisions"}],"predecessor-version":[{"id":419,"href":"https:\/\/web.csg.org\/long-term-care\/wp-json\/wp\/v2\/pages\/68\/revisions\/419"}],"up":[{"embeddable":true,"href":"https:\/\/web.csg.org\/long-term-care\/wp-json\/wp\/v2\/pages\/57"}],"wp:attachment":[{"href":"https:\/\/web.csg.org\/long-term-care\/wp-json\/wp\/v2\/media?parent=68"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}