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Caregiving Supports

A mix of state and federal programs, caregiving supports in the U.S. consist of family and medical leave programs, long-term services and supports, and early childhood care and education services.

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Designing Universal Family Care

The final report of the Academy Study Panel on Caregiving identifies policy options along with the tradeoffs associated with specific policy choices for states considering implementing paid family and medical leave, early childcare and education, and long-term services and supports social insurance programs.
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Latest in Caregiving
Universal Family Care
Paid Family and Medical Leave
Access to long-term services and supports

Latest in Caregiving

Cover of report
May 10, 2021
This brief begins with an overview of the range of existing approaches abroad to the provision of universal LTSS, and then considers lessons from an in-depth case study of the German program.
June, 2019
This report explores strategies that states could pursue to better support families in meeting evolving care needs over the lifespan. The first three chapters of the report explore the challenges families face in the realms of early child care and education (ECCE), paid family and medical leave (PFML), and long-term services and supports (LTSS).
April, 2020
This fact sheet summarizes the temporary paid leave provisions enacted by Congress in March 2020 in response to the COVID-19 pandemic. This includes: background on paid leave in the U.S., provisions in the Families First Coronavirus Response Act, and provisions in the CARES Act, followed by a brief discussion of the impact on workers and their families.
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Universal Family Care

June, 2019
This report explores strategies that states could pursue to better support families in meeting evolving care needs over the lifespan. The first three chapters of the report explore the challenges families face in the realms of early child care and education (ECCE), paid family and medical leave (PFML), and long-term services and supports (LTSS).
June, 2020
Universal Family Care (UFC) is One Integrated System of Family Care Supports, UFC helps families afford to provide or receive care over the course of their lives.
December 22, 2020
Universal Family Care Is a Holistic, Integrated Approach to Care Policy. Families don’t experience care needs in isolation. Busy family caregivers need a streamlined system of supports to manage their care needs.
October 9th, 2020
The COVID-19 pandemic has highlighted the inadequacy and inequality in our country’s care infrastructure. A patchwork of programs exists at the state and federal level to help low- and middle-income families pay the costs of early childcare and education, long-term services and supports, and taking time off work to care for a loved one, but these programs are chronically underfunded and inaccessible to many.
June, 2020
Designing a State-Based Universal Family Care Program: Four Illustrative Approaches. Only contributors can benet; vesting requirement for long-term services and supports. Modest benets, but sucient to help most people. Stable, predictable funding.
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Paid Family and Medical Leave

September, 2017
Time off to provide care for the health and well-being of a family member or for a worker’s own illness or injury is a near-universal need of workers from all backgrounds. Paid family and medical leave offers protection against financial hardship for employees…
April, 2020
This fact sheet summarizes the temporary paid leave provisions enacted by Congress in March 2020 in response to the COVID-19 pandemic. This includes: background on paid leave in the U.S., provisions in the Families First Coronavirus Response…
December 22, 2020
States are Leading the Way with Social InsurancePrograms for Paid Family and Medical Leave. Paid Family and Medical Leave programs have been successfully implemented in a number of states.
October, 2017
As states work on the development of new paid family and medical leave systems, they face critical design choices with respect to system architecture, funding, and administration.
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Access to long-term services and supports

Cover of report
May 10, 2021
This brief begins with an overview of the range of existing approaches abroad to the provision of universal LTSS, and then considers lessons from an in-depth case study of the German program.
July 2019
Universal LTSS Could Support and Strengthen 21st Century Families. Social insurance could provide universal, affordable LTC coverage. Would address core problem: Lack of affordable insurance mechanism for vast majority of Americans to protect against financial risks of LTSS.
January 2017
This fact sheet summarizes the temporary paid leave provisions enacted by Congress in March 2020 in response to the COVID-19 pandemic. This includes: background on paid leave in the U.S., provisions in the Families First Coronavirus Response…
December 22, 2020
Who would benefit from alternative coverage durations and start times? Programs covering the first 2 years of LTSS would cover entire duration of care for the 51% who will need care for less than 2 years.
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