Task 3.2.3 of 5
Self-directed care option: people can hire family caregivers (paid at the aide rate).
Who does it
UHA
When
Year 2
Trade-off
Paying family caregivers supports families but may replace unpaid care with paid care at public expense.
Part of: Make home- and community-based care an entitlement
Long-term services at home stop depending on Medicaid's poverty rules and capped waivers. HCBS spending goes from $320.5B to $353.5B, home health from $169.4B to $204.5B, and nursing facilities from $219.9B to $225.7B.
This step changes 2 existing laws, programs, or institutions. See the list.