Washington 2025-2026 Regular Session

Washington House Bill HB1578

Introduced
1/24/25  

Caption

AN ACT Relating to repealing the long-term care services and supports trust program;

Summary

HB 1578 repeals the long-term care services and supports trust program, commonly known as the WA Cares Fund, and makes conforming changes throughout state law. The bill removes or amends numerous RCW provisions governing the program’s definitions, administration, premium assessments, exemptions, benefits, appeals, reporting, confidentiality, and related trust-account investment rules. It also repeals sections of prior law that established the program’s structure and operation, and includes effective and expiration dates tied to the repeal and transition. In addition to ending the trust program itself, the bill revises related provisions affecting long-term care workers and certain training requirements, including exemptions for family caregivers, spouses or domestic partners, and other narrowly defined individual providers. It also preserves or clarifies the status of some workers who are already credentialed in other health-care roles, and it updates references to the state treasurer’s trust-fund investment authority and the state actuary’s duties where they intersect with the program and other state responsibilities.

Impact

The bill would substantially change Washington law by eliminating the statutory framework for the long-term care services and supports trust program and removing associated premium collection, benefit administration, and oversight provisions. It would also repeal or amend multiple cross-references in the RCW that depend on the existence of the program, affecting the Department of Social and Health Services, the Health Care Authority, the Employment Security Department, the state treasurer, and the state actuary. Individuals and employers subject to WA Cares-related premiums, exemptions, or benefit eligibility rules would no longer be governed by the repealed program provisions, while certain long-term care worker training and certification rules would be adjusted to reflect the new legal landscape.

Sentiment

Based on the bill caption and the absence of recorded committee transcripts or votes in the provided material, the available context suggests the bill is a repeal measure rather than a program-expansion bill, which typically indicates a more divided or contentious policy environment. The text itself is highly technical and focused on unwinding an existing statewide program, suggesting the debate likely centered on whether to preserve or terminate the long-term care trust program rather than on implementation details. Because no votes or hearing testimony are included, there is no documented consensus in the provided record, but the subject matter implies significant interest from workers, employers, older adults, and long-term care stakeholders.

Contention

The main point of contention is the repeal of the WA Cares long-term care trust program itself, which would affect how Washington finances future long-term care benefits and who is required to pay premiums. Likely opposing views include those who support repeal because of concerns about mandatory payroll deductions, benefit adequacy, portability, or administrative burden, versus those who favor retaining the program as a public long-term care financing mechanism. Secondary issues include the treatment of exempt caregivers and family members, the impact on long-term care workers’ training requirements, and the handling of trust-fund earnings and related state accounting provisions.

Companion Bills

No companion bills found.

Previously Filed As

WA HB1025

Reopening the exemption from the long-term services and supports trust program for employees who have purchased long-term care insurance.

WA HB1026

Protecting spouses by allowing the sharing of benefits under the long-term services and supports trust program.

WA SB5291

AN ACT Relating to strengthening the WACares program by implementing the recommendations of the long-term services and supports trust commission;

WA HB1415

Implementing the recommendations of the long-term services and supports trust commission.

WA LB832

Extend the prohibition of the addition of long-term care services and supports to the medicaid managed care program

WA LR481

Interim study to examine the fiscal and operational issues related to the addition of long-term care services and supports to the medicaid managed care program

WA SJR8201

Amending the Constitution to allow the state to invest moneys from long-term services and supports accounts.

WA HB1390

AN ACT Relating to repealing the community protection program;

WA SB5617

Revised for 1st substitute: Supporting juveniles in and exiting detention by providing for a child in need of services process and supportive services.

WA HB1521

Supporting caregivers who provide complex care services to children with heightened medical needs.

Similar Bills

No similar bills found.