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Policy Tracker

Where care policy is moving across the states.

The read

Updated Oct 22, 2026

Topics

  • 3states + federal

    Paying family caregivers

    Programs that let family members be paid to give care, often through Medicaid self-directed services.

    AKMEVTNHMAWAMTNDSDMNWIMINYCTRIORIDWYNEIAILINOHPANJCANVUTCOKSMOKYWVDCMDDEAZNMOKARTNVANCTXLAMSALGASCHIFL
    No record found: AK, ME, VT, NH, MA, WA, MT, ND, SD, MN, WI, MI, CT, RI, OR, ID, WY, NE, IA, IL, IN, OH, CA, NV, UT, CO, KS, MO, KY, WV, DC, MD, DE, AZ, NM, OK, AR, TN, VA, NC, TX, LA, MS, AL, GA, SC, HI, FL. In effect or in use: NY, PA, NJ.
  • 13states + federal

    Paid family leave

    Several states run paid leave programs for workers caring for a family member; Maine's benefits began May 2026 and Maryland's begin January 2028.

    AKMEVTNHMAWAMTNDSDMNWIMINYCTRIORIDWYNEIAILINOHPANJCANVUTCOKSMOKYWVDCMDDEAZNMOKARTNVANCTXLAMSALGASCHIFL
    No record found: AK, VT, NH, MT, ND, SD, WI, MI, RI, ID, WY, NE, IA, IN, OH, PA, NV, UT, KS, MO, KY, WV, DE, AZ, NM, OK, AR, TN, VA, NC, TX, LA, MS, AL, GA, SC, HI, FL. Law, not yet in effect: MD. In effect or in use: ME, MA, WA, MN, NY, CT, OR, IL, NJ, CA, CO, DC.
  • 6states + federal

    Respite care

    Congress renewed the Lifespan Respite Care Program through 2030, and New Jersey subsidizes adult day services that give dementia caregivers relief.

    AKMEVTNHMAWAMTNDSDMNWIMINYCTRIORIDWYNEIAILINOHPANJCANVUTCOKSMOKYWVDCMDDEAZNMOKARTNVANCTXLAMSALGASCHIFL
    No record found: AK, ME, VT, NH, MA, WA, MT, ND, SD, MN, WI, MI, CT, RI, OR, ID, WY, NE, IA, IL, IN, OH, NV, UT, CO, KS, MO, KY, WV, DC, DE, AZ, NM, OK, AR, TN, VA, NC, LA, MS, AL, GA, SC, HI, FL. Law, not yet in effect: NY. In effect or in use: PA, NJ, CA, MD, TX.
  • 14states + federal

    Home and community services

    Several states run Medicaid waivers that pay for home and community care for older adults who need a nursing-home level of care.

    AKMEVTNHMAWAMTNDSDMNWIMINYCTRIORIDWYNEIAILINOHPANJCANVUTCOKSMOKYWVDCMDDEAZNMOKARTNVANCTXLAMSALGASCHIFL
    No record found: AK, ME, VT, NH, MT, ND, SD, MN, WI, MI, NY, RI, ID, WY, NE, IA, IN, OH, NV, UT, KS, MO, KY, WV, DC, AZ, NM, OK, AR, TN, NC, LA, MS, AL, GA, SC, HI. Law, not yet in effect: PA. In effect or in use: MA, WA, CT, OR, IL, NJ, CA, CO, MD, DE, VA, TX, FL.
  • 18states + federal

    Keeping Medicaid coverage

    Federal law adds Medicaid community-engagement rules and six-month renewals for certain adults by 2027, and several states are warning members.

    AKMEVTNHMAWAMTNDSDMNWIMINYCTRIORIDWYNEIAILINOHPANJCANVUTCOKSMOKYWVDCMDDEAZNMOKARTNVANCTXLAMSALGASCHIFL
    No record found: ME, VT, NH, MT, ND, SD, MN, WI, MI, RI, ID, WY, NE, IA, IN, OH, NV, UT, KS, MO, KY, WV, NM, OK, TN, VA, NC, TX, LA, MS, GA, SC, HI. Law, not yet in effect: WA, MD. In effect or in use: AK, MA, NY, CT, OR, IL, PA, NJ, CA, CO, DC, DE, AZ, AR, AL, FL.
  • 6states + federal

    Caregivers at hospital discharge

    Hospitals in several states must offer patients a chance to name a caregiver and teach that caregiver before discharge.

    AKMEVTNHMAWAMTNDSDMNWIMINYCTRIORIDWYNEIAILINOHPANJCANVUTCOKSMOKYWVDCMDDEAZNMOKARTNVANCTXLAMSALGASCHIFL
    No record found: AK, ME, VT, NH, MA, WA, MT, ND, SD, MN, WI, MI, RI, OR, ID, WY, NE, IA, IN, OH, NV, UT, CO, KS, MO, KY, WV, DC, MD, DE, AZ, NM, OK, AR, TN, VA, NC, TX, LA, MS, AL, GA, SC, HI, FL. In effect or in use: NY, CT, IL, PA, NJ, CA.
  • 8states

    End-of-life choices and planning

    Medical aid in dying, advance directives, and health care agents.

    AKMEVTNHMAWAMTNDSDMNWIMINYCTRIORIDWYNEIAILINOHPANJCANVUTCOKSMOKYWVDCMDDEAZNMOKARTNVANCTXLAMSALGASCHIFL
    No record found: AK, ME, VT, NH, MT, ND, SD, MN, WI, MI, CT, RI, ID, WY, NE, IA, IN, OH, PA, NV, UT, CO, KS, MO, KY, WV, DC, DE, AZ, NM, OK, AR, TN, VA, NC, TX, LA, MS, AL, GA, SC, HI, FL. Proposed or pending: IL. In effect or in use: MA, WA, NY, OR, NJ, CA, MD.
  • 44states + federal

    Caregiving AI

    States are writing rules for AI in care, from limits on AI therapy to rules for chatbots and for AI in coverage decisions.

    AKMEVTNHMAWAMTNDSDMNWIMINYCTRIORIDWYNEIAILINOHPANJCANVUTCOKSMOKYWVDCMDDEAZNMOKARTNVANCTXLAMSALGASCHIFL
    No record found: AK, MT, ND, WY, DC, DE, AR. Proposed or pending: MA, SD, MN, WI, MI, RI, OH, PA, KS, MO, KY, WV, MD, AZ, NM, OK, VA, NC, LA, MS, SC, HI, FL. Law, not yet in effect: ME, NH, WA, NY, CT, OR, ID, NE, IA, IL, IN, NV, UT, CO, TX, AL, GA. In effect or in use: VT, NJ, CA, TN.

Where the tracker has records

Darker states have more records so far. A light state means fewer records found, not less policy.
AKMEVTNHMAWAMTNDSDMNWIMINYCTRIORIDWYNEIAILINOHPANJCANVUTCOKSMOKYWVDCMDDEAZNMOKARTNVANCTXLAMSALGASCHIFL
No record found: ND, WY. 1 to 2 rows: VT, NH, MT, SD, WI, MI, RI, ID, NE, IA, IN, OH, NV, UT, KS, MO, KY, WV, NM, TN, VA, NC, MS, GA, HI. 3 to 5: AK, ME, MN, DE, OK, AR, TX, LA, SC. 6 to 11: MA, WA, OR, IL, PA, CO, DC, MD, AZ, AL, FL. 12 or more: NY, CT, NJ, CA.

Federal: 54 rows. Select a state to see it across topics.

See also

Method

Each row cites its source, and we prefer the legislature, the agency, or the Federal Register. The tracker does not cover every state or every bill, so a count never means complete coverage.

Topic sentences are checked against the rows they cite before they appear. Rows not reviewed in 90 days are marked stale. Nothing here is legal advice.

Sources and credits

Bill status and legal stage come from Congress.gov and GovInfo (Library of Congress and the Government Publishing Office). Rules and notices come from the Federal Register, and dockets from Regulations.gov. Medicaid waiver and State Plan Amendment pages come from medicaid.gov (CMS). Court records come from CourtListener (Free Law Project). State bill pages come from legislature sites, with OpenStates and LegiScan used to find them. Each row links its own primary source.

Structured data on topic and state pages uses the schema.org Legislation and GovernmentService vocabulary.