New AARP Report: Unpaid Care Skyrockets to over $1 Trillion

Published in RINewsToday on April 6, 2025

AARP’s latest report reveals a staggering surge in the economic value of unpaid family caregiving, now exceeding $1 trillion. Since 2006, AARP’s Public Policy Institute has tracked this value through its Valuing the Invaluable reports. Last week, at a virtual media briefing, the organization released its seventh report, Valuing the Invaluable 2026: Family Caregivers’ Contribution Reaches $1 Trillion,  delivering a strong message: in 2024, family caregivers provided nearly 50 billion hours of mostly uncompensated care—valued at a whopping $1.01 trillion. Sixteen years earlier, AARP estimated the value of uncompensated care was just $350 billion.

 Building on the previous data, the 9-page report, released on March 26, 2026, by AARP’s Public Policy Institute, emphasizes throughout that caregiving impacts not just families, but also the economy, labor market, and healthcare system.

 It estimates that 59 million caregivers contributed a total of 49.5 billion hours of care each year, valued at $20.41 per hour. Using the Caregiving in the US 2025 data set (which uses new statistical methods that incorporate the range of tasks and support that family caregivers provide), this amounts to about $1.01 trillion annuallyFor comparison, family caregivers’ economic contribution surpasses the combined federal, state, and local Medicare spending in 2024 ($931.7 billion) and nearly doubles out-of-pocket health care spending ($556.6 billion).

 To further accentuate the magnitude, the report calculates that the nearly 49.5 billion hours of uncompensated care provided annually equal the labor of about 24 million full-time workers—that’s 17% of the nation’s full-time workforce.

According to the AARP report, American adults spend as much time on caregiving duties as on everyday activities, such as housecleaning and preparing meals, and almost twice as much time as they spend on religious activities and volunteering combined.

This unpaid care—delivered by caregivers to older adults, neighbors, and friends—enables millions to remain independent in their homes and communities. The report warns that, without this assistance, millions of Americans would be forced to rely on assisted living or costly nursing facility care, resulting in significantly higher costs for public programs such as Medicaid. However, it also recognizes that this support comes at a steep personal cost to caregivers, often undermining their health, emotional state, financial security, and general well-being.

 Beyond national implications, AARP’s caregivers report also provides state-by-state estimates of the number of caregivers, total hours provided, economic value, and the average hourly value of care.

These state figures, for example, show that the estimated value of caregiving ranges from $14.12 per hour in Louisiana to $27.05 per hour in Washington, reflecting regional differences. In Rhode Island, approximately 155,000 family caregivers provide 111 million hours of unpaid care, valued at $2.8 billion, or about $25.07 per hour.

Continuing this deeper look, the AARP report finds that family caregivers now provide more care than ever, averaging 27 hours per week. More than half—57%—deliver high-intensity care: tasks such as bathing, dressing, wound care, and administering injections.

 Presser Announces New Caregiver Report’s Release

 To explore the report’s findings in greater depth, AARP convened a 40-minute panel moderated by Ilse Zuniga, Director of External Relations. This discussion brought together Dr. Myesha Minter-Jordan (AARP CEO), Nancy LeaMond (Executive Vice President and Chief Engagement Officer), Paula Cunningham (AARP Michigan State Director), Rita B. Choula (Senior Director at AARP’s Public Policy Institute and lead author), and Megan O’Reilly (Government Affairs Department).

During the panel, Dr. Myechia Minter-Jordan, AARP’s CEO and physician, addressed the 30 journalists present, stating that family caregivers are underwriting a service that millions depend on daily.

 She emphasized that, with family caregiving now exceeding $1 trillion annually, employers, healthcare providers, and policymakers must do more to recognize and support caregivers as they fill essential gaps in the healthcare system.

Dr. Jordan said caregiver stories are powerful and often painful, stressing that AARP is working to magnify these voices and advocate for concrete policies that recognize caregivers’ economic contributions.

 “Given that most Americans will either be a caregiver or need one at some point in their lives, we need to do better,” Dr. Jordan told the journalists.

 “AARP is supporting bold solutions to assist America’s caregivers, says Dr. Jordan. “These include a national paid family and medical leave policy, as well as greater respite services and resources, such as those offered in states through partnerships with United Way and AARP’s 211 Caregiver Support Hotline.”

She concluded that the released report should be a wake-up call and an opportunity for action, hoping that it will drive real, long-lasting change.

Nancy LeaMond, AARP Executive Vice President and Chief Advocacy and Engagement Officer, noted, “Caregiving is not simply a family issue; it’s a labor force, economic, and healthcare issue that compels action. Behind every data point is a person—a daughter, husband, grandchild, or neighbor.”  

According to LeaMond, AARP has been working relentlessly to raise caregiving as a national priority and to push for common-sense, bipartisan solutions that can save caregivers time and money.

LeaMond added that the organization has worked to raise the visibility of caregiving, making it a national priority at both the state and federal levels. She noted, “Oklahoma became the first state in 2023 to pass a comprehensive state-wide caregiver tax credit to put money back in the pockets of family caregivers,” with Nebraska following the next year.

Additionally, she stated that 12 other states have considered enacting statewide caregiver tax credit legislation during the 2026 legislative session.

LeaMond further reported that on Capitol Hill, AARP has been advancing legislation such as the Credit for Caring Act, which offers a $5,000 federal tax credit to offset caregiving expenses, and the Lowering Costs for Caregivers Act, which allows family caregivers to use Health Savings Accounts or Flexible Savings Accounts for care expenses for parents.

Paula Cunningham added a personal dimension, relating stories to illustrate the intense, unceasing nature of caregiving. She narrated stories of caregivers forced to draw from their savings or reduce work commitments, such as Deb Conja, an attorney from Okemos, Michigan, who left her job to care for her mother.

She also shared the experience of a Detroit military veteran who, after two tours of service, described caregiving for her mother as the hardest job she’s ever had—an indication of the intensity of these responsibilities.

“Navigating through who to call and when to call, and what kind of services are available is another layer of stress that we’re trying to help reduce,” says Cunningham. She noted that AARP Michigan is calling for funding for a Caregiving Resource Center to provide one-stop online shopping and connect 1.6 million Michigan caregivers across the state with the support services they need.  

 AARP Michigan is also pushing to expand access to funding for home- and community-based services that are necessary for caregivers to stay in the workplace, says Cunningham.

 Finally, during the Q&A, Megan O’Reilly from AARP’s government affairs department responded to Politico journalist Robert King about whether a federal crackdown on fraud in personal care services could undermine governmental efforts to support family caregivers. “Fraud is a crime, and those who commit fraud should be held accountable. But we have to make sure that we’re protecting the care and the need for the essential care and services that our communities and loved ones need to remain at home…,” she said.  

 In response to a question, Rita B. Choula, the AARP report’s lead author, provided extra insights as to how the economic value of care was calculated for the latest report.  

Today, caregiving encompasses much more than just taking someone to a provider’s office, paying bills, or even mowing the lawn, says Choula, noting that the economic value of care must account for the complexity of the care provided.  “Individuals are now doing things in the home that medical providers and professionals were trained to do,” she notes, explaining that these new duties have resulted in using a higher hourly wage to calculate the cost of unpaid care.  

AARP provides resources to help families navigate the myriad of caregiving challenges by connecting them to reliable resources in every state. AARP’s state-by-state Family Caregiver Resource Guides help family caregivers access key programs, services, and agencies right in their community. Additionally, through its partnership with United Way Worldwide, caregivers can access local support services in 28 states by calling 211, including help finding in-home care, respite care, transportation, and other essential services.

A Final Note…

Urgent policy action must be taken by Congress and state legislatures to provide the concrete financial support needed to deliver real financial relief and structural support for America’s caregivers through measures such as tax credits and paid family leave. It is the right thing to do!

House Lawmakers Must Not View Aging as a Partisan Issue

Published in RINewsToday on March 30, 2026

The Leadership Council of Aging Organizations (LCAO), representing 69 national groups dedicated to the well-being of seniors, is urging Congress to support H. Res. 1013, a bipartisan resolution introduced by Reps. Seth Magaziner (D-RI) and Maria Elvira Salazar (R-FL), which would reestablish the Permanent House Select Committee on Aging (HSCoA). Reestablishing this  committee strengthens House congressional oversight, crucial for meeting the needs of a growing older population.

The original HSCoA served as the House’s investigative panel to spotlight aging issues until 1993, when it was dismantled at the end of the 102nd Congress as part of a budget reduction that cut $1.5 million in funding. From 1974 to 1993, the committee fostered bipartisan collaboration to address a myriad of issues affecting older Americans, expanding its membership from 35 to 65 as its political influence grew.  While the House allowed its committee to expire over 30 years ago, the U.S. Senate continues to operate a Special Committee on Aging.

Today’s aging policy challenges now demand bipartisan solutions and comprehensive, coordinated action. The reestablishment of the HSCoA is a necessary, nonpartisan step to addressing these urgent policy needs.

Working Closely with Standing Committees

“Jurisdiction over many programs affecting seniors is spread across multiple standing committees, making it difficult to fully address problems that do not fit neatly into one category,” said Max Richtman, president of the National Committee to Preserve Social Security and Medicare and chair of LCAO. “The nation faces intergenerational challenges, including increasing strain on family caregivers and a persistent retirement security crisis, which demand forward-looking solutions. A select committee with broad jurisdiction is uniquely positioned to address these issues.”

In a March 16 LCAO endorsement letter, Richtman emphasized that a reestablished committee would be active and engaged—holding field hearings, convening teleconferences, and incorporating community perspectives directly into policymaking.

Support from LCAO’s member organizations underscores that the passage of H. Res. 1013 is a national priority, not a narrow concern. As Richtman noted, the nation’s largest aging coalition is calling for the immediate reinstatement of the House Aging Committee.

Reestablishing the committee would also restore balance to Congress’s approach to aging policy, notes LCAO’s endorsement letter. In recent years, the Senate’s Special Committee on Aging has played a vital bipartisan role in highlighting issues such as elder abuse, scams and fraud, high prescription drug costs, the impact of COVID-19, financial pressures on retirees, and the growing crisis of social isolation. The House lacks a comparable legislative panel—an absence that becomes more significant as the population continues to age.

Without a dedicated body to examine the full scope of aging policy, critical issues risk fragmentation, oversight gaps, and delays. In the past, HSCoA hearings provided a forum for bipartisan debate and dialogue, helping bridge philosophical political divides and enabling standing committees to advance informed legislative solutions.

On January 21, 2026, lawmakers introduced H. Res. 1013 and referred it to the House Rules Committee. As of this writing, the resolution remains in committee, awaiting hearings, markup, or a floor vote.

“It is too hard to be a senior in the United States, and Congress has a responsibility to do more for today’s growing population of older Americans and future generations,” said Rep. Magaziner, the bill’s primary sponsor. “Reestablishing the Select Committee on Aging would create a dedicated forum to address these challenges and help ensure Americans can retire with dignity.”

“America’s seniors built this country, and they deserve more than gratitude—they deserve action,” added Rep. Salazar, an original cosponsor. “From rising health care costs to housing and long-term care, their challenges are too important to be buried in bureaucracy. This committee would provide focus, coordination, and accountability, and deliver meaningful solutions so seniors can live with security and purpose.”

As a cosponsor, Rep. Gabe Amo (D-RI) supports bringing back the HSCoA.  “With rising costs, threats to Medicare, Medicaid, and Social Security, and scams targeting older Rhode Islanders, it is essential that we deliver real solutions for America’s seniors,” says Amo.

As Co-Chair of the Stop Scams Caucus, Rep. Amo introduced the STOP Scams Against Seniors Act to ensure investigators have the resources needed to protect seniors from losing their life savings and to help them retire with dignity. “I supported reestablishing this committee in the 118th Congress, and I remain committed to elevating the voices of seniors in the legislative process,” he says.

Can a Bipartisan Proposal Pass in a Divided House?

“AARP supports exploring the restoration of a House Aging Committee to help encourage bipartisan dialogue and elevate issues important to older adults,” said Debra Whitman, AARP’s chief public policy officer.

AARP Board Member Bob Blancato, former staff director of the House Subcommittee on Human Services, highlighted the strategic importance of AARP’s backing. “AARP’s support gives bipartisan weight to the resolution and can motivate lawmakers across the aisle to consider it,” he said.

Blancato called restoring the committee a “sound policy decision,” noting that the growth of the older population makes action urgent. “The sheer increase in the number of older adults since 1993 is reason enough,” he said, pointing out that the oldest baby boomers are now turning 80. “President Donald Trump, the oldest sitting president in U.S. history, turns 80 on June 14, 2026,” he added.

He also noted that a single vote in 1993 eliminated HSCoA and several other committees as part of an effort led by House Democratic leadership to reduce government spending. Blancato suggested the resolution could pass in today’s Republican-controlled House if lawmakers see it as politically advantageous, adding that Rep. Salazar, a Republican, could play a key role in building support.

Still, Blancato acknowledged uncertainty about how effective a modern version of the committee might be. “It’s a dicey question—it depends on the issues they take on,” he said. However, he emphasized that a reestablished committee could play a crucial role by holding hearings on Social Security reform proposals from both parties.

Rep. Magaziner’s effort to secure a Republican cosponsor reflects the kind of thoughtful, collaborative leadership our country needs—especially as America’s older adult population continues to grow at an unprecedented rate, says aging advocate Vincent Marzullo, a former federal civil rights and social justice administrator. “By working across party lines, he is helping to refocus national attention on a myriad of pressing challenges facing older Americans,” he says.

“Rep. Magaziner’s bipartisan initiative also underscores a shared commitment to dignity, respect, and opportunity for seniors, adds Marzullo, who serves on the Congressman’s senior advisory council, calling a bipartisan approach a constructive path to addressing the needs of aging communities nationwide.

Robert Weiner, former chief of staff of the HSCoA under the late Chairman Claude Pepper (D-FL), now director of an ongoing op-ed writing group recruiting young journalists, which won the National Press Club President’s Award, noted that similar resolutions have been introduced in six previous congressional sessions. He said bipartisan support—including from Rep. Salazar, a member of the House Problem Solvers Caucus—could improve the resolution’s chances for passage.

However, Weiner argued that attracting Republican cosponsors should not be difficult. “Historically, Republicans have received strong support from older voters,” he said. “Bipartisan sponsorship should help overcome partisan resistance,” he believes.

Given that Rep. Salazar is a Republican member of the bipartisan Problem Solvers Caucus, Weiner agrees that it is now time to urge the Problem Solvers Caucus to endorse and become cosponsors of H. Res. 1013. “The Aging Committee has always been bipartisan, with House leaders including not only Pepper and  Ed Roybal (D-CA)as chairs, but supportive ranking minority members, including then House members — later Senators — Charles Grassley (R-IA), William Cohen (R-ME), and John Heinz (R-PA),” notes Weiner. He added that the passage could depend on political timing. “It can and should be a shared victory,” Weiner said. “If not this year, then next year.”

A Call for Support

It is time for the Tallahassee, Florida–based Claude Pepper Foundation to step forward and formally endorse H. Res. 1013. The Foundation’s mission—to advance the ideas, values, and public policy legacy of the late Sen. Pepper, ensuring they remain part of contemporary American discourse—aligns directly with the purpose of this bipartisan resolution.

At its core, the Foundation educates federal and state policymakers and advocates for initiatives that enhance the quality of life for all Americans. H. Res. 1013 embodies that commitment. Endorsing this measure would not only honor Sen. Pepper’s legacy but also reinforce the Foundation’s leadership in shaping policies that address the needs of a growing aging population.

The bipartisan Problem Solvers Caucus, established in January 2017 as an outgrowth of the No Labels organization, was created to foster cooperation across party lines on key policy issues. Nearly evenly divided between Democrats and Republicans, the caucus has demonstrated that consensus-driven policymaking is both possible and necessary.

During the 119th Congress, the Problem Solvers Caucus endorsed 12 legislative proposals. Notably, however, none directly addressed aging programs or services. As an original cosponsor of H. Res. 1013, Rep. Salazar is well-positioned to urge the caucus’s co-chairs—Representatives Brian K. Fitzpatrick (R-PA) and Tom Suozzi (D-NY)—along with their colleagues, to make this resolution their 13th endorsed proposal.

Addressing the needs of older Americans should never be viewed as a partisan issue. Reestablishing the House Select Committee on Aging is a practical, bipartisan step that lawmakers from both parties can and should strongly support.

Restoring the committee is essential—not only to revive a once-vital congressional institution, but also to ensure that today’s Congress is now equipped to meet the evolving needs of the nation’s rapidly aging population.

LCAO member organizations endorsing H. Res. 1013 include AARP, Justice in Aging, CWI Works, Inc., Alzheimer’s Association, Village to Village Network, Gerontological Society of America, Network of Jewish Human Service Agencies, Meals on Wheels America, International Association for Indigenous Aging, APWU, Retirees Department, Service Employees International Union (SEIU), PHI, LeadingAge, Aging Life Care Association, National Adult Day Services Association (NADSA), Post Acute and Long Term Care Medical Association, National Academy of Elder Law Attorneys (NAELA), National Committee to Preserve Social Security and Medicare (NCPSSM), National Council on Aging, USAging, Mairead Painter, CT State Long Term Care Ombudsman,  National Adult Protective Services; and National Association of Nutrition and Aging Services Programs (NANASP), among others.

Read the full resolution here https://www.congress.gov/bill/119th-congress/house-resolution/1013/text

Rep. Magaziner’s one-minute floor statement calling for the passage of H. Res. 1013 – see it here: https://youtube.com/watch?v=IygZGcwnFPg&si=MLAAdY6QctiXd1TF

To read LCAO’s endorsement of H. Res. 1013, go to https://www.lcao.org/wp-content/uploads/2026/03/LCAO-Chairs-Letter-Endorsing-H.-Res.-1013.pdf.

Caregiving Still a Crisis in America, Pew Report Confirms

Published in RINewsToday on March 9, 2026

Last summer, AARP and the National Alliance for Caregiving (NAC) released their 133-page report, Caregiving in the U.S. 2025, widely regarded as one of the most comprehensive sources of data on family caregivers in America. Seven months later, the Pew Research Center (PRC) expanded the national caregiver debate, releasing its own report, Family Caregiving in an Aging AmericaThis report confirmedthe results of AARP and NAC’s sweeping report, while adding fresh insight to a rapidly growing body of research on caregivers.

These two caregiver reports highlight a powerful demographic trend: the continued graying of America’s population, creating a growing need for Congress and state governments to enact laws to assist the nation’s 63 million family caregivers. At the same time, mounting evidence reveals that increasingly family members are stepping into caregiving roles and responsibilities. The Pew survey released last week which examined the experiences of caregivers, found that the demands of caregiving intensify as family members reach the age of 75 and older.

“Aging in America is one of the most profound demographic trends shaping our society today,” observes Kim Parker, PRC’s director of social trends research, in a Feb. 26, 2026, statement announcing the results of its first-ever caregiver study. Parker emphasized that caregiving for an aging family member encompasses a wide range of responsibilities, including running errands, managing finances, navigating medical issues, and providing hands-on personal care.

“Helping in these ways has a direct impact on the lives of caregivers,” Parker said, stressing that caregiving often strengthens relationships between caregivers and those receiving care. But particularly when it comes to supporting an aging parent, many caregivers say it has taken a toll on their personal well-being, finances, careers, and even their social lives, Parker added.

Taking a Look at Key Findings

The study findings revealed that one in ten U.S. adults reported being a caregiver for a parent aged 65 or older. Another 3% cared for a spouse or partner in that age group.  Fewer than 1% reported caring for both an aging parent and an aging spouse or partner. However,  survey data show that caregiving rates rise significantly among those with older loved ones: 24% of adults with a parent aged 65 or older identify themselves as caregivers, as do 25% of those with an aging spouse or partner.

Consistent with previous research, gender plays a role in taking on caregiving roles and responsibilities. Among adults with an aging parent, spouse, or partner, 28% of women identify as caregivers, compared with 23% of men.

Men and women caring for an aging parent are about equally likely to say that helping with activities of daily living has strengthened their personal relationships.

However, women note that they are more likely than men to report negative effects on their emotional well-being (47% vs. 30%) and physical health (38% vs. 26%).

As to finances, the study found that income also plays a role in who becomes a caregiver.  Among adults with an aging parent, spouse, or partner, 39% of lower-income adults identify as caregivers, compared with 23% of middle-income adults and 16% of upper-income adults.

What Caregivers Do

Roughly two-thirds of adults caring for an aging parent (68%) and a similar share caring for an aging spouse or partner (66%) regularly provide help with at least one key activity of daily living. These tasks include running errands, managing household chores and home repairs, scheduling medical appointments, managing medications, handling finances and paying bills, and also assisting with activities of daily living such as bathing or dressing.

The survey findings also indicate that adults who provide care for an aging parent with at least one of the tasks tend to report that this has had a more positive than negative impact on their relationship with their parent. On balance, caregivers find that this experience has a more negative impact on their physical health, emotional well-being, job (among those employed), finances, and even their social life.

While caring for an aging spouse or partner regularly involves helping them with activities of daily living, they say that this experience has had a more positive impact on their relationship. But unlike their peers caring for an aging parent, their views on physical health, emotions, finances, and social life are more mixed, rather than mostly negative.

Advocates Say Caregiver Crisis Demands Swift Action

“The PRC’s survey findings further validate what other research and caregivers themselves have been telling us — that they’re sacrificing their health, their finances, and their careers to care for the people they love, often with very little support,” says Jason Resendez, NAC’s President & CEO.

According to Resendez, the PRC’s survey findings confirm the findings of AARP and the NAC’s Caregiving in the U.S. 2025 report.  He noted that caregiving falls hardest on those least equipped to handle it. Lower-income families and women carry a disproportionate share of the load. These patterns are consistent with what caregivers on the ground routinely describe.

Like other research findings, Resendez notes that PRC’s report highlights that social isolation, financial strain, and career disruption are widespread among caregivers — yet these tend to get overshadowed in public conversation by the more visible emotional toll. The sharp increase in caregiving demands once a parent crosses into older age brackets is also an underappreciated threshold that catches many families off guard, he says.

PRC’s survey findings, says Resendez, paint burnout not as a single breaking point but as a compounding experience — emotional exhaustion layered with their own declining physical health, shrinking social lives, strained finances, and career setbacks, all happening simultaneously.

“Women in particular experience this accumulation more acutely than men, suggesting burnout has a deeply gendered dimension,” he says.

“The PRC report shows broad, bipartisan public support for concrete interventions: tax relief, respite care, paid family leave, and direct financial assistance,” says Resendez.  Preparation means building infrastructure around these supports before the aging population surge overwhelms families who are already stretched thin, he adds.

When asked what success would look like in reducing caregiver burden by 2030, he responded: “Success would mean closing the income and gender gaps in who bears the caregiving burden, fewer caregivers reporting harm to their health and well-being, and widespread adoption of the financial and workplace supports that the public already overwhelmingly favors. The benchmark is simple: caregiving should not systematically impoverish or exhaust the people doing it,” he says.

Inside the Beltway, aging groups are pressing Congress to support financially struggling caregivers. AARP, representing 38 million older adults, reports that on average, family caregivers spend over $7,200 annually—26% of their income—on out-of-pocket expenses.

“America’s family caregivers put family first, helping their parents, spouses, and others stay at home,” said Nancy LeaMond, AARP Executive Vice President and Chief Advocacy & Engagement Officer. “They spend thousands of dollars every year on this care, while juggling work and family responsibilities. We urge Congress to put money back into the pockets of hardworking family caregivers by passing the bipartisan bill, The Credit for Caring Act,” she says.

The Senate bill (S 925), introduced in the Senators Shelley Moore Capito (R-WV) and Michael Bennet (D-CO) and in the House (H.R. 2036) by Representatives Mike Carey (R-OH) and Linda Sánchez (D-CA), offers up to a $5,000 nonrefundable federal tax credit to help offset caregiving expenses, addressing the significant personal and financial sacrifices caregivers make to support their loved ones.

AARP says respite care is essential to preventing caregiver burnout, yet access remains limited and uneven, leaving many caregivers without the breaks they need to continue caring for loved ones. The aging advocacy group is calling on Medicaid to strengthen home- and community-based services, reduce unnecessary red tape, and ensure that family caregivers can access supports such as respite care and training.

Family caregivers provide more than $600 billion worth of care each year, and that labor should earn them benefits through Medicare and Medicaid, says Maggie Ornstein, PhD, a public health geographer, guest faculty member at Sarah Lawrence College, and a family caregiver for more than 30 years who writes extensively on caregiver issues.

Ornstein agrees with AARP’s call to strengthen Medicaid and argues that home care should be a required benefit under the program, just as institutional care is. “Wages for home care workers need to be increased,” she says, noting that providing living wages would make these jobs more desirable and, in turn, better support family caregivers.

“There is also an urgent need for Medicare to cover home care and related services,” Ornstein adds. “Coverage should also be available to caregivers before the standard age of eligibility. Similar to how people with permanent disabilities qualify for Medicare, eligibility could be expanded to caregivers who provide more than 20 hours of care per week,” she says.

Ornstein notes that direct payment to caregivers is popular (63% in PRC’s study) and would have the biggest impact on caregivers. “We know that caregivers often have to reduce paid employment or leave work entirely, so direct payment in the form of wages or ‘caregiver allowances,’ as provided in countries like Canada, Australia, Germany, and the UK, would help with financial security,” she says.

Research suggests, says Ornstein, that caregivers lose more than $300,000 in wages and benefits over their lifetimes. “Tax credits, while often the most widely discussed policy response, would do little to help the lowest-income and most vulnerable caregivers. Proposed tax credits would need to be refundable to have the most impact, but even then, direct payments would better bolster financial well-being, which should be a main policy priority,” she says.

Other policies, such as the Social Security Caregiver Credit Act, need more public attention, too, says Ornstein, emphasizing that providing Social Security credits to caregivers who leave work to provide care would be transformative for their retirement.

Finding a Care Giver Policy Fix in Rhode Island

With the release of the PRC caregiver survey findings, it is more important than ever to spotlight the vital role of our state’s caregivers, says SACRI Policy Advisor Maureen Maigret, who calls caregivers the backbone of Rhode Island’s long-term services and supports system.

According to Maigret, the PRC report highlights that lower-income adults with an aging parent, spouse, or partner are more likely to serve as caregivers than those with higher incomes. “That is why SACRI views the passage of a caregiver tax credit bill as a priority,  one that will help offset the financial burden faced by so many caregivers,” she says.

H7241, sponsored by Rep. Susan R. Donovan (D-Dist. 69, Bristol, Portsmouth), and S. 2246, sponsored by Sen. Linda L. Ujifusa (D-Dist. 11, Portsmouth, Bristol), would provide a tax credit of up to $1,000 for a family caregiver caring for an older adult or a person receiving Social Security Disability who requires assistance with two activities of daily living. The proposal would cover up to 50 percent of eligible expenses, capped at $1,000.

Supporters say that establishing a caregiver tax credit would help older adults and people with disabilities remain in their homes while also reducing costly Medicaid expenditures on nursing home care, which can exceed $100,000 annually.

A Final Note…

One of the biggest unanswered questions about caregiving in America today is whether there is the political will in Congress to support family caregiving.

“The PRC’s report shows that relationships are strengthened through both providing and receiving care. When caregivers are not supported in that care, they experience significant stress,” Ornstein said.

“We have an opportunity to value the care provided by family and non-kin caregivers across the country and, in doing so, strengthen our communities. Instead, we have a system that abandons, neglects, and exploits family caregivers. We need more people to decide that this is unacceptable and to demand the support caregivers earn through the work they do every day,” Ornstein adds.

To read PRC’s caregiving report, go to https://www.pewresearch.org/social-trends/2026/02/26/family-caregiving-in-an-aging-america/

To get a copy of Caregiving in the US 2025: Key Trends, Strains, and Policy Needs, go to https://www.aarp.org/pri/topics/ltss/family-caregiving/caregiving-in-the-us-2025/

For state-specific caregiving data, go to https://www.aarp.org/pri/topics/ltss/family-caregiving/caregiving-in-the-us-2025-caring-across-states/