In 2019, the Washington State Legislature established the Long-Term Services and Supports Trust Program (LTSS Trust Program) to provide funding for eligible beneficiaries that they can apply to the cost of their long-term care. The program is funded through a 0.58% payroll tax on employee wages and went into effect on January 1, 2022. However, the LTSS Trust Program drew public criticism in recent months and most private long-term care insurance providers pulled out of the state. As a result, the Washington State Legislature recently fast-tracked new legislation to put the program on hold until July 2023.

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