
Elizabeth Hovde of the Washington Policy Center explains how we’ll have to wait and see who actually gets to join the nearly 500,000 people who escaped the LTC payroll tax by having private insurance
Elizabeth Hovde
Washington Policy Center
Right now, the only people who can opt out of the WA Cares Fund, a new long-term-care (LTC) program that is supposed to be fueled by a payroll tax on workers, are those who had private long-term-care insurance (LTCI) purchased by Nov. 1, 2021. Their numbers are below.

Our 2019 study on the then-proposed law found that between 2022 and 2053, taxpayers would pay more than $30 billion for the state to realize net savings of just over $1.2 billion. We look forward to a new actuarial report that will be featured at a Nov. 10 Long-Term Services and Supports Trust Commission meeting for another look. (The name of the commission overseeing this law is as long as the bill is high).
The return on investment will still be awful and the program will still have solvency concerns before it even begins. One needs to look no further than the money-borrowing Paid Family and Medical Leave payroll tax to see how this is going to go.
The bad return is joined by disingenuous marketing that tells workers to have “peace of mind” that the WA Cares program has their backs. It won’t, necessarily.
Many people will not benefit after years of paying 58 cents for every $100 they make. The payroll tax is especially cruel to low-income workers who need their wages going to bills they have today, not bills that they might not have someday. In some cases, their money will be going to wealthier people who may or may not need help with long-term care. No one should have “peace of mind.”
Even if you qualify for Wa Cares’ lifetime benefit of $36,500, it will likely be inadequate for your long-term-care needs.
The tax, which begins in July of 2023, if it isn’t stopped, is nothing more than a taxpayer-funded jobs program and a new tax stream for the state. And I don’t think taking money away from workers, some of which would have qualified for another safety net used for long-term care, Medicaid, is going to go well. Lawmakers need to stop building safety nets for people in need and those not in need.
In January, more people — some military members and military spouses, non-immigrant visa holders and workers who live outside of Washington state — can individually apply for exemption from the tax, as those groups can never expect to benefit from WA Cares. I expect those who know about their ability to opt out will. The exemptions, however, to be true exemptions, should have been automatic. They’re not. They’re “voluntary.”
I just heard from the Employment Security Department today that as it makes rules for the law allowing for more exemption groups, they cannot adjust the law in such a way that an automatic exemption is granted. Unless the law is amended by the Legislature — again — these people are stuck with voluntary exemptions — and the feel-good tweak to the law looks like it was mostly for show. Read more about my concern for our agricultural workers here.
We’ll have to wait and see who actually gets to join the nearly 500,000 people who escaped the LTC payroll tax by having private insurance.
As of Sept. 15, the Employment Security Department reports the following WA Cares exemption numbers:
- Total opt-out requests submitted: 479,100
- Total opt-out requests approved: 475,436
- Total opt-out requests processed: 479,038
- Applications processed as a percentage of total: 99.99%
The window remains open for the rest of the year for these LTCI policyholders. See application instructions here.
Elizabeth Hovde is a policy analyst and the director of the Centers for Health Care and Worker Rights at the Washington Policy Center. She is a Clark County resident.
Also read:
- Letter: ‘Immigration’ resolution scheduled for this Wednesday at Clark County Council MeetingRob Anderson urges residents to closely watch an upcoming Clark County Council meeting where an immigration-related resolution and proposed rule changes are expected to be discussed.
- Opinion: The 1700-square-foot solution to Washington’s housing crisisAn opinion column arguing that Washington’s energy code has driven up housing costs and outlining how HB 2486 aims to limit those impacts for smaller, more affordable homes.
- Letter: Public school visionClark County resident Larry Roe urges a deeper community discussion about public school priorities, levy funding, and the long-term affordability of education for local families.
- Opinion: House Bill 1834 would create a regulatory nightmare and restricts parental control on social mediaMark Harmsworth argues that House Bill 1834 would undermine parental authority and create sweeping regulatory and legal risks under the guise of protecting minors online.
- Opinion: HB 2100 – Tax employers for paying people well? It’s for the needy, sortaElizabeth New (Hovde) argues House Bill 2100 would raise costs, discourage job growth, and expand state spending power under the banner of helping people in need.







