Long-Term Care Tax for California

Information about the LTC payroll tax

Possible Deadline to Purchase Long Term Care Insurance in California








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Long-Term Care Tax California

A recently proposed payroll deduction may soon impact the take-home pay of California workers, including the self-employed. Even residents of neighboring states, like Arizona, Nevada, and Oregon, who work in California, might be subject to this payroll deduction.

You may want to consider purchasing a private long-term care insurance policy before the potential exemption deadline to be exempt from the long-term care tax California.

California Assembly Bill AB567 created a long-term care insurance task force to “examine the components necessary to design and implement a statewide long-term care insurance program.” The program will be similar to Washington state’s “WA Cares Fund,” which was finalized in April 2021. A federal judge recently upheld Washington State’s program, and Washington State began collecting the payroll deduction on July 1st. 

Washington is the first state to establish a social insurance program to help fund long-term care. After a vesting period, “WA Cares Fund” participants will be able to receive $36,500 of long-term care benefits over their lifetime (adjusted for inflation). In addition to Washington and California, thirteen other states, including New York, are beginning to develop similar programs.

The Washington law allowed anyone to opt out of the payroll deduction if they owned a private long-term care insurance policy. In the first version of the law, signed in 2019, there was a 20-month window from April 30, 2021, through December 31, 2022, to buy a private long-term care insurance policy and opt out of the program. The second version of the law reversed that. It only allowed employees to opt out if they had already owned a long-term care insurance policy before the law was signed in 2019. In the final version of the Washington state law, there was a six-month window to buy a private long-term care insurance policy to opt out of the payroll deduction. That window lasted from April 30 to October 31, 2021

Over 480,000 employees in Washington state purchased private long-term care insurance during that six-month window and opted out of the payroll deduction. Because of the one-time opt-out, the state of Washington will lose hundreds of millions of dollars of revenue every year. The WA Cares Fund payroll deduction is uncapped. It equals .58% of all W2 wages, including salary, stock options, employee stock purchase plans, and cash bonuses. According to a study by the state of Washington, the average income of those who opted out was over $200,000 per year. For high-income earners, the cost to own a small, private long-term care insurance policy was less than the payroll deduction of .58%

California’s Long-Term Care Insurance Task Force has created five different program designs to be considered by the California legislature. All five designs require a “payroll tax (split between employees and employers) and a non-voluntary premium contribution via an income tax for the self-employed.” Three of the five designs have significantly richer benefits than Washington State’s program. The actuary on the Task Force estimated that the program design preferred by the Task Force would require a payroll tax of no less than 2.0% and possibly as high as 3.5%.

To avoid a similar shortfall in California, the Task Force recommends that the California legislature NOT allow any window for California workers to opt out of the program. 

In their report to the legislature, the Task Force stated:

“While including a time-limited opt-out window would increase flexibility for prospective private insurance consumers, a surge in private insurance applications would likely occur in the months leading up to the deadline, similar to what happened with the WA Cares Fund. To mitigate this outcome, legislation enacting the Program should set a deadline (e.g. the date the Governor signs the legislation), which would make any new LTC policy sales ineligible for Program opt out after the deadline.”

The Task Force discussed five different “opt-out deadlines” and favored two:

  1. The program effective date (estimated to be January 1st, 2025) OR
  2. The beginning of the year preceding the Program effective date

If the legislature chooses #2, and the program effective date is January 1st, 2025, the deadline for purchasing a long-term care insurance policy would be January 1st, 2024

Unlike Washington state, the Long-Term Care Tax California will not have a long window of opportunity to purchase a long-term care policy to opt-out of the Program.
What will the final version of Long-Term Care Tax California look like? Will the deadline for owning long-term care insurance be January 1, 2024? Will it be October 1st, 2024 (the governor’s estimated date to sign the bill)? Or will it be January 1, 2025 (the estimated effective date)? Or will it be after that?

No one knows for sure.

If you have an above-average income, the safe bet may be to buy a small long-term care insurance policy before the law is finalized. It could be too late if you wait until after January 1, 2024.

Is there a California long-term care tax?

I recently spoke with a woman in California who wants her husband to buy long-term care insurance. I asked, “What prompted you to look into long-term care insurance.” She replied, “The California Long-Term Care Tax”. I explained to her that California has not yet...

What is California AB567

What is the California AB567? Assembly Bill 567 established the Long Term Care Insurance Task Force, simply known as “Task Force,” to assess the implementation and feasibility of a culturally adequate statewide insurance care program. This group has 15 members across...

California Long-Term Care Tax

Is California considering a long-term care tax? Maybe one day soon. What is the California long-term care tax?Assembly Bill 567 established the Long Term Care Insurance Task Force, simply known as “Task Force,” to assess the implementation and feasibility of a...

What is Long Term Care?

There are many different services that would fall under the definition of long-term care. These services include institutional care in nursing facilities or non-institutional care such as home health care, personal care, adult day care, long-term home health care, respite care and hospice care.

  • Nursing homes in California are licensed under the Public Health Law.
  • Home health care consists of services received in your home, and can include skilled nursing care, speech, physical or occupational therapy, or home health aide services.
  • Home care (personal care) consists of assistance with personal hygiene, dressing or feeding, nutritional or support functions, and health-related tasks.
  • Adult daycare can provide supervision and other social, recreational, and in some cases, health services during the day, in a group setting outside the home, for elderly persons who still live at home.
  • Assisted living facilities provide housing and ongoing care and services to those unable to perform activities of daily living or who have a cognitive impairment.
  • An alternate level of care is care received as a hospital inpatient when there is no medical necessity for being in the hospital and is for those persons waiting to be placed in a nursing home or while arrangements are being made for home care.
  • Respite care is temporary institutional or at-home care of a dependent elderly, ill, or handicapped person, providing relief for their usual caregivers.
  • Hospice care is a program of care and treatment, either in a hospice care facility or in the home, for persons who are terminally ill and have a life expectancy of six months or less.

Will I Need Long-Term Care?

The chances of needing some type of long-term care services is high. It is estimated that over 40% of all persons who were 65 years old in 1990 will enter a nursing home during their lifetimes.

The Cost of Long-Term Care in California

Long-term care is very expensive. Most people cannot afford to privately pay for long-term care services for very long.

Nursing home care costs vary in California from $322 to $400 per day, which is approximately $117,530 per year to $146,000 per year. This represents an increase of about 6 percent from 2020 to 2021.

Home health care is also expensive. According to an industry survey, the average cost of home health care in California in 2021 was $32 per hour. The average monthly home health care costs throughout the State reach $6,101 per month or about $73,216 per year. Home health care costs increased by 10 percent from 2020 to 2021.

Is Long-Term Care Covered By Medicare or Health Insurance?

Medicare: Medicare does NOT pay for most long-term care services. Individuals should not rely on Medicare to meet their long-term care service needs. Medicare does not pay for custodial care when that is the only kind of care needed. Medicare covers skilled nursing facility care but only on a very limited basis.

If you need skilled health care in your home to treat an illness or injury, Medicare may pay for some part-time or intermittent home health services furnished by a home health agency. Visit www.medicare.gov and www.cms.gov for more information on what is/is not covered by Medicare.

Medicare Supplement Insurance Plans: These plans are designed to fill in some of the gaps in Medicare coverage, but they do NOT cover most long-term care services.

Private health insurance: that you might already have covers mainly acute conditions and probably does NOT cover long-term care.

Medicaid: To qualify for Medicaid coverage, you must meet certain income and asset tests. Because of the high cost of nursing home care, more than half of those who enter nursing homes privately paying for their care deplete their assets to the level required to qualify for Medicaid in less than a year.

In California, in 2023, if only one spouse needs nursing home care, the married couple can keep a home, a car, and assets up to $130,00 for the spouse applying and $148,620 for the non-applicant spouse. A single person who requires such care may have resources up to $130,000 and still qualify for Medicaid.
Source: American Council on Aging

For further assistance, please contact
Scott A. Olson at 877-727-9582
or email Scott at Scott@LTCShop.com
California Insurance License #: 0E07935