Long-Term Care

Long-Term Care Tax by State - Employer Tracker

HBy Hollowtree
Long-Term Care Tax by State - Employer Tracker article
Quick Answer
Washington is the current operational baseline for state LTC payroll administration. Employers should separately track each state's legislative stage, covered workers, funding method, exemptions, reporting rules, and effective dates.

Long-Term Care Tax by State: Employer Tracker

Long-term care payroll-tax proposals can create new withholding, reporting, exemption, and employee-communication responsibilities. This tracker gives employer teams a practical starting point for monitoring those requirements without treating every proposal as enacted law.

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Last reviewed: August 28, 2026. State legislation can change quickly. Confirm current requirements with the responsible state agency and qualified legal or tax advisers before changing payroll or benefits administration.

Current Employer Baseline: Washington

Washington's WA Cares Fund is the established state program employers can use as an operational reference point. The state currently describes the premium as 0.58% of covered employee gross wages. Employers collect the employee premium, report wages and hours, and remit premiums quarterly; employers are not required to contribute their own share.

Read the Washington LTC Tax employer guide for the broader program overview, then use the Washington employer compliance checklist for payroll and reporting workflows. Confirm live requirements through the official WA Cares employer information.

What Employers Should Track in Every State

A bill announcement is not the same as an active payroll obligation. For each state where employees work, track:

  • Legislative stage: study, introduced bill, enacted law, rulemaking, or active collection.
  • Covered workers: work-location, residency, remote-work, and self-employed rules.
  • Funding mechanism: employee withholding, employer contribution, or another assessment.
  • Exemptions: eligibility, documentation, deadlines, and whether private coverage matters.
  • Administration: registration, payroll coding, reporting cadence, corrections, and record retention.
  • Effective dates: when withholding, reporting, benefits, and enforcement begin.

For organizations with workers in several jurisdictions, use the multi-state employer LTC payroll-tax guide to organize ownership across payroll, HR, finance, legal, and benefits teams.

Why More States Are Studying Long-Term Care Funding

States are evaluating long-term care funding as populations age and public-program costs increase. The policy designs can differ substantially, so employers should focus on enacted requirements and official rulemaking instead of assuming another state will copy Washington.

See why states are considering LTC payroll taxes for the demographic and fiscal context behind these proposals.

Employer Action Plan

  1. Assign one owner for state LTC legislation and agency updates.
  2. Maintain an employee-location inventory with payroll-system ownership.
  3. Separate enacted requirements from proposals and studies.
  4. Document exemption evidence and employee communications.
  5. Model payroll and benefits impacts before an effective date approaches.
  6. Review how a private employer LTC benefit compares with a state payroll tax.

For broader plan-design and employer education resources, continue to the Long-Term Care Insurance resource hub.

Next step

Get the employer briefing

A concise breakdown built for leadership teams making benefits decisions.

Employer Briefing