# Long-Term Care Workforce Support Act (S. 4120) Summary
This comprehensive bill aims to address critical shortages in the direct care professional workforce—including home health aides, nursing assistants, and personal care workers—by improving compensation, working conditions, training opportunities, and labor protections.
## Who It Affects
The bill primarily impacts nearly 5 million direct care professionals working in nursing homes, assisted living facilities, home and community-based settings, and other long-term care environments. It also benefits older adults and people with disabilities who depend on these services, as well as their families. States and healthcare providers will face new requirements and incentives.
## Key Funding and Timelines
The bill appropriates substantial funding across multiple programs through fiscal year 2029 and beyond:
- **Medicaid reimbursement increase**: 10 percentage point boost to federal matching funds for states implementing workforce improvements (fiscal years 2025-2034)
- **Direct grants to states**: $100 billion for states to improve compensation and working conditions
- **Workforce training grants**: $500 million annually for recruitment and training programs
- **Various other programs**: Ranging from $6 million to $50 million annually for specific initiatives
Most provisions take effect within 1-2 years of enactment, with some labor protections phasing in over 2 years.
## What the Bill Does
**Improving Pay and Benefits**: Requires states receiving Medicaid funds to increase reimbursement rates for direct care services, with at least 85% flowing to worker compensation. Establishes paid sick leave requirements (1 hour per 30 hours worked), with additional emergency paid leave during public health emergencies. Provides a $5,000 tax credit for eligible health care professionals working in long-term care.
**Training and Career Development**: Creates grant programs for workforce training, education, and career advancement. Establishes career pathway programs emphasizing skills development and credentials. Funds apprenticeship programs and provides support for workers to pursue additional training.
**Worker Protections**: Requires written employment agreements outlining pay, hours, and responsibilities. Mandates fair scheduling with at least 72 hours notice for schedule changes. Protects workers' right to request temporary schedule changes for personal emergencies. Prohibits wage theft and creates enforcement mechanisms. Establishes workplace violence
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