Keali‘i Lopez is the state director of AARP Hawaii, a nonprofit, nonpartisan organization dedicated to empowering Americans 50 and older to choose how they live as they age. Her career spans more than three decades and includes executive and leadership positions in government, nonprofit and business organizations.
Several bills still alive at the Legislature would provide support to family caregivers.
Even though Judith Wong and her husband saved for retirement, they didn’t account for the cost of caregiving after her husband was diagnosed with a degenerative muscular disease.
“In-home care is so expensive. My husband will live a long time and we very possibly will run out of money,” Wong said.
A recent AARP study found the cost of home care and assisted living costs have surged about 50% since 2019, putting the ability to afford paid care out of reach of many middle-class families. For example, the average cost of a home health aide in Hawai‘i is $66,300 annually and the cost of housekeeping services is about $62,400.
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AARP Hawai‘i has been advocating at the state Legislature to support family caregivers with a modest tax credit. House Bill 1972 passed both chambers unanimously. But it won’t be enacted unless the House and Senate agree to resolve differences in their versions of the bill in conference committee.
The bill is a first step to show support for caregivers that the Legislature has so far been unwilling to take. A similar bill died in conference committee last year.
AARP Hawai‘i also supports House Bill 1804 to create a Long-Term Care Financing Advisory Commission to examine the feasibility of different financing options for long-term care services and supports.
(AARP Hawaiʻi)
Another proposal to help family caregivers is included in House Bill 2306. It would make it easier for lower- and middle-income taxpayers who are still working to claim a $10,000 dependent care tax credit for caring for a dependent adult who is living in their home.
The changes to the dependent care tax credit are part of a larger tax proposal to repeal income tax cuts starting in 2027. The bill would give tax cuts to lower and middle-income families, but raise taxes on higher income families. AARP Hawai‘i supports the improvements to the dependent care tax credit, but is neutral on the other parts of the bill.
AARP’s family caregiver tax credit and the proposed changes to the dependent care tax credit compliment each other. Lower- and middle-income taxpayers who don’t qualify for the dependent tax credit might benefit from the family caregiver tax credit. Taxpayers wouldn’t be able to claim both credits for caring for a single individual.
Proposals to support family caregivers have widespread impact.
About one in four Hawai‘i residents is or has been a caregiver in the last year. Without unpaid family caregivers, our entire system of long-term care would collapse. They allow kupuna to age at home, where most want to be and keep them out of expensive, taxpayer -supported nursing homes.
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Another recent AARP study estimated that Hawai‘i’s family caregivers contribute 210,000 hours of unpaid care each year. If paid, that care would be worth nearly $5 billion.
Hawai‘i’s population is aging and as it ages, there will be fewer people of caregiving age as the demand for caregiving services increases.
Hawai‘i’s lawmakers must act now to recognize and support those who care for others.
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Keali‘i Lopez is the state director of AARP Hawaii, a nonprofit, nonpartisan organization dedicated to empowering Americans 50 and older to choose how they live as they age. Her career spans more than three decades and includes executive and leadership positions in government, nonprofit and business organizations.
Having a first-hand experience with caring for my wife who had dementia for 20 years, without the correct care plan in place can be a financial as well as a emotional nightmare. One thing that was approved by the government for a one year trial basis was a caregiver could enroll their loved one in an adult day center at that time charged $70 per day. The government would reimburse the day care center the $70 so there was no cost to the caregiver. It was too late for my wife but I would encourage all the people that were in our caregivers support group to take advantage of this benefit. It allowed caregivers respite care as well as the ability to work to off-set the financial cost while their loved one was being cared for. It is too bad because after one year the benefit expired. I realize this has nothing to do with the bills in discussion now but I hope one of our political leaders will read this and take this into consideration for the next session with the assistance of AARP.