In a landmark move aimed at strengthening support for the growing population of unpaid family caregivers, Washington Governor Bob Ferguson has officially signed House Bill 1142 into law. The bipartisan legislation is expected to benefit more than 800,000 Washingtonians who provide in-home care to elderly or disabled family members without financial compensation.
Spearheaded by Rep. Nicole Macri (D-Seattle), the new law focuses on streamlining the training and certification process for family caregivers, offering them increased recognition, resources, and standardized education—regardless of whether they are affiliated with a formal home care agency or participating through the state’s innovative WA Cares program.
“Currently, there are over 800,000 unpaid family caregivers in Washington caring for loved ones who need assistance with basic daily tasks,” Rep. Macri stated, underscoring the urgency of the reform. “This legislation provides a clear path for caregivers to access support, while ensuring those receiving care can do so with dignity and independence.”
House Bill 1142 received overwhelming bipartisan support, passing the House with an 88-8 vote in February and securing Senate approval with a 48-1 vote in March—signaling a strong consensus across party lines on the need to reinforce caregiving infrastructure statewide.
Among its core provisions, HB 1142 standardizes training requirements for family caregivers, creating a consistent framework for those delivering in-home support, whether independently or via WA Cares. Additionally, the law establishes a new category within the WA Cares program to compensate spousal caregivers—a first-of-its-kind initiative designed to formally acknowledge the vital role spouses play in long-term care.
Supporters of the bill say it not only fills critical gaps in Washington’s caregiving network but also ensures caregivers receive the tools and recognition they deserve. The new law represents a step toward a more equitable and sustainable care model in the face of an aging population and rising demand for in-home support services.
By aligning closely with the goals of the WA Cares Fund—Washington’s pioneering long-term care insurance program—HB 1142 furthers the state’s commitment to accessible, community-based care while offering relief to families bearing the weight of caregiving responsibilities.
With this legislative win, Washington sets a precedent for other states seeking to formalize and support the unpaid caregiving workforce—an often-overlooked pillar of the broader healthcare system.
