08/12/2026
A new national report card just graded every state on care.
Not schools.
Not roads.
Care: child care, aging and disability services, paid leave, and protections for family caregivers.
29 states scored a D or lower.
Only 12 earned a B− or better.
California, Oregon, New York, Massachusetts, and New Jersey led.
Alabama, Mississippi, Wyoming, Florida, and North Carolina failed outright.
This is not abstract. Aging and disability care runs largely on Medicaid, and Medicaid is where last year's federal cuts landed hardest. States are already trimming home and community-based services, the exact programs that let someone age at home instead of forcing a family member into full-time unpaid care.
Every point a state loses on that report card gets absorbed somewhere. Usually by an employee who quietly starts missing meetings, turns down a promotion, or cuts back to part-time. Your HR data will never say "state Medicaid cut." It will just say attrition.
PS. Your state's grade tells you the policy landscape. The Workplace Caregiver Needs Survey tells you what's actually happening inside your own walls. Confidential, five minutes per person, covers up to 20 employees. You get a Caregiver Risk Score and the estimated cost of doing nothing, built from your team's own answers, not a national average. $127. https://www.help-project.com/caregiver-survey-sales-page