Long-Term Services & Supports (LTSS) Trust Commission

LTSS Trust Act

The Long-Term Services and Supports Trust Act (Trust Act) was enacted in 2019 and created the WA Cares Fund, a long-term care insurance benefit to help Washington employees cover the cost of long-term services and supports both during their careers and after they retire.

The Trust Act also created the Long-Term Services and Supports Trust Commission (the Commission), which works on behalf of Washingtonian employees and Long-Term Services & Supports stakeholders to improve, monitor and implement the program. The commission consists of legislators, administering agencies, and stakeholder representatives. The Commission is working on several topics of interest, including:

  • criteria for determining who is a qualified individual;
  • minimum provider qualifications;
  • service payment maximums;
  • actions needed to maintain Trust solvency;
  • and monitoring of agency expenses
birds flying over brown rolling hills

Commission Members

*2025 Commission members will be updated soon. 

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Vacant
Legislative
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Ruth Egger headshot
Ruth Egger
Individual Receiving LTSS #2
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Madeline Foutch headshot
Madeline Foutch
Union Rep. Long-Term Care Workers
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NoPhotoAvailable
Peter Nazzal
Representative of a Home Care Association
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Mark Stensager
Mark Stensager
Individual Receiving LTSS #1
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Rachel Smith headshot
Rachel Smith
Organization of Employers Collecting the Premium
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Laurie St. Ours headshot
Lauri St. Ours
Association representing Skilled Nursing Facilities & Assisted Living Providers
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Silvia Gonzalez
Silvia Gonzalez
Worker who is paying the premium

COMMISSION INFORMATION & REPORTS

Learn more about the commission

Each year, the Commission proposes recommendations to the legislature or the appropriate executive agency on specific aspects of the program. Read the recommendations:

Upcoming Meeting

Questions regarding the LTSS Commission meeting schedule?

Send us an email or call 1-844-CARE4WA

2026 Schedule and Documents

Date Topic Meeting documents
April 29, 2026
1:00pm - 4:00pm
Join Zoom Webinar
Webinar ID: 829 5074 6769
Passcode: 562056

LTSS Trust Commission Meeting

Topic(s):
June 10, 2026
1:00pm - 2:30pm

LTSS Trust Commission Investment Strategy Subcommittee Meeting

Topic(s):
June 24, 2026
1:00pm - 4:00pm
Join Zoom Webinar
Webinar ID: 897 1536 3271
Passcode: 136243

LTSS Trust Commission Meeting

Topic(s):
September 16, 2026
1:00pm - 4:00pm
Join Zoom Webinar
Webinar ID: 836 2777 6887
Passcode: 698845

LTSS Trust Commission Meeting

Topic(s):
October 28, 2026
1:00pm - 4:00pm
Join Zoom Webinar
Webinar ID: 870 4623 3564
Passcode: 664536

LTSS Trust Commission Meeting

Topic(s):
November 18, 2026
1:00pm - 2:30pm

LTSS Trust Commission Investment Strategy Subcommittee Meeting

Topic(s):
December 9, 2026
1:00pm - 4:00pm
Join Zoom Webinar
Webinar ID: 825 2776 7678
Passcode: 704213

LTSS Trust Commission Meeting

Topic(s):