The Long-Term Care Workforce Support Act is designed to strengthen the direct care professional workforce, which is crucial for supporting older individuals and people with disabilities. The bill addresses critical issues such as low wages, high turnover, and inadequate training by proposing a multi-faceted approach to improve the sector. Title I focuses on improving reimbursement for long-term care services under Medicaid. It offers a 10 percentage point increase in the Federal medical assistance percentage (FMAP) for states that implement strategies to enhance direct care professional compensation, benefits, and training, and reduce waiting lists for home and community-based services. This title also allocates $100 billion in grants to states for strengthening long-term care services and workforce development, requiring funds to directly improve worker pay and conditions. Furthermore, it makes permanent the State option to extend Medicaid spousal impoverishment protections and permanently extends the Money Follows the Person rebalancing demonstration, facilitating community-based care. Title II addresses training, recruitment, career advancement, and worker supports . It authorizes grants for eligible entities to create projects for recruiting, retaining, and advancing direct care professionals, including managers and self-directed care workers, with a strong emphasis on establishing clear career pathways. Additional grants are provided for domestic workers, demonstration projects for career advancement, and initiatives to increase diversity in allied health professions. The bill also establishes a technical assistance center for workforce development, mandates reports on workforce enhancement efforts, and promotes comprehensive geriatric education and rural health workforce grants. It requires an assessment of direct care professional well-being, establishes a commission for national training standards, and provides grants for mental health services and a tax credit for certain health care professionals. Title III focuses on workforce labor protections , aiming to safeguard direct care professionals. It establishes a grant program to prevent wage theft and facilitate wage recovery for these workers. This title mandates written employment agreements, fair scheduling practices with advance notice requirements and reporting time pay, and grants the right to request temporary schedule changes for personal events. A comprehensive workplace violence prevention standard is established for health care and social service sectors, requiring employers to develop prevention plans, conduct investigations, and provide training to protect workers. Finally, it ensures access to paid sick time for direct care professionals, including additional time during public health emergencies, and outlines robust enforcement mechanisms for these new protections. Title IV mandates the development of a National Direct Care Professional Compensation Strategy by the Secretary of Health and Human Services, in consultation with an Advisory Council. This strategy will identify recommended actions for federal, state, and local governments and providers to ensure livable wages for direct care professionals, considering challenges like part-time work and potential benefit reductions. The Advisory Council will provide recommendations and assess existing federal efforts, with the strategy being updated biennially. Title V focuses on improving oversight and accountability by requiring comprehensive evaluations of the Act's implementation and outcomes, including its impact on workforce development, compensation, working conditions, and access to long-term care services.