Gloria Brown didn鈥檛 get a good night鈥檚 sleep. Her husband, Arthur Brown, 79, has Alzheimer鈥檚 disease and had spent most of the night pacing their bedroom, opening and closing drawers, and putting on and taking off his jacket.
So Gloria, 73, asked a friend to take Arthur out for a few hours one recent afternoon so she could grab a much-needed nap. She was lucky that day because she didn鈥檛 need to call upon the home health aide who comes to their house twice a week.
The price of paying for help isn鈥檛 cheap: The going rate in the San Francisco Bay Area ranges from $25 to $35 an hour. Gloria Brown estimates she has spent roughly $72,000 on caregivers, medications and supplies since her husband was diagnosed four years ago.
鈥淭he cost can be staggering,鈥 said state Assemblyman Jim Patterson (R-Fresno), author of that would give family caregivers in California a tax credit of up to $5,000 annually to help offset their expenses.
A 2016 by AARP found that the average caregiver spends $6,954 a year on out-of-pocket costs caring for a family member. The expenses range from $7 for medical wipes to tens of thousands of dollars to retrofit a home with a walk-in shower or hire outside help.

Gloria Brown estimates she has spent roughly $72,000 on caregivers, medications and supplies. As her husband鈥檚 disease progresses, she expects costs to escalate.
AARP, a lobbying organization for people 50 and older, is pushing similar bills in at least seven other state legislatures this year, said Elaine Ryan, the group鈥檚 vice president of State Advocacy and Strategy Integration. Arizona, Illinois, Nebraska, New Jersey, New York, Rhode Island and Wisconsin are considering legislation, and AARP expects measures also to be introduced in Florida, Massachusetts and Ohio.
In Wisconsin, two Republicans and two Democrats are behind that state鈥檚 tax credit measure.
鈥淲e need a whole discussion about how we can best keep people at home and meet their needs,鈥 said state Rep. Debra Kolste, a Democrat who explained that most people know someone who is caring for a family member. She hopes the measure can make it through the Republican legislature and be signed by Wisconsin鈥檚 Democratic governor.
approved a state income tax credit in 2017 specifically for caregivers of wounded veterans. However, efforts in other states have failed, including in last year and Mississippi and Virginia this year.
At the federal level, that would have created a federal income tax credit of up to $3,000 never got out of congressional committees last year.
鈥淲hether I鈥檓 in Billings, Mont., or in Mississippi, the caregiver tax credit is something that people are asking for,鈥 Ryan said. 鈥淎ll they鈥檙e asking for is a little financial help to offset these costs.鈥
A tax credit, said Brown and other caregivers, would be welcome relief to the estimated family caregivers in California who care for a loved one with a chronic, disabling or serious health condition. Nationwide, the AARP estimates there are about 40 million people caring for family members.听
The Browns, who have been married 51 years and live in San Mateo, Calif., have good medical coverage but, like most seniors, live on a fixed income.
As her husband鈥檚 disease progresses, Gloria Brown expects costs to escalate. For instance, she wants to install bars in the bathroom to help prevent her husband from falling, and anticipates she will need more professional help.
鈥淚 think we鈥檙e just moving into that stage where I鈥檓 going to see the dollars going out for things that will help to make things easier for him at home and more comfortable,鈥 Brown said. 鈥淚t鈥檚 a cost you just hadn鈥檛 anticipated.鈥

The Browns, who have been married 51 years and live in San Mateo, Calif., have good medical coverage but, like most seniors, live on a fixed income.
Long-term caregiving has emerged as one of the major issues in California鈥檚 Capitol this year, with proposals ranging from naming a state 鈥淎ging Czar鈥 to funding a new cash for long-term care services. In his State of the State address last month, Gov. Gavin Newsom called for a .
鈥淚鈥檝e had some personal 鈥 and painful 鈥 experience with this recently,鈥 Newsom told the joint session of the legislature.
Newsom, whose father had dementia and died last year, also has tapped former first lady Maria Shriver to lead a new Alzheimer鈥檚 Prevention and Preparedness Task Force, and has asked lawmakers to approve $3 million in state funds for Alzheimer鈥檚 disease research.
Patterson鈥檚 bill would provide up to a $5,000 state income tax credit to family caregivers for five years, starting in tax year 2020. They would be reimbursed for 50 percent of eligible expenses, such as retrofitting a home, hiring an aide and leasing or buying specialty equipment. The credit would be available to individuals who make up to $170,000 a year, or joint income tax filers who make up to $250,000.
Patterson, a Republican in the minority, is hopeful he can convince his colleagues that giving people a tax credit is financially sound because it would enable caregivers to keep their loved ones at home rather than relying on more expensive government services.
鈥淚f members of the legislature and the governor would look through the eyes of their own families, friends and neighbors 鈥 I think it can be passed and be signed,鈥 Patterson said.
But the measure faces competition for a slice of California鈥檚 $21 billion surplus, from proposals by the governor and lawmakers to boost funding for education, health care, housing and dozens of other programs.
For Pam Sogge of Oakland, Calif., a tax credit would allow her to hire a home health aide for an additional three hours a week.
Her husband, Rick Sogge, 61, has early-onset Alzheimer鈥檚 and becomes frantic when left by himself. Sometimes when she leaves him alone in another room of their home, he searches for her every two minutes.
Because Rick Sogge is still physically healthy, most of the couple鈥檚 caregiving expenses pay for part-time help to take him on outings so Pam can work, run errands or go to the doctor鈥檚 office.
鈥淵ou have a very uncertain financial future. You don鈥檛 know what鈥檚 going to happen. You don鈥檛 know how long it鈥檚 going to take. So you鈥檙e very conservative,鈥 said Pam Sogge, 56, who has been caring for her husband for five years. 鈥淎 tax credit, in a way, it鈥檚 permission and encouragement to get some help.鈥
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