Washington state lawmakers this year approved spending nearly $20 million to ensure immigrants here could retain long-term care insurance coverage they’re set to lose under federal law. State officials also underestimated the costs of medical services for the long-term care population, resulting in funding not robust enough for their acute needs, Macri said. Officials have already found 1,500 people who can keep their long-term care services because their status had changed, but hadn’t notified the state, according to the Department of Social and Health Services.