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Economic Value of Family Caregiving in North Dakota Reaches $1.27 Billion Annually

Family caregivers provide 27 hours per week in unpaid care on average

AARP

Elderly father and daughter sitting side by side in the garden and lovingly holding hands.The woman smiles at her father with her hand resting on his. A photo of a family visiting and lovingly caring for their father

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North Dakota’s family caregivers now provide $1.27 billion worth of labor each year, according to a new AARP report. Most of this work is unpaid, yet it forms the backbone of the nation’s long-term care system that is essential to helping millions of older adults live independently at home.

Why this matters: Without family caregivers, many more North Dakotans would rely on expensive institutional care, driving significantly higher costs for taxpayers and public programs.

“Family caregivers are a major economic force that fill critical gaps in our health care system.” said Josh Askvig, AARP North Dakota State Director. “The economic value they provide now exceeds $1.2 billion annually, yet this care often comes at significant cost to caregivers’ health and financial security, and well-being. AARP is elevating this important issue and fighting to save family caregivers time and money.”

Key findings from the report – Valuing the Invaluable 2026 – include:

82,000 North Dakota residents are caregivers of adults, providing care for older parents, spouses, neighbors, and other loved ones, contributing 58 million hours of care annually, work that would be valued at $1.27 billion per year if paid in the marketplace, based on a value of $21.97 per hour.
Across states, the estimated value of caregiving ranges from $14.12 per hour in Louisiana to $27.05 per hour in Washington, reflecting regional differences in wages and the cost of care.

National Findings:

59 million Americans are caregivers of adults, providing care for older parents, spouses, neighbors, and other loved ones, contributing 49.5 billion hours of care annually, work that would be valued at $1.01 trillion per year if paid in the marketplace, based on a value of $20.41 per hour.
The 49.5 billion hours of care provided each year is the equivalent of nearly 24 million full-time workers, roughly 17% of the entire U.S. full-time workforce.
The value of family caregiving exceeds total federal, state, and local Medicaid spending nationwide, and almost doubles all out-of-pocket health care spending.

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Caregiving has become more demanding and complex as chronic illnesses rise and more care shifts into homes:

Family caregivers are spending more time providing care, averaging 27 hours each week.
More than half, 57%, now provide high-intensity care meaning; they spend more hours helping with daily tasks like bathing and dressing as well as complex medical and nursing tasks like wound care and administering injections.

Read the full report here.

AARP continues federal and state advocacy to save caregivers money, time, and get them the support they deserve. In North Dakota we’ve encouraged our U.S. Congressional delegation to support the Credit For Caring Act -- a tax credit of up to $5,000 for working family caregivers to help offset their out-of-pocket costs. Additionally, we encourage individuals to explore their eligibility for the North Dakota Family Member Care Tax Credit -- a state income tax credit designed to help caregivers offset expenses for caring for a qualified family member, providing a credit of 20-30 percent of qualified expenses (up to a maximum of $4,000).

AARP also helps families navigate caregiving challenges by connecting them to trusted resources. AARP North Dakota’s resource guide helps family caregivers access key programs, services and agencies right in their community.

To find out more, visit www.aarp.org/caregiving.