The new National Governors Association report warns states that to prepare for the projected 12.3 million Americans who will need long-term care by 2030, they need to work on recruiting and retaining quality workers.

The NGA prepared the report to help states identify policies and solutions to balance the increase of elderly Americans with how this population’s proportions will differ and produce a strong workforce to provide care.

States should look at how the proportion of elderly in their population will differ in the next few decades. For example, Pennsylvania has the second-highest proportion of elderly Americans (15.2%), but the state is estimated to rank seventeenth with 21% by 2020..

The report makes projections about these changes, which, for states to handle in the upcoming years, will involve producing a larger, stable quality workforce. Texas, for example, will need 55,000 additional workers to cope with the rise of elderly Americans.