The Accommodation I Lost in 2024
- Mark Fukae
- 3 days ago
- 2 min read

By Mark Fukae - Director of Advocacy - Professionals Who Care
Why Mark Fukae built the Colorado CARE Act - and the week that proved why it's needed
One week ago, PWC's Director of Advocacy Mark Fukae's mother-in-law fell at a longtime social gathering - a split-second moment of independence, not a lapse in her caregiver's attention - fractured her hip, and spent four days in the hospital before transferring to a rehab facility. A week that included a hallway conversation about surgical risk and end-of-life planning, and, days later, a courtyard concert and a flower from a stranger.
The full account - published today in Our Lives On Hold, "She Has Got to Get Up" - is also the week Mark filed for federal FMLA, the only workplace tool currently available to him. The piece discloses, for the first time, why that's true: in 2022 and 2023, Mark had a formal, cabinet-level-approved workplace accommodation built around his caregiving responsibilities. In 2024, a blanket return-to-office policy - applied to all employees, with no individual review - eliminated it. He has had no accommodation since.
That sequence is, in Mark's words, the exact mechanism the Colorado CARE Act was built to interrupt. A formal accommodation, approved through proper channels, can still be erased overnight by an unrelated company-wide policy, because nothing in current Colorado law requires an employer to even have a conversation with an affected caregiving employee before that happens. HR enforced the policy as written - not as a failure on HR's part, but because HR enforces whatever leadership decides.
The CARE Act wouldn't override a company's right to set policies like RTO. What it would guarantee is a required, documented, good-faith conversation about caregiving needs before an accommodation is swept away by a blanket change - a floor that survives leadership and policy turnover, instead of a discretionary grant that doesn't.
The fiscal stakes scale with HR1's Medicaid work requirements: families without FMLA eligibility, FAMLI access, or a surviving workplace accommodation don't get a hard week when a fall happens - they get the end of a caregiving arrangement, often straight into care costing Colorado roughly $33,000 more per person per year than home-based care, by the state's own figures.
Read the full dispatch: [https://therevenueneutralcaregiver.substack.com/p/our-lives-on-hold-fa6?r=6a52ih]
Mark Fukae is Director of Advocacy at Professionals Who Care and founder of CASI: Caregiver Advocacy Support Initiative. He is a registered Colorado volunteer lobbyist and a stakeholder on the Colorado Medicaid Commission.




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