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PHI Statement on CMS Letter to New York State Regarding Medicaid Program Integrity
PHI is closely monitoring implications for the direct care workforce following the March 3, 2026, letter from the Centers for Medicare & Medicaid Services (CMS) to Governor Hochul. In the letter, CMS’s Dr. Mehmet Oz requested detailed information about New York’s Medicaid program, including its oversight of personal care and home health services, adult day c
A New Federal Proposal Would Further Undercut Home Care Workers’ Labor Rights
The U.S. Department of Labor (DOL) has proposed a rule that would make it easier for employers to misclassify their workers as independent contractors. Misclassification already occurs most often in underpaid, labor-heavy sectors, like home care, where women and people of color are overrepresented. This change would further strip direct care workers—particul
Oregon Acts to Ensure Fundamental Labor Rights for Home Care Workers
Oregon has taken the important step of codifying basic labor protections for home care workers in response to looming federal rollbacks. On March 3, 2026, Governor Tina Kotek signed SB 1518 into law, ensuring that Oregon home care workers will continue to have rights to minimum wage and overtime pay under state law, even as […] The post Oregon Acts to Ensure
PHI Endorses Reintroduction of the Long-Term Care Workforce Support Act and the HCBS Access Act
It Took Over 75 Years for Home Care Workers to Win Basic Rights. A New Rule Would Strip Them Away.
A critical challenge facing home care in the United States dates back to 1938, when Congress passed the Fair Labor Standards Act. The law granted minimum wage and overtime protections to most American workers, but deliberately excluded domestic workers—predominantly Black women. It was a choice grounded in both racism and sexism, and home care workers […] Th
PHI Statement on CMS’s Deferral of Medicaid Payments to California
The Centers for Medicare & Medicaid Services has deferred $1.3 billion in Medicaid reimbursement payments to California, while issuing a six-month national moratorium on new Medicare enrollments for home health and hospice agencies and sending warning letters to all 50 states. These measures represent a significant escalation of the Administration’s targetin
PHI Statement on Senate Effort to Reimagine Long-Term Care
This Pride Month, Inclusion Is Inseparable from Quality Care
This Pride Month, PHI proudly recognizes the LGBTQ+ community and recommits to championing the conditions that allow every person to live, work, and age with dignity. Across the long-term care field, this shared commitment is vital. LGBTQ+ people are an essential part of the direct care workforce that makes this care possible, and a growing […] The post This
Juneteenth and Our Nation’s Unfinished Work of Valuing Care and Care Workers
This Juneteenth marks 161 years since the last enslaved people in Galveston, Texas, learned of their freedom, more than two years after the Emancipation Proclamation had been signed. The day has always carried a dual meaning: a celebration of liberation, and an accounting of how long this country made freedom wait. For PHI, it is […] The post Juneteenth and
PHI Statement on OMB’s Proposed Overhaul of Federal Grant Rules
On May 29, 2026, the Office of Management and Budget (OMB) proposed the most significant revision to the rules governing federal grants in more than a decade. The proposed rule would change how nearly every federal grant, cooperative agreement, and pass-through award is reviewed, administered, and ended. PHI is deeply concerned that the proposed rule […] The