·66 issues
September 9, 2026
A small pilot found caregivers valued individualized coaching, while scheduling and lengthy assessments created burdens for participating families.
What makes nutrition support usable for caregivers feeding a child during cancer treatment?
1 development · 1 cited source
September 8, 2026
Pennsylvania started sending notices to agencies on Wednesday. The initiative uses proactive investigations with union leaders and advocates, so workers do not need to file a complaint first.
Can proactive wage enforcement protect home-care workers before a pay dispute adds to the strain on care at home?
1 development · 1 cited source
September 4, 2026
A Senate committee advanced a bill on business child care tax incentives. Maryland opened FAMLI employer registration. West Virginia has begun one change under its new child care law.
What steps are now underway for employer child care and paid leave support?
3 developments · 3 cited sources
September 3, 2026
Reports on adults caring across generations and on caregiver self-neglect show how household care can compete with work choices and a caregiver’s own health attention.
When adults care for children and older parents at once, what health care and paid work do they defer for themselves?
2 developments · 2 cited sources
September 1, 2026
California’s paused home-care funds and persistent nursing-home staffing shortfalls show that families can face uncertainty in both major care settings.
As home-based and nursing-home care face separate pressures, what care setting can families count on?
2 developments · 2 cited sources
August 30, 2026
New Medicaid work reporting rules and approaching funding cuts put separate tests in front of states: clear coverage rules for parents and sustained support for nonmedical home care.
How will Medicaid changes in 2027 affect the care support households can use at home?
2 developments · 2 cited sources
August 27, 2026
An Ohio tax-credit proposal and a California assisted-living benefit cut show how state choices can change the money and services families use to support older relatives at home.
How are state policy choices changing the financial support families can use to keep older relatives at home?
2 developments · 3 cited sources
August 24, 2026
California's assisted-living benefit change, Minnesota wage floors, and Nebraska's caregiver tax credit show different ways care costs reach households and workers.
How are current policy and financing choices shifting long-term care costs for households and care workers?
3 developments · 3 cited sources
August 21, 2026
California assisted living coverage withdrawals and Minnesota nursing home wage floors show how separate care-system decisions can change the choices facing families, residents, and workers.
Who carries the risk when care systems change coverage or workforce rules?
2 developments · 2 cited sources
August 18, 2026
The Medicare At Home Act would define a Part B home-care benefit and a wage floor; Minnesota's nursing-home rule is set to apply separate wage floors in September.
How are public rules defining what care is paid for and what care workers are paid?
2 developments · 3 cited sources
August 17, 2026
CMS has finalized skilled nursing payment and reporting updates, while a planned Care Compare icon will add another public signal for families comparing facilities.
How will new CMS rules and signals shape nursing home decisions for families?
2 developments · 2 cited sources
August 16, 2026
A Pennsylvania budget omission and a national nursing-home study show that long-term care staffing depends on both payment and clinical mix.
What shapes whether long-term care staffing is available at home and in nursing homes?
2 developments · 2 cited sources
August 15, 2026
New work-reporting guidance, an Arkansas waiver decision, and Maine's Lifespan plan show why Medicaid access depends on the next state action.
How do state decisions turn Medicaid rules into coverage and services for families?
3 developments · 4 cited sources
August 14, 2026
Medicaid doula coverage has spread, yet provider participation remains thin in Northern Virginia. A Massachusetts proposal would subsidize higher early-educator wages to expand formal child-care enrollment.
What turns help promised on paper into care a family can actually use?
2 developments · 3 cited sources
August 13, 2026
Texas is cutting approximately 14,000 scholarship seats as HHS projects its proposed Head Start rule could preserve or expand as many as 236,000 slots. Capacity depends on the program, funding path, and implementation.
When do child-care capacity promises become seats families can actually use?
2 developments · 2 cited sources
August 10, 2026
An estimated four million children care for adult family members, while the Government Accountability Office says little is known about them.
1 development · 1 cited source
August 9, 2026
A federal immigration policy shift left seven Haitian caregivers ineligible to work at a New York nursing home as Massachusetts enacted a home-care licensure framework.
2 developments · 2 cited sources
August 8, 2026
Brookings reports the earnings gap between child care workers and women overall widened from roughly $20,000 to $28,000 a year, adjusted for inflation.
1 development · 1 cited source
August 7, 2026
Pennsylvania's larger recruitment and retention payments arrive as updated Georgetown data show Medicaid covered over 26 percent of child care workers in 2024.
2 developments · 2 cited sources
August 5, 2026
The opinion does not change existing law, but advocates worry about federal enforcement as Arkansas families face separate coverage and waitlist questions.
2 developments · 2 cited sources
August 4, 2026
The Dissent reports that a $15 million California settlement puts a three-year monitor over Sweetwater's staffing.
1 development · 2 cited sources
July 31, 2026
Sweetwater is a licensed skilled nursing facility chain that violated state staffing requirement laws.
1 development · 1 cited source
July 30, 2026
Massachusetts staffing floors, Britain's pay agreement and South Korea's insurance plan put the U.S. focus on whether formal rules reach workers, residents and families.
3 developments · 3 cited sources
July 29, 2026
Lauren Shores Pelikan proposes tax benefits for childcare workers, saying the approach could help attract and retain the workforce needed to expand access to care.
1 development · 1 cited source
July 27, 2026
The Nursing Home Without Walls concept was tested in four communities in the Canadian province of New Brunswick.
1 development · 3 cited sources
July 26, 2026
Zheng and Chen report adoption associated with a higher severe care-gap proxy by 2020 (ATT 0.023), with larger estimates where policy texts omitted in-kind home and community services.
3 developments · 5 cited sources
July 24, 2026
A new analysis finds an estimated 1 in 4 family caregivers of older adults manage nutrition and dietary changes, often alone and without professional advice.
1 development · 2 cited sources
July 23, 2026
In A Place for Mom's survey, sixty-two percent of family caregivers call home care long-term or permanent — while Medicare home health use declines and an operator warns of workforce exits.
3 developments · 5 cited sources
July 20, 2026
A June 18 Justice Department opinion challenges the ADA's integration mandate; its first test is the federal case over medically fragile children placed in Florida nursing homes.
2 developments · 2 cited sources
July 19, 2026
A judge ordered Oklahoma's Medicaid agency to resume Mirabelle Care's SoonerCare payments and lift its November fraud suspension, the company says. The underlying investigation remains active.
3 developments · 6 cited sources
July 18, 2026
A June 8 letter told providers reimbursement drops next month, hitting the home and community-based waivers nearly 19,000 Kentuckians are already waiting on.
3 developments · 4 cited sources
July 17, 2026
The LiBBY trial, presented July 14 in London, found a purified THC and CBD oil suspension significantly reduced agitation in 120 hospice-eligible dementia patients.
3 developments · 3 cited sources
July 16, 2026
Mirabelle Care is preparing to file for injunctive relief after the state froze its SoonerCare payments over a fraud investigation into the company's former owner.
2 developments · 3 cited sources
July 15, 2026
Gov. Wes Moore's budget cut $126 million from the Developmental Disabilities Administration. Because state funds are matched by Medicaid, the agency's shortfall tops $250 million.
1 development · 1 cited source
July 14, 2026
The state Supreme Court called the decades-old carve-out unconstitutional, extending wage, overtime, and sick-leave protections to adult family home staff.
1 development · 1 cited source
July 13, 2026
California's whole-person Medi-Cal spending is now the center of a Washington fight over what Medicaid should cover.
2 developments · 3 cited sources
July 10, 2026
A KFF analysis, a proposed wage rollback, and a Supreme Court TPS ruling all press on the workers who provide U.S. long-term care.
3 developments · 8 cited sources
July 8, 2026
As 450 clinicians strike over a first contract, a proposed rule moves to cut wage protections for 3 million home-care workers and a July 10 deadline nears for immigrant caregivers.
4 developments · 9 cited sources
July 7, 2026
A year after the health-law cuts, coverage is lapsing through missed notices and six-month redeterminations, providers are closing, and the nursing-home workforce recovers its numbers without closing the gap.
4 developments · 6 cited sources
July 6, 2026
A federal probe into faked schizophrenia diagnoses, an NEJM capacity warning, and Medicaid work rules converge on America's nursing homes as Washington starts paying the first public long-term-care benefit.
5 developments · 10 cited sources
July 5, 2026
On July 4, two NEJM perspectives measured America's long-term-care shortage from both the worker and bed side, as the TPS ruling thinned the workforce and WA Cares became the first state benefit to pay out.
4 developments · 10 cited sources
July 4, 2026
One year into H.R. 1, the CBO projects 12.9 million will lose Medicaid mostly over paperwork, the TPS ruling thins the care workforce, and WA Cares begins paying the first state-run long-term-care benefit.
5 developments · 12 cited sources
July 3, 2026
A Supreme Court ruling thins the immigrant care workforce as the Social Security trustees, cutting their immigration forecast, score a 22 percent benefit cut for 2032, with fraud probes and a childcare rollback filling the gaps.
5 developments · 10 cited sources
July 2, 2026
Medicaid fraud sweeps cost a Minnesota boy his therapy and rush a 177-page Ohio rewrite, PPL settles home care wage theft for $162 million, and WA Cares pays the nation's first public long-term care benefits.
5 developments · 19 cited sources
July 1, 2026
Washington launched the nation's first public long-term-care benefit as a federal legal opinion and a widening fraud crackdown pulled back on community care.
5 developments · 19 cited sources
June 30, 2026
A wage study, a Tennessee enforcement move, a state nursing-home exodus, and an $818 billion dementia estimate show the federal care system withdrawing on both supply and obligation while the cost settles on families.
5 developments · 8 cited sources
June 29, 2026
A new Social Security projection, a $109,000 retirement-savings gap, and a survey of financially drowning caregivers show the money for old age thinning from three directions at once, all of it landing on the family.
5 developments · 12 cited sources
June 28, 2026
NPR reports experts warn the Supreme Court's expanded deportation power steepens a U.S. population decline, removing the working-age adults care depends on.
5 developments · 8 cited sources
June 27, 2026
China and Japan built public elder-care infrastructure this week as U.S. families faced burnout, unreliable nursing-home staffing data, and the cost of care alone.
5 developments · 12 cited sources
June 26, 2026
A 6-3 Supreme Court ruling clears the removal of 350,000 TPS holders from the care workforce as a fraud crackdown freezes legitimate agencies and a DOJ memo reopens the path to institutions, leaving families to absorb the cost.
5 developments · 14 cited sources
June 25, 2026
Federal levers on the cost of aging all moved the wrong way this week: a housing bill stalled at Trump's desk, OBBBA pulled Social Security's depletion forward to 2032, and a $50B rural fund pushed hospitals to shrink.
5 developments · 13 cited sources
June 24, 2026
A 455-defendant federal fraud takedown and a Nevada provider freeze met Pennsylvania's 112,500 unfilled monthly home-care shifts, as new rules thin Medicaid and surveys show families fear facing care alone.
5 developments · 17 cited sources
June 23, 2026
The DOJ argues states need not provide home- and community-based care to disabled people as OBBBA Medicaid cuts, lapsed ACA subsidies, and H.R. 1's immigrant coverage cuts strip the funding underneath.
4 developments · 10 cited sources
June 22, 2026
A Father's Day essay, a Wyoming crisis report, a $906 million fraud charge, and a caregiver's diary read the same week through one question: who actually reaches care.
3 developments · 5 cited sources
June 19, 2026
Federal enforcement hit the care economy three ways in one week, a fraud suit over New York's $11 billion home-care program, Medicaid coverage cuts for 450,000 New Yorkers, and a deportation that took a child's sole caregiver.
5 developments · 14 cited sources
June 18, 2026
A federal watchdog put Social Security six years from an automatic 22 percent cut as Medicaid cuts reached a rural maternity ward and a cancer survivor's paperwork, and a care-worker visa bill met $70 billion in enforcement.
5 developments · 12 cited sources
June 17, 2026
The DOJ sued New York State over its $11 billion home care program as CMS froze Medicare enrollment, Tennessee moved to report sick immigrant children to ICE, and new LegalShield data measured the sandwich generation's workplace toll.
4 developments · 9 cited sources
June 16, 2026
Employer benefits, Medicaid, and a Canadian care economy all came up short this week as the cost of caregiving kept landing on individuals.
4 developments · 9 cited sources
June 15, 2026
Pennsylvania's frozen home-care reimbursement rate reframes the caregiver shortage as a wage problem, as federal work rules and a tightening market press the same workforce.
3 developments · 1 cited source
June 14, 2026
Ohio suspended Medicaid payments to 49 home-care providers and mirrored a federal moratorium while stripping a family-caregiver pay ban, as CMS held the Medicaid work rule's January 2027 deadline.
3 developments · 3 cited sources
June 13, 2026
Caregiver burnout reached its starkest documented endpoint in the UK as the U.S. care system kept shifting cost and proof onto families, workers, and state governments.
5 developments · 15 cited sources
June 12, 2026
The Medicaid work requirement meets its first faces as Ohio mandates GPS visit verification, Tennessee ties children's care to immigration reporting, and Social Security's 2032 depletion date lands on the care economy.
5 developments · 11 cited sources
June 11, 2026
The Careworker Visa Act, Brookings' count of 668,000 enforcement-driven job losses, a U.K. visa ruling that liquidated a care firm, a federal audit of Medicare Advantage denials, and Ohio's caregiver-pay reversal anchor today's issue.
4 developments · 15 cited sources
June 10, 2026
Paperwork is doing the cutting: testimony saved Ohio's paid family caregivers, but Minnesota's revalidation screen, the new work-rule documentation, and a 2032 solvency clock are removing care by form and deadline.
4 developments · 9 cited sources
June 9, 2026
A federal fraud crackdown, a rescinded nursing-home staffing rule, and stricter Medicaid work requirements converged this week, even as HHS launched an elder-protection campaign.
4 developments · 15 cited sources
June 8, 2026
Ohio moves to ban Medicaid pay for family caregivers, Britain prices its sandwich-carer load at £100 billion, a vendor survey sells AI against the burnout it counts, and researchers project the caregiver shortfall through 2040.
5 developments · 10 cited sources
These broad paths organize the evidence library. Dated issues remain the editorial record.