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35 briefs

More adults are balancing children, parents and work

A Pew report cited by the New York Post says more than half of Americans in their 40s are in the sandwich generation, while Care.com survey findings describe career and financial strain.

WorkforceElder CareChild Care

Caregivers can put their own health care aside

CNN reports that 23% of caregivers find it difficult to pay attention to their own health while caring for another person.

CultureElder CareGeneral

California home-care funds pause as nursing-home staffing stays short

The Trump administration has paused $1.7 billion for California’s In-Home Supportive Services while new federal staffing data show broad nursing-home shortfalls.

PolicyWorkforceDisabilityElder Care

LTCCC finds 88% of nursing homes below expected staffing

LTCCC’s analysis of Q1 2026 federal staffing data found that nursing homes averaged 24.6% less nurse staffing than expected for resident needs.

WorkforceElder Care

Home care pay gains face Medicaid funding pressure

Some states have raised pay for home caregivers, but the source reports that Medicaid cuts taking effect in 2027 could erase those gains.

PolicyWorkforceElder Care

Ohio Bill Would Put Caregiving Costs Into the Tax Code

An advocacy group is urging Ohio lawmakers to advance a proposed tax credit for family caregiving expenses.

PolicyElder Care

California Families Face a Health Net Assisted-Living Transition

Health Net announced cuts to assisted-living benefits in California for low-income seniors.

PolicyElder Care

A California assisted-living benefit is set to end

Health Net says members can keep care through their authorization periods, but the benefit is due to end Dec. 31.

PolicyElder Care

Minnesota nursing-home wage floors move toward September

A federal judge dismissed a challenge to Minnesota's workforce standards board as scheduled wage increases approach.

WorkforceElder Care

California families face a coverage deadline for assisted living

Health Net plans to end an optional Medi-Cal assisted living benefit at year-end, affecting people whose families may not be able to replace the care at home.

PolicyElder CareDisability

A Medicare Bill Links Home-Care Coverage and Worker Pay

The Medicare At Home Act would define a Part B home-care benefit and a proposed wage floor for home care workers.

PolicyWorkforceElder CareDisability

Minnesota's Nursing-Home Wage Floor Is Set for September

Minnesota's Department of Human Services was months late in filing the necessary paperwork with the U.S. Centers for Medicare and Medicaid Services.

PolicyWorkforceElder Care

CMS Rules and a New Quality Icon

A final skilled nursing rule changes payment and reporting, while Care Compare will add a high-performing icon for some homes.

PolicyElder Care

A New Care Compare Icon Has Limits

CMS plans to display a high-performing icon on Sept. 30, but providers say it cannot answer every family's service question.

PolicyElder Care

RN staffing mix tracks acute-care use in nursing homes

A national panel study found lower hospitalization and outpatient emergency-department visit rates where RN share was higher, holding total nursing hours constant.

ResearchWorkforceElder Care

Seven Caregiver Layoffs as Massachusetts Sets Home-Care Rules

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.

PolicyWorkforceElder Care

Massachusetts Enacts a Home-Care Licensure Law

The law directs EOHHS to create standards for non-medical home care, from background checks to a public agency list.

PolicyElder Care

Sweetwater Settlement Puts Staffing Under a New Monitor

The Dissent reports that a $15 million California settlement puts a three-year monitor over Sweetwater's staffing.

PolicyElder Care

California settlement targets staffing at 17 skilled nursing facilities

Sweetwater is a licensed skilled nursing facility chain that violated state staffing requirement laws.

PolicyWorkforceElder Care

Massachusetts shows the enforcement gap in care rules

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.

PolicyWorkforceElder Care

Britain dates a social-care pay agreement for April 2028

The Fair Pay Agreement for social care staff will come into effect in April 2028.

PolicyWorkforceElder Care

South Korea maps insurance coverage for hospital caregiving

Officials plan to finalize implementation this year and begin with severe patients in the first half of next year.

PolicyWorkforceElder Care

In four New Brunswick communities, long-term care facilities extended services beyond their walls

The Nursing Home Without Walls concept was tested in four communities in the Canadian province of New Brunswick.

ResearchPolicyElder Care

Study finds a higher care-gap share in China's care insurance pilots

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.

ResearchPolicyElder CareDisability

Joan Costa-Font of LSE calls integration of health and long-term care systems inevitable

Joan Costa-Font of the London School of Economics argues that the integration of health and long-term care systems is inevitable.

PolicyResearchElder CareGeneral

AARP puts 2024 family caregiving above $1 trillion in imputed value

59 million caregivers, 49.5 billion hours, and an average hourly value that rose to $20.41 — an accounting of unpaid work, not a payment to anyone.

ResearchWorkforceElder CareGeneral

Families run complex diets for older relatives with little nutritional guidance

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.

ResearchWorkforceElder CareGeneral

Families treat home care as the permanent plan, A Place for Mom survey finds

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.

BusinessResearchElder Care

Commonwealth Fund: Medicare home health use declines despite aging population

Paired July 9 issue briefs trace declining use to misaligned payment incentives, Medicare Advantage practices, and workforce shortages — and find many beneficiaries don't understand the benefit.

PolicyResearchElder Care

Home care CEO warns dementia's family burden could drain the paid workforce

Dementia and Alzheimer's disease are projected to cost the United States $818 billion in 2026.

WorkforceResearchElder Care

North Carolina bill would set $18-to-$24 wage floors for direct-care workers

House Bill 1045 would set occupation-specific minimums from $18 an hour for home care aides to $24 for licensed practical nurses, starting January 2028 if approved.

PolicyWorkforceElder CareDisabilityMental Health

Kentucky families rally as 4% Medicaid waiver cut nears its Aug. 1 start

About 100 families, caregivers and providers rallied in Frankfort against a 4% Medicaid waiver reimbursement cut set for Aug. 1, as nearly 19,000 Kentuckians wait for waiver slots.

PolicyDisabilityElder Care

HHS watchdog opens review of Medicare hospice payments in nursing homes

A new HHS Inspector General review will estimate savings from reducing the hospice routine home care rate, which covers personal care that nursing homes are already required to provide.

PolicyElder Care

DHS finalizes public charge rule effective Sept. 18

The rule drops the 2022 seven-factor test for a totality-of-circumstances review that weighs receipt of means-tested benefits against an immigrant's legal status.

PolicyWorkforceElder CareGeneral

Kentucky cuts Medicaid waiver payments 4% starting Aug. 1

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.

PolicyDisabilityElder Care