No. 21June 30, 2026

GiveCare Pulse · 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

Background

Home-care wages fell even as states expanded home care, the federal government pressed the immigrant workers who staff it and loosened the duty to fund the care they provide, and the cost moved onto families already carrying an $818 billion dementia bill.

What to watch next

Why are home-care wages falling even as states expand the home- and community-based services that employ those workers?
What happens to the roughly 400 Tennessee children whose families now face a choice between disability services and immigration exposure?
Can states like Massachusetts meet community-living goals while the federal legal posture says they need not provide that care?