·Pulse issue · 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.
Background
On H.R. 1's first anniversary, the CBO priced the coming Medicaid losses at 12.9 million mostly over paperwork, the workforce that staffs the remaining care thinned under the TPS ruling, and one state began paying the long-term-care benefit the federal government is cutting.
5 developments · 12 cited sources
What to watch next
Developments in this issue
On H.R. 1's first anniversary, the CBO projects 12.9 million losing Medicaid, most over paperwork, as one state begins paying a benefit the federal government is trimming.
PolicyElder CareDisabilityChild Care
NPR's account of the Haitian TPS termination syndicated across public radio this week, and FWD.us put a number on the aides at risk: about 21,000.
WorkforcePolicyElder CareChild CareDisability
The HHS secretary told a House hearing that Medicaid pay for relatives is rife with fraud; caregiver advocates said he mistook essential labor for errands.
PolicyWorkforceDisabilityElder CareChild Care
CMS's 2027 home-health proposal breaks two years of cuts with a rate increase, then stokes fresh fraud fears in the same rule.
PolicyBusinessElder Care
Hired to tend a paralyzed man, an Indonesian live-in worker was also sent to the family lunchbox shop, in what advocates call possible forced labor.
PolicyBusinessElder Care
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