No. 62September 1, 2026
When Care Choices Lose Their Margin
California’s paused home-care funds and persistent nursing-home staffing shortfalls show that families can face uncertainty in both major care settings.
2 developments · 2 cited sources
The question
As home-based and nursing-home care face separate pressures, what care setting can families count on?
Background
California’s In-Home Supportive Services helps people receive care at home. Nursing homes rely on enough nurse staffing to meet residents’ clinical needs.
The read
Pulse’s read is that California’s paused home-care funds put its In-Home Supportive Services program at risk for cuts, while LTCCC reports that most nursing homes had staffing below expected levels in Q1 2026.
What happens next
Will the Trump administration release the paused Medicaid funds for California’s In-Home Supportive Services?
What could change this read
A federal decision on the California funds or newer federal staffing data showing a material change in nursing-home staffing would materially change this issue read.
Developments in this issue
Reference paths
Pulse by email
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