· Topic
Policy
76 briefs
Medicaid renewals and North Carolina paid-caregiver documentation
Expansion adults are rechecked every 6 months instead of every 12.
PolicyDisability
Federal law does not require private-sector employers to provide paid leave
Federal law provides eligible workers unpaid leave. Paid time away may come through an employer, leave insurance, or a state program for eligible workers.
PolicyChild CareElder CareDisabilityGeneral
CCAP funding increases; counties resume voucher approvals
Families are moving off New York City’s waitlist, and 17 counties that had frozen enrollment have recently begun approving vouchers again.
PolicyChild Care
NC Medicaid adds treating-practitioner letter option
Clearer documentation can reopen paid-caregiver arrangements denied on paperwork, but extraordinary-circumstances limits and the 40-hour weekly paid-caregiver cap still apply.
PolicyDisabilityChild Care
Travel between the homes of more than one client
Travel between the homes of more than one client during the day on behalf of the same home care agency is considered all in a day’s work and must be paid.
PolicyElder CareDisability
CMS puts states on the clock to track direct care compensation
States must submit readiness reports by July 9, 2027, before annual compensation reports begin in 2028. The requirement tracks spending on worker compensation and sets no minimum share.
PolicyGeneral
Qualified families must find outside caregivers
Families who qualified are still eligible for personal care services, but must find outside caregivers. Idaho has a shortage of such workers.
PolicyDisability
Kansas launches the Community Supports Waiver
Those who receive an invitation should contact their local Community Developmental Disability Organization to complete a screening process and discuss with their Targeted Case Manager whether the CSW is the right fit.
PolicyDisability
ACF has awarded $5.1 million to expand Kinship Navigator Programs
The funding is intended to help kin caregivers find services and resources for children in their care.
PolicyChild Care
Project 2029 would let families choose how care is arranged
Its Child Care Choice Guarantee would pair a free publicly funded childcare place with a monthly $1,000 CareCredit, including a hybrid option for families with a parent who works part-time.
PolicyChild Care
A UK pledge would make childcare support less vulnerable to a pay rise
Kemi Badenoch has pledged to scrap the £100,000 childcare cliff edge, under which earning one pound too much can leave families thousands of pounds worse off.
PolicyChild Care
New York City’s free 2-K rollout reaches a payment test
Roughly 2,000 two-year-olds got seats.
PolicyChild Care
Childcare fee overhaul to be announced in Tuesday’s budget
The proposed changes could save parents of younger children at least €1,000 a year, but the final fees and savings were still being negotiated.
PolicyChild Care
Denver’s universal-childcare proposal faces a supply test
Mayor Mike Johnston wants childcare for all by 2031, but Denver must define the program, find funding and close a wide gap in care for younger children.
PolicyChild Care
San Francisco has expanded Early Learning for All
But some are choosing between money and daycare providers they love.
PolicyChild Care
Utah narrows childcare subsidy eligibility after federal funding loss
Utah reduced subsidy income eligibility limits, and about 900 families expect to lose subsidies completely.
PolicyChild Care
Gen Z voters want the federal government to spend more on childcare
Nearly 60 percent of Gen Z voters favor increasing federal spending on childcare.
PolicyChild Care
Thousands wait for daycare in Quebec City
Cyndie Caron returned to work part time and uses private daycare twice a week; the non-subsidized spot costs $70 a day.
PolicyChild Care
Rodriguez proposes a 7% child-care cap
Her campaign says state grants would cover remaining costs and supported providers would pay at least $18 an hour.
PolicyChild Care
Trump administration proposes diverting CCDF funds
The Trump administration is proposing a new plan to divert CCDF funds from current recipients and give the resources to married couples with a stay-at-home parent.
PolicyChild Care
Board of Health vote scheduled on paid parental leave proposal
The proposal would give eligible workers at businesses with 15 or more employees 12 weeks of paid parental leave, if it clears the Board of Health and County Council.
PolicyChild Care
A proposed district targets child care beyond standard shifts
Funding will cover startup, planning, and formation costs.
PolicyChild Care
New Mexico’s childcare program faces growing pains
About 48,000 children receive free child care, but parents still report trouble finding center spots.
PolicyWorkforceChild Care
Childcare benefits for workers
A Durham center and a Watauga County initiative are helping workers pay for their own children’s care as providers seek to retain staff.
WorkforceBusinessPolicyChild Care
New York family caregivers face a consequential union vote
1199SEIU has filed for an election among workers in a Medicaid program where paid caregivers are often relatives of the people receiving care.
PolicyWorkforceDisabilityElder Care
Parent-paid care can hinge on an extraordinary-care assessment
States are trying to pay parents caring for children with complex needs, but one North Dakota family was denied after its care needs were assessed.
PolicyWorkforceChild CareDisability
Kids Thrive Fund Aims to Help 800 to 1,000 Families
A voter-approved sales tax will support a January fund aiming to help 800 to 1,000 families, though local leaders say it will not meet all demand for child-care aid.
PolicyChild Care
Grand County sets quarterly stipends for child-care educators
Eligible teachers at nonprofit learning centers will receive $1,000 or $600 quarterly, depending on classroom hours.
PolicyWorkforceChild Care
Pennsylvania lawsuit targets paid family-care limits
Four Medicaid participants challenge Pennsylvania’s use of agreements and consent forms to impose limits on relative caregiving and out-of-state travel support.
PolicyDisability
CYFD Did Not Spend Its $2 Million 2024 Appropriation
New Mexico’s early missed opioid-fund spending and California’s pending nursing rate increase show the operating steps between public funding and family support.
PolicyChild Care
California Rate Increase Puts Staffing Test Ahead
Aveanna says it will raise wages and recruit ahead of a Jan. 1, 2027 pediatric private-duty nursing rate increase.
PolicyWorkforceChild Care
The Route From a Home-Care Framework to Household Support
Arkansas's planned waitlist service and a New Mexico pilot with funding running low show the separate work required to make care support dependable.
PolicyDisability
A New Mexico Pilot Pays Caregivers With Funding Running Low
New MexiCare is a pilot program. Funding for the New MexiCare pilot program is running low.
PolicyElder Care
North Carolina's Community-Living Exit Has a Continuity Test
North Carolina and DOJ seek to end settlement oversight after a compliance finding. The practical question is whether community supports stay usable if the court's role ends.
PolicyMental HealthDisability
Outagamie's Home-Care Handoff Moves Toward Dec. 31
Beth Roberts said the change uses a different funding stream to cover the same services. Some Outagamie County residents worry they could lose care they trust.
PolicyElder Care
The proportion of Medicaid residents in nursing homes significantly decreased.
A six-state study found nursing-home changes after mandatory MLTSS, while an AARP review identifies what community care needs to work locally.
ResearchPolicyElder Care
Six Domains Communities Can Use to Support Model Replicability
AARP and ATI Advisory identify six conditions that communities need to replicate care models for older adults aging in place.
PolicyElder Care
Minnesota’s Nursing Home Workforce Standards Board Set Minimum Wages
Minnesota’s wage standards are paid for through nursing home reimbursement rates.
PolicyWorkforceElder Care
Vermont Funds a Rural Workforce Pipeline
CMS announced $11.7 million for rural Vermont projects that support tuition, LNA training, and nursing-home capacity, with benefits dependent on future delivery.
PolicyWorkforceElder Care
New York City Makes a Child-Care Benefit a Workplace Seat
The Little Apple gives municipal employees 40 free child-care places, while Massachusetts evidence shows why a benefit still depends on capacity and educator pay.
PolicyBusinessChild Care
Pennsylvania Begins Proactive Home-Care Wage Reviews
Workers do not need to file a complaint before the initiative investigates.
PolicyWorkforceDisabilityGeneral
Senate committee advances child-care tax outreach bill
The proposal would create an IRS liaison to help employers use existing child-care tax incentives, but it still needs Senate action before it can take effect.
PolicyBusinessChild Care
Maryland opens FAMLI registration before benefits begin
Maryland employers can now register for FAMLI, while payroll withholding starts in January 2027 and paid leave becomes available in January 2028.
PolicyWorkforceGeneral
West Virginia child-care law remains partly unimplemented
West Virginia DoHS has implemented one billing change, while the bulk of an enacted child-care law remains delayed after a July 1 deadline.
PolicyWorkforceChild Care
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
Medicaid's 2027 rules create a coverage test for parents
Federal work reporting requirements will apply to expanded-Medicaid states. The new rule clarifies why many parents and caretaker relatives should not lose coverage.
PolicyChild CareGeneral
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
Nebraska's caregiver tax credit has limits
The credit can offset part of qualified care expenses, but it is non-refundable and requires caregivers to meet eligibility rules.
PolicyGeneral
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
Pennsylvania budget omits home health nurse funding increase
Low Medicaid reimbursement is one barrier to finding skilled home care, Pennsylvania's home-care industry says.
PolicyWorkforceDisabilityGeneral
Medicaid work rules still need state action
New federal guidance leaves state systems and notices to tell parents and caretaker relatives what protections they can use.
PolicyGeneral
Arkansas seeks a shorter Medicaid waiver extension
CMS told Arkansas its five-year Medicaid expansion waiver request would not be granted.
PolicyGeneral
Maine prepares a waiver for the adult-services handoff
The proposed Lifespan waiver would begin at age 14 and keep people on one waiver through life changes.
PolicyWorkforceDisability
Medicaid Doula Coverage Outruns Participation in Northern Virginia
Doulas are covered in 26 states and Washington, D.C.; a June registry review found just 19 Northern Virginia doulas accepting Medicaid.
PolicyGeneral
Massachusetts Wage Proposal Links Worker Pay to Child-Care Access
Jeff Liebman estimates a $6 per hour wage increase would raise formal child-care enrollment from 53 percent to 65 percent in five years; the state would cover the cost.
ResearchWorkforcePolicyChild Care
Texas Cuts Approximately 14,000 Child-Care Scholarship Seats
The Texas Workforce Commission voted to cut 9.5% of the state's child care scholarships, approximately 14,000 seats for children.
PolicyChild Care
HHS Projects Head Start Slot Gains From Proposed Rule
HHS says lower administrative costs could preserve or expand as many as 236,000 Head Start slots nationwide; the evidence reports a proposal, not measured gains.
PolicyChild Care
When a family caregiver is a child
An estimated four million children care for adult family members, while the Government Accountability Office says little is known about them.
PolicyGeneral
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
Child care pay gap widens despite policy changes
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.
WorkforcePolicyChild Care
Pennsylvania Raises Child Care Bonuses; Medicaid Covers Over 26 Percent
Pennsylvania's larger recruitment and retention payments arrive as updated Georgetown data show Medicaid covered over 26 percent of child care workers in 2024.
PolicyWorkforceChild Care
Medicaid Coverage Still Supports Child Care Workers
A Georgetown update says Medicaid covered over 26 percent of child care workers in 2024 and identifies insurance gaps.
PolicyWorkforceChild Care
A DOJ Opinion Raises Questions About Support at Home
The opinion does not change existing law, but advocates worry about federal enforcement as Arkansas families face separate coverage and waitlist questions.
PolicyDisability
Arkansas Family Faces a Waiver Wait for a Ceiling Lift
A family says a move made its ceiling track ineligible for coverage, pointing it to a waiver with a long waitlist.
PolicyDisability
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
Pulse by email
A daily read on caregiving, connected across fields. Get GiveCare Weekly by email.