iiinova — where your digital self keeps evolving

PHI @phinational.bsky.social · 07/10/2026

DC is moving toward a single credential for CNAs and home health aides, making it easier for workers to carry their skills across care settings. PHI's Senior Policy Advocacy Specialist Jake McDonald on what the proposed rule means and what's still needed: www.phinational.org/d-c-moves-to...

000

PHI @phinational.bsky.social · 05/10/2026

Direct care is projected to add 886,000+ jobs by 2035, more than any other U.S. occupation. But federal policy changes put gains in wages and job quality at risk. Join PHI experts Oct 15 2 PM ET for Key Facts 2026 and how to protect this workforce. Register: phinational-org.zoom.us/webinar/regi...

000

PHI @phinational.bsky.social · 01/10/2026

As of today, new federal rules strip Medicaid eligibility from many lawfully present immigrants. Nearly 1 in 3 direct care workers rely on Medicaid for their own coverage. These cuts deepen economic insecurity for workers and put access to care at risk. Read more: www.phinational.org/resource/phi...

000

PHI @phinational.bsky.social · 23/09/2026

Nursing home capacity is shrinking, and the workforce is central to why. Drawing on PHI data @nytimes.com reports aides earned a median $20.67/h last year and 40% rely on public assistance. Quality jobs are the foundation for quality care. Policymakers must invest in direct care jobs. bit.ly/4cWHEeO

001

PHI @phinational.bsky.social · 22/09/2026

Direct care workers are now the largest occupation in the U.S., and the data show real progress on wages and staffing. Those gains are at risk. Join PHI experts Kezia Scales, Stephen McCall, and Sarah Angell on Oct 15 at 2 PM ET to unpack Key Facts 2026. Register: bit.ly/4hfICDZ

000

PHI @phinational.bsky.social · 15/09/2026

NEW: The direct care workforce has grown to nearly 5.8 million, the largest occupation in the U.S. The sector will need to fill 9.6 million direct care jobs by 2035, yet workers still earn a median of $17.99/hour. Read our full 2026 Key Facts report: www.phinational.org/resource/dir...

000

PHI @phinational.bsky.social · 07/09/2026

This #LaborDay, we honor the 5.4M direct care workers supporting older adults & people with disabilities. Yet, their basic labor protections—like minimum wage & overtime—are being eroded. Quality care depends on the quality of their jobs. Read our policy brief: www.phinational.org/resource/phi...

010

PHI @phinational.bsky.social · 02/09/2026

"The home care crisis isn't a mystery—it’s a job quality problem." Earlier this year, PHI experts Jake McDonald & Jenna Kellerman joined CAHSAH’s At the Table podcast to discuss the challenges facing home-based care and the solutions within reach. Catch up here: www.phinational.org/at-the-table...

000

PHI @phinational.bsky.social · 26/08/2026

Gender equality in America runs directly through the care economy. Women are 85% of the direct care workforce: 5.4M workers earning a median $17.36/hr and under $26K a year. This #WomensEqualityDay honor this workforce with structural change, not just recognition. Read more: bit.ly/3UF8cux

010

PHI @phinational.bsky.social · 24/08/2026

This summer, the DOJ signaled it will step back from enforcing the Olmstead integration mandate, shifting the burden onto people with disabilities. Realizing the right to community living requires sustained investment in the direct care workforce. Read more: www.phinational.org/fulfill-the-...

000

PHI @phinational.bsky.social · 21/08/2026

PHI is at #HCBS26 next week! Find us at our booth to learn how the Universal Direct Care Workforce Initiative™ is helping states, employers, and payers strengthen the direct care workforce. And catch our sessions to learn more about the strategies helping states build workforce momentum.

000

PHI @phinational.bsky.social · 20/08/2026

Our latest report offers seven considerations for building matching service and respite registries that promote autonomy and access for consumers while ensuring stable, high-quality jobs for direct care workers. Developed in collaboration with the Respite Care Association of Wisconsin bit.ly/45FMzN3

000

PHI @phinational.bsky.social · 10/08/2026

PHI welcomes Rep. Debbie Dingell's introduction of the Medicare at Home Act, establishing a home care benefit of up to 20 hrs/week. We're encouraged it points toward a wage floor for workers. Congress should pair this with benefits and job-quality standards for good home care jobs. bit.ly/4gmDuyC

000

PHI @phinational.bsky.social · 07/08/2026

600,000+ people are waiting for home and community-based services. Behind every one of those waits is a job someone couldn't afford to keep. PHI endorses the HCBS Access Act, reintroduced today by Senator Lujan and the bill's sponsors. Read our full statement: www.phinational.org/phi-endorses...

000

PHI @phinational.bsky.social · 05/08/2026

"Immigration policy is long-term care policy." PHI's Kezia Scales, VP of Policy, Research, and Evaluation, talks with McKnight's Senior Living about our new Support Immigrants brief and what providers can do to protect the workers older adults count on: www.mcknightsseniorliving.com/news/phi-mid...

000

PHI @phinational.bsky.social · 03/08/2026

1 in 3 direct care workers rely on Medicaid for their own health coverage. New federal work requirements put that coverage at risk, even for workers who meet the requirements but struggle to document their compliance. PHI is urging CMS to revise its rule and states to act now: bit.ly/3TyC2k4

000

PHI @phinational.bsky.social · 30/07/2026

This week, hundreds of thousands of people, primarily Haitians, lost Temporary Protected Status (TPS). Immigrants are a cornerstone of the direct care workforce. Losing them deepens care shortages. Read our full statement: www.phinational.org/tps-protecti...

000

PHI @phinational.bsky.social · 29/07/2026

At a time when the need has never been greater, Congress and states should invest in aging services and the direct care workforce, not move backward. PHI urges New York to withdraw its proposed CNA training rollback and the House to pass the Older Americans Act reauthorization. bit.ly/4hB1cZ1

010

PHI @phinational.bsky.social · 26/07/2026

Exactly 36 years ago today, the #ADA was signed into law. Its promise depends on a stable, respected workforce. When poor job quality drives workers away, the consequences fall on people with disabilities. Honoring the ADA means investing in the people who bring it to life. Read more: bit.ly/4pFSr1K

000

PHI @phinational.bsky.social · 22/07/2026

Medicaid cuts, restrictive immigration policies, and dismantled labor protections are converging to destabilize 5.4M direct care workers. Read PHI’s new midterm policy series—Restore Medicaid, Support Immigrants, and Defend Labor Rights—for a strategy forward: www.phinational.org/restore-supp...

010

PHI @phinational.bsky.social · 16/07/2026

PHI applauds the Senate's passage of the Older Americans Act Reauthorization Act, which would renew and strengthen the essential nutrition, health, caregiver, and community-based services that help millions of older adults. The House must now act to ensure that OAA’s supports are renewed to 2030.

000

PHI @phinational.bsky.social · 13/07/2026

U.S. Senator Tim Kaine (D-VA)reintroduced the Supporting Our Direct Care Workforce and Family Caregivers Act (S. 4889). PHI enthusiastically endorses this legislation, which reflects policy priorities we have long championed across successive Congresses. www.phinational.org/phi-endorses...

000

PHI @phinational.bsky.social · 04/07/2026

America marks 250 years this Fourth of July—a moment to reflect on the ideals we've declared and the work ahead. Direct care workers are essential to millions, yet too many go underpaid and unrecognized. Fulfilling those founding ideals means valuing care workers too. Happy Fourth from PHI.

000

PHI @phinational.bsky.social · 01/07/2026

Recent federal actions threaten to strip basic workplace protections from the 5.4 million direct care workers who support older adults and people with disabilities. Our new policy brief, Defend Labor Rights, breaks down the rollback—and what Congress and the states must do. Read here: bit.ly/4fc5vse

000

PHI @phinational.bsky.social · 24/06/2026

Immigrants are a cornerstone of the direct care workforce — over 1 in 4 workers nationwide, and 50%+ in some states. Federal immigration policy is pushing them out of the field, shrinking the pipeline just as care demand grows. PHI's latest policy brief lays out what must change: bit.ly/3R0jYy8

000

PHI @phinational.bsky.social · 23/06/2026

Language access is a workforce strategy. PHI analysis from Jake McDonald finds at least 27% of direct care workers are immigrants — up from 21% in 2011. Investing in multilingual supports helps states recruit and retain the workforce communities depend on: www.ltcnews.com/articles/los...

000

PHI @phinational.bsky.social · 22/06/2026

New from PHI: Inflation has cut real wages for WA State's 60,000 individual providers by 11% since 2020, weakening the case for caregiving over other low-wage work. The workforce is growing—but most new providers leave within a year. Read Falling Behind: www.phinational.org/resource/fal...

000

PHI @phinational.bsky.social · 17/06/2026

New Policy Brief: Restore Medicaid, the first in a 3-part series on how federal policy is reshaping long-term care. Medicaid is the primary payer of long-term care in the US—and nearly a third of direct care workers rely on it themselves. Read our full brief: www.phinational.org/resource/phi...

000

PHI @phinational.bsky.social · 15/06/2026

PHI proudly recognizes the LGBTQ+ community and recommits to championing the conditions that allow every person to live, work, and age with dignity. Across long-term care, this shared commitment is vital. Fostering equitable workplaces is inseparable from delivering quality care. bit.ly/4eny1FP

000

PHI @phinational.bsky.social · 05/05/2026

Congrats to Adria Powell, CEO of CHCA — the nation's largest worker-owned home care co-op — and PHI Board member, on being named to Crain's NY Business 2026 Women of Influence. "Adria's leadership exemplifies the connection between quality jobs and quality care." Jodi Sturgeon, PHI bit.ly/42SPtMM

110

PHI @phinational.bsky.social · 21/04/2026

Direct care workers deserve a system they can navigate — where training counts, credentials travel, and careers can grow. Hear how PHI's Universal Direct Care Workforce Initiative™ is taking shape tomorrow at #OnAging2026. Wed 4/22, 8 AM, Hanover D, with Kezia Scales and Emily Dieppa Colo.

000

PHI @phinational.bsky.social · 21/04/2026

#OnAging2026 continues today and PHI is on the program with two sessions at 2:30 PM. Fairlie — Kezia Scales with NASHP and RCAW on respite care training and workforce registries. Courtland — Kathleen Graham and Karen Corrales Sanchez on the PHI Coaching Approach®, in Spanish with live translation.

000

PHI @phinational.bsky.social · 20/04/2026

PHI is at #OnAging2026 in Atlanta this week. Visit our booth to learn about the Universal Direct Care Workforce Initiative™, and join PHI's Kezia Scales and Emily Dieppa Colo on Wed 4/22 at 8 AM in Hanover D for "Building Workforce Systems with the Voices That Hold Them Together."

011

PHI @phinational.bsky.social · 30/03/2026

A new DOL proposal would make it easier to misclassify home care workers as independent contractors—stripping them of minimum wage, overtime, and other fundamental labor protections at a moment when this workforce is already under attack. Submit your comments by April 28. Read more: bit.ly/3O5QFsy

010