Visualization September 23, 2018 5 Essential Facts on Immigrant Direct Care Workers Download Share This A new federal rule could deny permanent residency to immigrants who access certain public benefits, harming the direct care workforce. As the debate intensifies on this issue, here are five key facts to consider. Source: PHI. 2018. Immigrants in the Direct Care Workforce: 2018 Update. Bronx, NY: PHI. Key Takeaways 1 in 4 direct care workers is an immigrant. 52% of immigrant direct care workers access public benefits: Medicaid, food nutrition support, and cash assistance. 57% of immigrant direct care workers have been living in the U.S. for 10 years or longer. About The Author Robert Espinoza Executive Vice President of Policy Robert Espinoza oversees PHI's national policy, research, and communications division. He has been a national policy expert, communications strategist, and writer for 20 years.