PHI Midterm Policy Brief Series | Restore Medicaid

As federal and state policymakers make decisions that will reshape Medicaid for years to come, the stakes for direct care workers and the people they support have never been higher. This brief — the first in PHI’s three-part midterm policy series — examines how cuts enacted through the 2025 budget reconciliation act (HR 1) are threatening access to long-term services and supports, destabilizing the direct care workforce, and undermining the health coverage that millions of workers rely on for themselves and their families.

Restore Medicaid assesses the changing Medicaid landscape and proposes critical actions for policymakers at the federal and state levels changing Medicaid landscape and sets out concrete recommendations for policymakers at the federal and state levels — from protecting HCBS funding and minimizing harmful enrollment barriers to investing in a national direct care workforce strategy.

Click here to read the second brief in this series, Support Immigrants, which examines how federal immigration policy is destabilizing the direct care workforce.