PA in-home care providers sound the alarm to PA congressional delegation: Federal Medicaid cuts could collapse Pennsylvania’s in-home care industry
May 9, 2025PHA CEO: “Cuts to Medicaid funding currently being discussed would have devastating human and economic costs in Pennsylvania.”
Pennsylvania is already hundreds of millions of dollars short on Medicaid funds for critical health care that seniors and children rely on
400,000 Pennsylvanians rely on in-home care, but more than 112,500 home care shifts already go unfilled every month primarily due to insufficient Medicaid funds
Lemoyne, Pa. (May 9, 2025) – Today, the Pennsylvania Homecare Association (PHA) sent an open letter to Pennsylvania’s congressional delegation in Washington, D.C., sounding the alarm that potential Medicaid cuts in the federal budget reconciliation bill currently moving through the House of Representatives would devastate Pennsylvania and potentially collapse the in-home care industry that more than 400,000 Pennsylvanians rely on.
“Pennsylvania is already hundreds of millions of dollars short on Medicaid funds, and Pennsylvanians who rely on in-home care are already suffering as a result,” writes PHA CEO Mia Haney. “Further cuts to Medicaid funding right now will have devastating human and economic costs in Pennsylvania.”
Full text of the letter is below:
May 9, 2025
Dear Members of Pennsylvania’s Congressional Delegation,
On behalf of the Pennsylvania Homecare Association (PHA), which represents more than 200,000 in-home caregivers in our state, I’m writing today to sound the alarm that federal cuts to Medicaid through the budget reconciliation process could collapse Pennsylvania’s in-home care industry, which is already in crisis and struggling to provide critical care for the more than 400,000 Pennsylvanians who rely on it every single day.
Pennsylvania is already hundreds of millions of dollars short on Medicaid funds, and Pennsylvanians who rely on in-home care are already suffering as a result. While we agree that Medicaid can be reformed and improved over the long term, the cuts to Medicaid funding currently being discussed would have devastating human and economic costs in Pennsylvania.
An independent study released earlier this year showed that Pennsylvania needs an additional $800 million in Medicaid funds each year to simply keep up with the rapidly increasing need for in-home caregivers. This doesn’t include the dollars needed to support in home nursing care for medically fragile children and adults.
This isn’t a hypothetical issue; it’s a crisis that’s already playing out in the communities you represent. Because Pennsylvania’s Medicaid funds are already stretched so thin, every single month, more than 112,500 home care shifts go unfilled in our state. For children, 27% of total authorized nursing hours are missed. These missed shifts are not just numbers—they represent real people missing meals, medications, and personal care.
We do not view this as a partisan political issue, and we are proud to be working with both Republicans and Democrats in Harrisburg to address Pennsylvania’s home care crisis. This isn’t about politics; it’s simply a matter of investing to ensure that those who require in-home care in Pennsylvania are able to access it.
It’s also important to note that this is a major economic issue for our state. Every year, Pennsylvania’s essential home care industry generates $25.6 billion in economic activity, employs 290,000 Pennsylvanians, and contributes $4.5 billion in tax revenues. Regardless of whether families rely on privately funded home care or Medicaid, home care costs are also dramatically lower than institutionalized care: the average monthly cost for in-home care is $4,957 compared to $10,403 for nursing home care.
Insufficient Medicaid funding is already fueling the home care crisis in Pennsylvania and hurting our neighbors, family members, friends, and coworkers. We are committed to working with all of you – Republicans and Democrats – to ensure seniors and others who need quality in-home care in Pennsylvania have access to it, and we urge you as strongly as possible to reject cuts to Medicaid in the budget reconciliation process.
Sincerely,
Mia Haney, CEO
Pennsylvania Homecare Association
About the Pennsylvania Homecare Association
The Pennsylvania Homecare Association is a statewide membership organization of more than 700 homecare, home health, and hospice providers. PHA members provide quality care and serve as advocates for
their patients and clients on a variety of healthcare-related issues. PHA and its members work to improve professional standards and ensure access to quality home care throughout the Commonwealth. For more information about PHA and its initiatives, visit
For media inquiries, please contact [email protected].
###