FEDERAL THREAT TO FAMILY CAREGIVERS
They Want to Ban Family Caregivers From Being Paid to Care
The Paragon Institute — a conservative think tank with direct ties to the Trump administration — has recommended eliminating Medicaid payments to family caregivers nationwide. For California’s 900,000 IHSS recipients, the consequences would be catastrophic.
900K
CA IHSS RECIPIENTS
73%
HAVE A FAMILY CAREGIVER
$911B
MEDICAID CUTS SIGNED INTO LAW
4.3M
AMERICANS THREATENED
WITH ANTICIPATED RAPID INCREASES IN HOME CAREGIVER NEEDS, WE NEED MORE FAMILY CAREGIVERS, NOT MORE INSTITUTIONS
This Is Not a Rumor. This Has Already Started.
The “One Big Beautiful Bill Act” — signed by President Trump in July 2025 — cuts federal Medicaid spending by $911 billion over ten years. Cuts begin taking effect October 2026. The Paragon Institute is actively pushing to ban family caregiver payments entirely as a next step.
What They’re Trying to Do
BAN FAMILY CAREGIVER PAY
Prohibit Medicaid from paying relatives or household members for personal care services — eliminating IHSS as California families know it.
PUSH PEOPLE INTO INSTITUTIONS
Their own documents state that “institutional care is subject to more centralized regulation and oversight is easier.” They prefer institutions over homes.
GET FUNDING VIA BLOCK GRANTS
The $911 billion in cuts forces states to choose who to cut. HCBS programs — which are optional, not mandatory — are the first to go.
WORSTEN WORKER SHORTAGES
Immigration crackdowns have already pushed home care worker availability into crisis. Banning family caregivers removes the only remaining option for millions.
Stop the Federal Family Caregiver Ban
Tell your elected officials to defend IHSS and oppose federal efforts to eliminate paid family caregiving under Medicaid.
Instructions
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