The Number That Explains Everything: Half the Workforce Caring for Our Kids Is on Public AssistanceForty nine percent of direct care workers rely on public assistance. The median wage is...
9.7 Million Direct Care Job Openings by 2034. The Government Still Has No Code for the Job.The Bureau of Labor Statistics has no occupational classification for direct support professionals. They...
Illinois Built the DSP Wage Into the Rate. Michigan Stacked Three Temporary Add-Ons.Both states raised direct care wages. Only one of them made the raise permanent. Michigan’s entire increase sits...
52% of Providers Are Considering More Cuts: Inside the Provider CollapseANCOR surveyed 469 provider organizations across 48 states in 2025. More than half are considering further program cuts, up from...
The ARPA cliff: what happens now that the emergency HCBS money is gone States planned to spend an estimated $37.1 billion on home and community based services, most of it...
Michigan pays direct care workers $17.13. Illinois pays $21.30. Same labor market, same year, same job. A four dollar and seventeen cent gap that Michigan rebuilds by hand every single...
The CMS Access Rule: 5 new requirements that could transform HCBS if they survive A 2024 federal rule tells states how much of your adult child’s service dollar has to...
Self-direction as a survival strategy: when you can’t find a worker, become the employer Every state and the District of Columbia now offer some form of consumer-directed personal care. In...
What happens when the day program closes and nobody tells you what’s next Nearly three in ten disability service providers discontinued programs because they could not staff them. There is...
Twenty one years, 35 percent, and the gap that ate the workforce Kansas put the numbers side by side and the arithmetic is unforgiving. Provider rates rose 35.2 percent. Consumer...
