On September 30, 2025, Massachusetts Senator Elizabeth Warren, joined by 105 members of Congress including Senator Ed Markey and Representatives Jake Auchincloss, Bill Keating, Stephen Lynch, James McGovern, Seth Moulton, Richard Neal, Lori Trahan, issued a letter to the U.S. Departments of Homeland Security, Health and Human Services, and the Department of Labor opposing the Trump administration’s plan to terminate Temporary Protected Status (TPS) for nearly one million immigrants, warning that ending TPS will destabilize immigrant families, worsen existing health care workforce shortages, and threaten access to care for millions of Americans.
Senator Warren’s letter noted that approximately 570,000 TPS holders contribute $21 billion annually to the U.S. economy, with many serving as essential health care workers. Nursing homes, hospitals, and home health providers rely heavily on TPS workers, particularly from Haiti and Honduras. This potential threat of significant reduction in the health care workforce tied to TPS terminations will be occurring when demand for certified nursing assistants and home health aides is projected to rise by about 40% by 2037 as the U.S. population over 65 grows to 83 million. Removing TPS workers would accelerate burnout among remaining staff and weaken continuity of patient care.
Senator Warren requested that the federal agencies provide an assessment of the health care impacts of TPS terminations by October 13, 2025. Mass Senior Care Association strongly supports efforts to ensure lawful immigrants can continue to provide high quality, compassionate care to nursing facility residents and are appreciative of the opportunity to work with Senator Warren and members of the Delegation on this important letter.