PHA Advocacy Priorities HomePAC Find Your Lawmakers The Faces of Home Care

Home Care Works

Fund the Frontlines

Over 400,000 Pennsylvanians rely on quality, compassionate care delivered in the home—whether it's home health, home care, or hospice. Yet ongoing policy and funding challenges are threatening access to these vital services.

As reimbursement rates remain stagnant or challenged by cuts, workforce shortages grow, direct care workers and nurses leave the field, and vulnerable residents are left without the care they need. Without meaningful action, families across the Commonwealth will face dangerous and heartbreaking gaps in care.

The Home Care Works: Fund the Frontlines campaign, led by the Pennsylvania Homecare Association, calls on lawmakers at every level to protect and strengthen home-based care. Whether the issue is funding, regulation, or access, we need bold advocacy to ensure that Pennsylvanians can get the care they need—where they want to be—at home.

The solution is clear: Home Care Works! We must Fund the Frontlines!

Send an email to your lawmakers

Action is ongoing

2026-2027 Home Care & Nursing Advocacy

Our campaign is calling for fair funding for Pennsylvania’s home care workers and nurses — the essential professionals who keep our seniors, people with disabilities, and medically fragile children safe at home.More than 400,000 Pennsylvanians rely on these services every day. Their health, independence, and dignity depend on a home care system that’s strong and stable — yet chronic underfunding has pushed it to the brink.Your voice can change that. By emailing your legislators, you can help secure the reimbursement rates needed to stabilize this workforce, prevent hospitalizations, and protect access to care where people most want to be: at home.Stand with us. Help make home care a priority in Pennsylvania’s budget.

Help us reach our goal!

229 people have taken action

Goal: 500 people

Send an email to your lawmakers

Action is ongoing

Oppose Proposed Cuts to Home Health

Home health care is a lifeline for many in our aging population and those with chronic conditions. Proposed reductions may jeopardize patients lives and livelihoods. Your voice is vital! Connect with your representatives now and urge them to reverse these cuts, in favor of robust policies promoting home health care.

We have reached our goal!

587 people have taken action

Goal: 525 people

Share Your Story! Why Do You Support Direct Care Workers and Nurses?

Help us advocate for home care in Pennsylvania by sharing your story. Whether you're a dedicated home care worker or someone who has benefited from their care, your experience is powerful. Share how home care services have made a difference in your life and why this vital workforce deserves to be recognized. Your voice can make a meaningful impact.

Share your story

Action is ongoing

Mission Moments

What is a Mission Moment? When a member shares a story (typically on camera) of a patient interaction that profoundly moved them and made them a champion of the industry. This story defines their “WHY” – Why did they pick this field? Why do they stay in this field?

Watch Mission Moments.

Contribute to HomePAC

Support lawmakers who support homecare and hospice! Contribute to individuals running for the Pennsylvania House or Senate. Just designate the amount you want to contribute. You’ll play an important role in PHA’s advocacy efforts to support state officials who support the home care, home health and hospice industry.

Make a contribution.

In the News

A Crisis by the Numbers

The Data Speaks for Itself

400,000+: The number of Pennsylvanians who rely on in-home care services, a number expected to increase as the state’s population ages.
300,000: Jobs supported by Pennsylvania’s home care industry.
$25.6 Billion: The annual economic contribution of Pennsylvania’s home care industry, which also generates $4.5 billion in tax revenue.
Pennsylvania’s aging population is growing—1 in 4 residents is over 65 today; by 2030, it will be 1 in 3

Personal Assistance Services:

112,500+: The number of home care shifts that go unfilled every month in Pennsylvania, primarily due to workforce shortages driven by low reimbursement rates.
$20.63: The current average hourly reimbursement rate for in-home caregivers in Pennsylvania, which is significantly lower than the rates in neighboring states, such as West Virginia ($26.96/hour).
23%: The OLTL HCBS Rate Study’s recommended increase for Personal Assistance Services reimbursement rates to meet market benchmarks and cover the true cost of care delivery. This equates to an hourly rate of $25.37.
$2.68: The minimum hourly increase needed to show good faith toward a long-term solution to Pennsylvania’s home care workforce crisis.

Pediatric & Adult Shift Nursing Services:

27%: Approved nursing hours go unfilled largely due to lack of staff.
$50: The average nursing rate in Pennsylvania while other comparable states are between $55 - $70/hour
$59: The recommended nursing rate to increase workforce capacity and enhance access to care as indicated in the 2024 Menges Group Study.
70: Transitioning 70 patients from hospital to home care would generate enough annual savings to nearly cover the cost of a rate increase to $59/hour.
$30: The requested Home Health Aide rate to support sick kids in the shift nursing program.

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