Improving Training — New York’s home care aide training program is overgrown, fragmented, and ill-prepared to meet the challenges of a population that suffers from chronic diseases and conditions.

Increasing Wages — New York needs to raise the minimum wage floors and create parity across similar positions. Not only are the median wages for direct-care workers low, but in real purchasing power, they are even lower.

Medicaid Redesign — While New York redesigns its Medicaid system in an effort to reduce costs and increase quality, PHI is pressing for changes that will result in a home care workforce that is fairly paid and better prepared to care.

System Reform — New York’s home care system is composed of multiple programs with varying services, rules and methods of payment. The current system is not designed to address the needs of individuals with chronic illness and disability – particularly as their needs change over time.