Testimony

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Ken Jacobsand Sarah Thomason

Comments on Rule Proposed by the Centers for Medicare and Medicaid Services (CMS) Prohibiting Homecare Workers from Making Paycheck Deductions for Union Dues

The ability of homecare workers to choose to join a union and have dues deducted from their pay has led to important improvements in an industry historically marked by low wages and high worker turnover. The proposed rule would not only harm workers, it would have a deleterious effect on care quality and undermine the objective of home and community based services of providing seniors and people with disabilities a viable alternative to institutional settings.