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Morning Briefing

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Friday, Jun 26 2026 9:21 AM

Full Issue

Hospitals, Hospices, Nursing Homes Brace For Loss Of Thousands Of Immigrant Workers After Supreme Court Ruling

Healthcare leaders warned that elderly care would bear the brunt of the ruling, which lets the Trump administration end temporary protections for more than 350,000 people from Haiti and Syria. At least one Republican, Rep. Mike Lawler of New York, said the ruling "will create a crisis" in healthcare.

Employers 鈥 including hospitals and hospices, construction companies and retail stores 鈥 will have to fire Haitian and Syrian workers whose sole authority to work comes through the program. ... The Supreme Court鈥檚 decision will fall most heavily in the health care industry, where Haitians in particular have been concentrated, especially in elder care facilities. Health care has been the American economy鈥檚 fastest-growing industry for years now, and the vacancy rate is substantially higher than it is for others, so finding new workers on short notice will be very difficult. (Ulloa, DePillis and Jordan, 6/25)

Immigrants began making plans to sell or rent their homes, secure bank accounts and figure out thorny issues like child custody arrangements. Business owners started calculating how many days they can continue to employ workers whose legal status is set to expire. And nursing home leaders warned they would have fewer beds to offer if health aides are forced to leave the country. Panic rippled through communities from Florida to Ohio and beyond in the hours after the Supreme Court cleared the Trump administration Thursday to strip humanitarian protections from Haitians and Syrians 鈥 and potentially all 1.3 million immigrants from over a dozen countries who had been previously shielded from deportation. (Sacchetti and Gurley, 6/26)

Rep. Mike Lawler, R-N.Y., criticized the U.S. Supreme Court's Thursday decision in Mullin v. Doe. ... Lawler pointed to the large number of Haitians on TPS working in the U.S. healthcare system. "Of the 350,000+ lawful Haitian TPS holders, roughly 1/3rd work in our healthcare system. Immediately shutting off TPS will create a crisis in our hospitals, nursing homes, and in the I/DD [intellectual and developmental disabilities] community," he said in a post on X. (McGreevy, 6/25)

LeadingAge said the decision puts older adults and senior living and care providers in an 鈥渦ntenable position.鈥 鈥淪taff and caregivers who support older adults every day 鈥 legal employees who in some of our communities represent 8% or more of the entire workforce 鈥 can now lose their jobs overnight,鈥 LeadingAge President and CEO Katie Smith Sloan said in a statement. 鈥淭here is no workforce waiting in the wings." ... The American Seniors Housing Association said that the decision creates 鈥渋mmediate workforce uncertainty鈥 as many TPS holders are legally authorized employees in healthcare and long-term care roles. (Bonvissuto, 6/26)

Related news on the immigration crisis 鈥

The Trump administration is planning to bypass legal protections and hastily deport more than 500 unaccompanied migrant children, a top Democratic senator warned Thursday.聽Sen. Ron Wyden (D-Ore.) told Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. in a letter that he 鈥渙btained credible information鈥 that the Trump administration had a list of more than 500 migrant children currently in the care and custody of the agency鈥檚 Office of Refugee Resettlement (ORR) who were being targeted for fast-track removal in a matter of days.聽The children have been in ORR custody, primarily in long-term foster care, for at least six months and do not have any relative or guardian in the U.S. to act as a sponsor.聽(Weixel, 6/25)

A judge temporarily ordered the Tennessee Department of Health not to give immigration authorities information about roughly 400 seriously sick and disabled immigrant children who are enrolled in a healthcare assistance program. The restraining order was issued Wednesday at the request of three Nashville doctors who treat some of those children and who sued after state officials sent letters to providers and immigrant families saying a new law required them to share identifying information for those on the program after the end of June. (Hall, 6/26)

The Supreme Court also issued rulings about cancer lawsuits and gun laws 鈥

Many prominent figures in the 鈥淢ake America Healthy Again鈥 movement said they felt betrayed Thursday after the Supreme Court ruled that Bayer, the manufacturer of Roundup, did not need to warn consumers of a potential cancer risk associated with its weed killer. The ruling is likely to prevent thousands of lawsuits from arguing in state courts that Roundup should come with a cancer warning. (Bendix and Tsirkin, 6/26)

The Supreme Court on Thursday struck down a Hawaii law that sharply restricts where people can carry guns in public, the latest ruling by the high court in recent years rolling back firearm restrictions. In an ideologically split 6-3 ruling, the justices found a statute that requires gun owners to get consent to carry a firearm onto private property open to the public violates the Second Amendment right to bear arms. (Jouvenal, 6/25)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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