Care Not Corruption
A Plan to Fix New York’s Home Care Crisis

Our home care system should ensure older and disabled New Yorkers can live at home on their own terms - not be forced into institutions.

Yet Gov. Hochul has abandoned this responsibility.

Instead of investing in quality care and fair pay, she’s handed off our home care system to Wall Street. New York now faces the worst home care shortage in the nation, with billions going to corporate profits rather than the workers and families who need it.

The Problem

📉 Worst worker shortage in the US:
Nearly 20% of home care jobs unfilled.

💰 Insurance company bloat:
$5.5 billion wasted on “administrative costs” and profits from 2020-2024.

🏚️ CDPAP collapsing under private equity:
80k consumers forced into pricier agency care or nursing homes, 13k consumers have lost care altogether.

How Your Tax Dollars Get Stolen

NYS Share of Medicaid: $38 Billion
Large stack of coins representing the 38 billion dollar New York State Medicaid budget
↓
Insurance companies skim billions for admin costs and profit
Medium stack of coins showing reduced funding after insurance company administrative costs
↓
PPL drives tens of thousands of consumers to pricier care (forcing the state to pay more)
Smaller stack of coins showing further reduced funding as consumers are forced into more expensive care
↓
PPL throws thousands of workers off the rolls (and pockets the savings)
Very small stack of coins showing minimal remaining funding after workers are removed
↓
Workers get poverty wages. Consumers lose care.
Tiny stack of coins representing inadequate remaining funding for workers and consumers

The Solution: Care Not Corruption

  1. End PPL's Failed Monopoly & Ensure Accountability

    Pass legislation to restore local fiscal intermediaries (S1189/A2735 or A8355/S7945)

    • End PPL's disastrous contract and restore consumer choice in CDPAP

    • Bring back community-based fiscal intermediaries that served families successfully

    • Establish permanent oversight to prevent future private equity disasters

  2. Stop Giving Billions to Insurance Middlemen

    Pass the Home Care Savings & Reinvestment Act (S2332/A2018)

    • Eliminate insurance middlemen who pocket billions while worsening the care crisis

    • Save $3 billion annually ($25-32 billion over 10 years)

    • Reinvest savings directly into care: higher wages, better quality, continuity of care

  3. Pay Workers What They Deserve

    Pass the Fair Pay for Home Care Act (A1991)

    • Solve the workforce shortage by making home care jobs sustainable

    • Raise wages to 150% of regional minimum wages so workers can stay in the field

    • Improve care quality: when workers are paid fairly, consumers get better care

Portrait of Renee Christian

"CDPAP has allowed me to live independently for decades. But since PPL took over, I've lost more than half of my aides. Now it's hard for me to feed myself and even bathe. Sometimes I can't get to the bathroom in time and there's no one to help. PPL has been a total disaster."
– Renee Christian, CDPAP Consumer, Buffalo

"PPL gives us 'benefits' that don't work and we can't even use them. They are making everything so hard for all of us. You call their number and they take forever to answer, and then we always get different answers. PPL is a nightmare."
– Leyden Sosa, CDPAP Personal Assistant, The Bronx

Portrait of Leyden Sosa
Current System Care Not Corruption
❌ Insurance admin waste: $5.5 billion from 2020-2024 ✅ $25 billion+ saved from 2025-2035 in insurance admin costs
❌ CDPAP consumers pushed into pricier agency care & nursing homes ✅ CDPAP consumers continue to live with dignity in their homes
❌ Worker shortage driving up emergency and hospital costs ✅ Worker shortage solved, improving the quality of care
❌ PPL's monopoly power will let them raise prices indefinitely ✅ Multiple FIs give consumers the freedom of choice

Why We Must Act Now

Trump’s Medicaid cuts threaten to gut New York's Medicaid program, which funds half of all home care - all while Trump's tax cuts have handed millions to New York's richest residents - the same people who should pay their fair share.

We can't afford to keep siphoning billions to Wall Street and the wealthiest New Yorkers when we need every dollar for care.