June 24, 2026

Summary The immigration caregiver shortage home care sector faces is structural, multi-mechanism, and concentrated in the markets and agencies where immigrant workforce share is highest — and it’s compounding a workforce challenge that was already acute before any of the current policy changes took effect. The University of Pennsylvania estimate of 395,000 potential direct-care job […]

Summary Caregiver misclassification 1099 home care agencies face in 2026 exists in a compliance environment where federal standards are moving toward contractor-friendlier frameworks and state enforcement is simultaneously accelerating in the other direction — which means the agencies that read the DOL’s regulatory posture as a risk reduction are misreading the actual exposure map. Maryland’s