AFP: Congress Should Support Proposed Rule to Ensure Medicaid Dollars Go to Caregivers, Not Unions 

Jul 10, 2018 by AFP

Arlington, VA – The Centers for Medicare and Medicaid Services proposed a rule that would prohibit states from diverting Medicaid home health care payments from caregivers to fund union membership. 

Americans for Prosperity Senior Policy Fellow Akash Chougule issued the following statement:

“Congress established Medicaid to help the poor and disabled receive healthcare, not to subsidize public unions. This change would prevent states from propping up public unions through the automatic withdrawal of union dues from Medicaid checks meant for home healthcare workers. The government shouldn’t be involved in union due deductions and caregivers should never have been classified as government employees to begin with. We applaud Congresswoman Cathy McMorris Rodgers for working to address this issue and Senator Ron Johnson for demanding answers and transparency on this misuse of taxpayer dollars.”

In several states, labor unions have succeeded in changing state law to designate home care aides serving Medicaid-eligible disabled and elderly individuals as public employees for the sole purpose of unionization. According to estimates from the Freedom Foundation, about $200 million dollars in union dues are siphoned out of caregivers’ Medicaid funds each year in at least nine states. 

Read More:

National Review: Health-Care Workers Aim to Decertify a Union Suspected of Fraud

For further information or to set up an interview, please send an email to

Americans for Prosperity (AFP) exists to recruit, educate, and mobilize citizens in support of the policies and goals of a free society at the local, state, and federal level, helping every American live their dream – especially the least fortunate. AFP has more than 3.2 million activists across the nation, a local infrastructure that includes 36 state chapters, and has received financial support from more than 100,000 Americans in all 50 states. For more information, visit