Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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State Policy·NY·September 24, 2026

190,000 New York CDPAP Caregivers File for Union Election with 1199SEIU

Caregivers in New York's Consumer-Directed Personal Assistance Program (CDPAP) have filed for a union election with 1199SEIU United Healthcare Workers East. If successful, 190,000 self-directed Medicaid home care workers would join the union. The filing sets the stage for a vote that could reshape labor relations in New York's largest self-directed personal care program. For Medicaid managed care plans administering CDPAP benefits, unionization could affect caregiver wage rates, contracting terms, and administrative costs tied to CDPAP services.

Why it matters

Unionization of 190,000 CDPAP workers would create the largest home care bargaining unit in New York, potentially increasing wage floors and administrative costs for managed LTSS plans and fiscal intermediaries that contract for self-directed care.

LTSS · Managed Care

Read the full article at homehealthcarenews.com →

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