Diverse Elders Coalition

The Trump administration is counting on work to save the government billions of dollars. But well before the rules formally go into effect Jan. 1, they’re already-strapped millions or tens of to .

State health departments are having to funnel into hiring more staff, paying for overtime, and upgrading their aging technology systems so they can determine which low-income residents are working, volunteering, caregiving, or studying enough hours to keep their Medicaid coverage. They are also building new systems to determine who is sick enough to qualify for an exemption.

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After a marathon 18-hour vote, Senate Republicans advanced roughly $70 billion in for agencies that had been carved out of an earlier funding deal to the rest of the Department of Homeland Security.

The package now heads for a vote in the House of Representatives, which could happen as early as next week.

Senate Republicans pass immigration funding after overnight vote After a marathon 18-hour vote, the Senate has funded immigration enforcement. The GOP bill funds ICE and the Border Patrol for three years.

Advocates for people with serious illnesses, like and , say the strict work rules that the Trump administration released this week are likely to put ongoing in jeopardy. At stake is health coverage for 68 million Americans

States must put the work requirements into effect by January 1. That was already a tight timeline, says Adrianna McIntyre, assistant professor of health policy at the Harvard T.H. Chan School of Public Health.

At stake is health coverage for 68 million low-income Americans on Medicaid, the health system jointly funded by states and the federal government.

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People with cancer or HIV could lose Medicaid under new work rules, advocates say Adults on Medicaid will be required to work 80 hours per month. The Trump administration says people who are sick will have to prove they are too sick to work to be exempt from the new work rules.

The Trump Administration’s final rule implementing the new Medicaid work requirement makes major, last-minute policy shifts that will likely increase the number of people who are denied or lose health coverage due to the requirement, while stymieing states’ ability to implement it on time.

The new interim final rule, published June 1, compounds these problems and will make the coverage loss even higher. One example — it adds new requirements to the medically frailty exemption from the work requirement, requiring that the medical condition significantly impair a person’s ability to comply with the work requirement in order to qualify them for the exemption.

Here are what the changes will mean for people rely on :

Administration’s Last-Minute Restrictions Likely to Worsen Impact of Medicaid Work Requirement The Trump Administration’s final rule implementing the new Medicaid work requirement makes major, last-minute policy shifts that will likely increase the number of people who are denied or lose health coverage due to the requirement, while stymieing states’ ability to implement it on time.

can help make environments safer and easier to navigate, as well as support .

Many tools for safer homes, such as handrails, are still low-tech. And technology can’t fully assist with basic activities — once someone is having trouble getting out of bed, going to the bathroom or bathing independently, they likely need in-person help.

But can support a variety of daily tasks, “things like your home, taking care of your , cooking nutritious and taking care of your ,”

Here’s what’s on the market to make your home and more as you age.

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Four types of technology that can help you remain independent as you age It’s not too early to start thinking about the things that can make it easier to remain in your home.

kicked off with what organizers described as the turnout yet for the announcement, unveiling a giant Pride flag at the Sofitel in Center City as community leaders urged attendees to pair celebration with .

"This is our biggest ever. So let's give yourselves a round of applause," said Kory Aversa of Philly Pride Month during the event, which previewed plans for this year's festivities.

Philadelphia launches Pride Month with calls for advocacy The celebration has expanded significantly in recent years. Tyrell Brown, founder and executive director of Philly Pride 365, noted the rapid growth.

A widow’s story is spotlighting how rising and health are pushing more older adults into .

Jacqueline, a 75-year-old and , has been for six months, living at Boston’s Pine Street Inn shelter after losing her ability to pay .

“Sometimes life just throws you a few curveballs,” she said.

Jacqueline, who asked to keep her identity hidden, explained her situation.

“It’s very expensive to live in this city,” she said. “You wake up, and you have no money to pay your rent, and that’s what basically happened.”

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Older Boston adults face a growing homelessness crisis A Boston widow’s story spotlights how rising housing and health costs are pushing more older adults into homelessness.

The long-awaited for work was released by the Centers for Medicare & Medicaid Services, meeting a June 1 deadline under The Administrations' “big, beautiful bill” to explain how should carry out the work rules.

Beginning Jan. 1, many adults on Medicaid will need to work, attend school or volunteer for at least 80 hours a month to keep their coverage.

The guidance also allows exemptions for people who are “medically frail” or have conditions that significantly limit their ability to work, such as cancer or substance use disorder. The guidance doesn’t include an exemption for people who are homeless.

Trump admin outlines who would be exempt from Medicaid work requirements A nonpartisan policy group estimates the work requirements are expected to cause 5 million people to lose coverage by 2034, largely because of administrative hurdles.

In many cases, caregivers are not just their loved ones, but the long-term care itself. Medicaid, the nation’s primary payer for long-term services and supports, often becomes involved only after families have their own time, and savings.

"My for loved ones through illness and disability provided a service to them and to society that I would never take back. Yet as a result, through the service-industry jobs I was able to piece together over my 20 years as a , I accumulated just $8,000 in . In my world, retirement planning was often seen as a rich person’s problem."

There is a solution: Caregiver within Security.

How unpaid caregiving derails retirement security — and what we can do about it Caregiving has many direct costs — financial, physical and emotional. Yet the most devastating are the costs to our future security. The question is no longer whether we can afford to credit caregi…

"As we begin in the year of our lord 2026, I’m not going to mince words: it’s hard out here for our community.

Everywhere we turn, from state legislatures to 1600 Pennsylvania Ave, we face an endless stream of lies and vitriol and, even worse, dangerous . Our , our history, and our families are all under . "

Yet "I’m proud to announce that we now stand 4 million members and supporters strong — an historic high and an increase of 1 million over the past two years. Here’s why that matters. At the exact moment our opposition escalated their attacks, more people of conscience moved toward our community than away from it. At the exact moment our opposition escalated their attacks, more people of conscience moved toward our community than away from it."

Pride is patriotism. LGBTQ+ Americans aren’t backing down Pride remains both a protest and a declaration that LGBTQ+ Americans “are not going anywhere,” writes Human Rights Campaign President Kelley Robinson.