When Congressman Seth Moulton sat down with Caribbean Television Network, he came prepared to discuss legislation. But the argument he returned to again and again was not legal — it was economic.
Strip Haitian TPS holders from the American workforce, he warned, and you do not just deport people. You destabilize nursing homes, collapse home care agencies, and leave hundreds of thousands of elderly Americans without the caregivers they depend on every day.
“So many of us have older relatives, perhaps parents who are 80 years old or something and going into nursing homes, and they rely every single day on the amazing care of Haitian-Americans,” Moulton told CTN. “This is going to be terribly disruptive not just for families, but for the economy as well.”
The numbers behind that warning are striking — and verified by researchers, healthcare economists, and industry groups who have been sounding the alarm since the Supreme Court’s June 25 ruling in Mullin v. Doe cleared the way for the termination of TPS for approximately 330,000 Haitian nationals.
The Healthcare Workforce: How Deep the Haitian Presence Goes
Moulton told CTN that Haitian immigrants make up more than 30 percent of the U.S. workforce in home care and long-term care settings. That figure is confirmed by multiple independent sources.
According to a new KFF (Kaiser Family Foundation) analysis of Current Population Survey data, immigrants account for 30 percent of direct care workers in long-term settings, including assisted living centers, nursing homes, and home health care. Haitian TPS holders are disproportionately concentrated in exactly those roles.
Republican Representative Mike Lawler put it plainly: “Of the 350,000+ lawful Haitian TPS holders, roughly one-third work in our healthcare system. Immediately shutting off TPS will create a crisis in our hospitals, nursing homes, and in the intellectual disabilities community.”
More than 112,000 Haitians work in the U.S. healthcare industry, according to the American Immigration Council, with a disproportionate share working as nursing aides, home health aides, and personal care assistants in Florida, Massachusetts, and New York.
The Massachusetts picture is particularly acute. In Massachusetts nursing homes alone, 40 percent of front-line staff are foreign-born, many from Haiti, according to the Boston Globe. Massachusetts Senior Care estimates that approximately 2,000 direct care workers in the state’s nursing facilities hold TPS. According to the workforce research organization PHI, immigrant direct care workers remain in their positions longer than U.S.-born workers — providing the workforce stability that is scarce in a sector defined by chronic turnover.
David Grabowski, a Harvard Medical School healthcare policy professor, has warned that the TPS decision will “have a major impact on nursing homes, assisted living facilities, and home care agencies.”
What Is Already Happening
The damage is not hypothetical. It is already being felt.
In 2025, an elder care facility in Florida was forced to fire dozens of Haitian employees who represented almost 10 percent of its staff. A Boston hospital that relies heavily on Haitian Certified Nursing Assistants is bracing for staffing shortages. A senior housing and healthcare facility in Virginia was forced to lay off Haitian employees after TPS changes took effect.
One nursing home administrator told Skilled Nursing News: “A lot of our staff are in visa programs. The impact is obvious, right? If a significant percentage of nursing home staff are immigrant workers, and if those immigrant visas are in jeopardy, then we lose a lot of staff that we’re not prepared to replace.”
Some facilities are already bracing for a workforce loss of up to 20 percent. Home care providers report turning away clients due to existing shortages. The Department of Health and Human Services projects demand for nursing assistants will grow by 44 percent between 2023 and 2038 — meaning the workforce crisis will intensify even before any deportations occur. Removing 330,000 Haitian workers from the pool is not a disruption to a stable system. It is a blow to a system already operating at the edge of its capacity.
The Broader Economic Stake
The healthcare workforce is only one dimension of the economic argument. Haitian TPS holders contribute to the American economy far beyond the hospital ward and the nursing home corridor.
Haitian TPS holders in the New York workforce alone contribute around $1.1 billion annually to the city’s economy and $281 million in federal, state, and local taxes, according to a January 2026 report from the Haitian Bridge Alliance and FWD.us. Scaled nationally across 330,000 TPS holders in dozens of states, the economic footprint is substantial.
Immigrant workers overall account for 18.8 percent of the U.S. workforce as of June 2026, according to Bureau of Labor Statistics data. Their sudden removal does not simply open jobs for American-born workers. It disrupts supply chains, raises costs, and leaves vacancies in sectors — care work, construction, agriculture — where American-born workers have not historically filled the gap.
The financial consequences for families are direct. The daily rate for a private room in a nursing home was $355 in 2025, or $129,575 annually. For assisted living, the annual cost was $74,400. When facilities lose experienced Haitian caregivers and scramble to replace them — if replacements can be found at all — those costs rise. Families bearing the weight of elder care pay the price.
Moulton made this argument to CTN not as a secondary concern but as a bipartisan one. “I think Republicans also realize this is devastating for all the rest of us who depend on Haitians in our economy,” he said.
A Demographic Collision
The timing of the TPS crisis could not be worse from a demographic standpoint. America’s elderly population is growing rapidly, and the demand for caregivers was already outpacing supply before the Supreme Court’s ruling. TPS holders represent 15 percent of all noncitizen healthcare workers — a share that far exceeds their 2.1 percent share of the overall immigrant population. That concentration reflects the deliberate, sustained contribution Haitian workers have made to filling one of the most critical gaps in American society.
Moulton connected all of this to his TPS Relief Act (H.R. 9523), introduced on June 29, 2026, which would give federal courts the authority to review the administration’s TPS termination decisions — authority the Supreme Court ruled they do not currently possess.
“The administration should not be able to make this decision on their own,” he told CTN. “That’s a very reasonable thing to do.”
For the families of elderly Americans in nursing homes and assisted living facilities from Massachusetts to Florida to New York, that reasonableness is not an abstraction. It is the difference between a parent receiving daily care and a facility posting another vacancy it cannot fill.
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Editorial Disclaimer: This article was originally written in English. The French and Haitian Creole versions are produced using AI translation, and errors are possible — the English version is authoritative. CTN also uses AI to convert text into audio. Readers and listeners should rely on the English text where any discrepancy arises.
