关于医疗保险和医疗补助服务中心 （ CMS ） 提议的规则的评论 ， 该规则禁止家庭护理工人对工会费用进行工资扣除

The proposed CMS rule would repeal a current regulation that allows Medicaid home care providers to have union dues deducted from their payments. The National Association of Home Care (NAHC) is urging CMS to withdraw the rule, as it would harm workers and undermine the objective of home and community-based services. Homecare plays a critical role in society, allowing the elderly and people with disabilities to maintain their independence and maximize their quality of life. The ability of homecare workers to choose to join a union and have dues deducted from their pay has led to important improvements in an industry historically marked by low wages and high worker turnover. The proposed rule would not only harm workers, it would have a deleterious effect on care quality and undermine the objective of home and community-based services of providing seniors and people with disabilities a viable alternative to institutional settings.