A service provider cares for a person in their home.

The Trump administration has issued a rule blocking hundreds of thousands of Medicaid-funded home health aides from deducting union dues from their paychecks, which may also stop the workers from making payroll deductions for health insurance premiums and training costs. Home health aides expressed concern that the rule will weaken their ability to work together to improve their jobs and better serve their clients. A major union and a coalition of five Democratic state attorneys general have separately sued the Trump administration over the regulation.