April 13, 2026, Orlando, FL—Senior living provider, Sinai Residences, along with senior living provider association LeadingAge Southeast, filed an amicus brief Monday in the United States Supreme Court case Donald Trump et al. v. Fritz Emmanuel Lesly Miot et al. (consolidated with Markwayne Mullin, et al. v. Dahlia Doe, et al.). The friend-of-the-court brief asks the Court to stay the Trump Administration’s efforts to end Temporary Protected Status (TPS) for Haitian and other immigrants. TPS allows them to remain and work in the United States due to unsafe conditions in their home country.
Prepared by immigration law firm Colombo & Hurd, the brief warns that ending TPS for Haitians and others will have a devastating impact on health care in the United States, particularly the long-term care industry. Between 330,000 and 350,000 Haitians could lose legal status and work authorization if the Supreme Court ends TPS, putting them at risk of deportation. Many serve in vital health care roles, supporting vulnerable seniors and others who require consistent, skilled care.
“These are some of the most demanding roles in our health care system, and they are already in short supply nationwide,” said Sinai Residences President & CEO Rachel Blumberg. “Disrupting this workforce would have real consequences for older adults in Florida and across the country. In memory care, especially, consistent, trusted caregivers are essential to maintaining safety, stability, and dignity. Residents build meaningful, trusting relationships with their caregivers, and losing that continuity can have a profound impact on their well-being.”
“Providers across the country are losing longtime, legally authorized caregivers, breaking trusted relationships and widening staffing gaps that directly threaten older adults’ access to needed care,” said Katie Smith Sloan, President and CEO of LeadingAge. “Foreign-born workers have long been essential to the nation’s aging services sector, and the termination of Haitian TPS is one of many recent immigration policy changes that are exacerbating the aging services sector’s well-documented and increasing workforce needs. The harm to families and older adults trying to access critical services and care is a travesty. We need immigration policies that strengthen, rather than destabilize, the caregiving workforce older adults and families depend on.”
The U.S. long-term care industry was already facing a significant labor shortage, and an aging population will only make the situation more acute. As noted in the brief, the Department of Health and Human Services projects that demand for nursing assistants, those providing the majority of hands-on care in long-term care settings, will grow by 44 percent between 2023 and 2038. A national analysis by PHI, a nonpartisan workforce research organization, further estimates that the United States will need to fill nearly 9 million direct-care positions over the coming decade.
“Long-term care providers have been navigating sustained workforce shortages for years, and while meaningful steps have been taken to support and stabilize the workforce, eliminating TPS would further strain an already fragile system and impact the quality and access to care for older adults,” said LeadingAge Southeast President and CEO Steve Bahmer. “These caregivers are not only vital to the daily operations of our communities, but to the quality of life and continuity of care our residents depend on. We urge the Court to consider the real and immediate impact this decision would have on providers, residents, and families across the country.”
The brief states that ending TPS would not merely be an administrative inconvenience for health care providers—it would destabilize care in facilities already operating under strain.
“With this amicus brief, we’re asking the Supreme Court to look at the reality of what will happen if it permits the Trump Administration to end TPS for Haitians and other immigrants who play such an important role in our health care system,” said Sarah Wilson, counsel of record for Sinai Residences and LeadingAge Southeast, and a partner and the federal litigation practice leader at Colombo & Hurd.
Blumberg, Bahmer and Wilson are available for interviews, along with Sinai Residences residents and family members who will be directly affected.
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