Testimony from organizations representing health care workers reveals workers live in fear of losing legal status, patient families worry about losing committed professionals

National Domestic Workers Alliance reports workers are reducing hours, losing jobs, or leaving care work altogether because of immigration enforcement concerns

Text of Report (PDF)

WASHINGTON – Today, Congresswoman Ayanna Pressley (MA-07) and Senators Elizabeth Warren (D-Mass.) and Edward J. Markey (D-Mass.) released a new investigative report revealing how President Trump’s attempts to end Temporary Protected Status (TPS) for Haiti would devastate the health care, elder care, and disability care workforce, harm patients, and hurt communities. The text of the report is available here.

“During her battle with leukemia, my mother Sandy was cared for by Haitian nurses who met her with compassion—oiling her scalp, braiding her hair, and going above and beyond to comfort her before she transitioned. There are tens of thousands of people just like her across America who receive the same essential care from Haitian TPS holders,” said Congresswoman Pressley. “This report makes plain the essential role that Haitian TPS holders play in our care economy and communities writ-large, and it’s a reminder of why we must do everything possible to extend TPS for Haiti, protect our seniors, and do right by this essential workforce.”

“If the Trump administration ends legal protections for Haitian workers, everyone will be worse off,” said Senator Warren. “The health care system is already strained from significant federal budget cuts, and this cruel decision would put patient care at risk nationwide. We must keep fighting back.”

“Our care economy does not run on apps or algorithms, it runs on people. And many of those people are the Haitian TPS holders in our communities. A TPS holder cares for someone’s elderly grandparent, feeds and tends to someone’s child, and nurses back to health someone’s sick loved one,” said Senator Markey. “For decades, Haitian TPS holders have offered stability, dignity, and security to so many, and they deserve the same in return.”

“TPS was created to give people fleeing unrest in their home countries a safe place to call home, born out of the American spirit of welcoming immigrants seeking a better life,” said Senator Lisa Blunt Rochester. “Across the country, immigrants have started businesses, own property, have given back through faith-based and community organizations and more. Welcoming those who need a safe place to call home is part of who we are as Americans. We’ll continue to fight to protect our neighbors.”

In February, the lawmakers, along with nearly 60 other members of Congress, wrote to LeadingAge, the National Domestic Workers Alliance, National Nurses United, MASS Senior Care Association, The Arc of Massachusetts, Massachusetts Nurses Association, SEIU 509, and the Association of Developmental Disabilities Providers, asking them to share how the termination of TPS for people from Haiti would affect their staff and patients.

The lawmakers’ investigation found that:

• President Trump’s attempted termination of TPS would exacerbate health care workforce shortages, causing a significant loss of essential workers nationwide. LeadingAge members reported that “TPS terminations and ongoing uncertainty around immigration status are already constraining access to care and weakening provider capacity … as experienced staff lose work authorization or depart preemptively due to fear and instability.”

• Staff shortages caused by the termination of TPS and other Trump administration immigration policies would increase health care wait times, reduce availability of health care services, and endanger patients. One respondent with The Arc of Massachusetts explained that “these workforce losses translate to reduced service availability, program closures, longer waitlists, and disruptions to medical and behavioral supports.”

• Terminating Haiti TPS will jeopardize health care providers’ ability to provide expert, high-quality care. One home care worker explained that “(s)ome people…have had the same job for 10 years and lose it. And what you lose is the experienced workers. The patients’ quality of care goes down as a result.”

• The TPS action and other parts of the Trump administration’s immigration agenda are undermining health care workers’ morale and hurting retention and recruitment. The National Domestic Workers Alliance reported that workers repeatedly referenced “fear” in interviews and described workers reducing hours, losing jobs, or leaving care work altogether because of immigration enforcement concerns.

• The Massachusetts health care sector would be disproportionately impacted by the termination of TPS for Haiti. The Massachusetts Senior Care Association warned that staffing losses resulting from the end of TPS for Haiti could “force some facilities to limit new admissions (of patients) thereby aggravating existing bottlenecks in the broader health care system.”

“At precisely a time when the United States needs more health care and elder care providers for its aging population…the Trump Administration is forcing legal, trained care providers out of the workforce,” concluded the lawmakers. “(T)he end of Haiti TPS would deepen workforce shortages across aging, disability, home care, and long-term care sectors, endangering some of the most vulnerable patients, including older adults and people with disabilities.”

Congresswoman Pressley serves as Co-Chair for the House Haiti Caucus and represents one of the largest Haitian diaspora communities in the country. She has stood in vigorous defense for Haitian communities and all immigrant neighbors amid Trump and ICE’s attacks against immigrant communities.

Congresswoman Pressley has been a leading voice in Congress pushing back against Trump’s threats to terminate Temporary Protected Status for Haitians.

In April 2026, the House of Representatives passed Congresswoman Pressley’s bipartisan discharge petition by a vote of 220-207 to extend Haiti TPS for three years. Congresswoman Pressley won a key procedural vote on the discharge petition and managed debate on the House floor prior to the successful final passage vote. Last month, Rep. Pressley’s discharge petition successfully met the 218-signature threshold to move forward with bipartisan support—only the 15^th discharge petition to do so in the last 40 years.

In April 2026, Rep. Pressley held a press conference alongside colleagues and a coalition of seniors, care workers, advocates, and allies to demand the Supreme Court defend Temporary Protected Status (TPS) ahead of hearing oral arguments in a case involving the Trump Administration’s efforts to end TPS for Haiti, Venezuela, Syria, and other nations grappling with layered crises.

In April 2026, Rep. Pressley, alongside Rep. Wasserman Schultz and Senators Ed Markey and Chris Van Hollen, led 26 Senators and 157 Representatives in filing an amicus brief in the U.S. Supreme Court in Miot v. Trump, a consolidated case challenging the Trump administration’s unlawful termination of Haiti and Syria Temporary Protected Status (TPS).

In March 2026, Rep. Pressley’s discharge petition to force a House vote on extending Temporary Protected Status (TPS) for Haiti successfully met the 218-signature threshold to move forward with bipartisan support.

In March 2026, Rep. Pressley joined Haitian faith leaders and advocates to urge the Supreme Court to affirm the lower courts’ rulings that deemed Trump’s push to terminate Haiti TPS unlawful.

In February 2026, Rep. Pressley applauded a federal judge’s ruling to temporarily block Trump’s move to terminate Temporary Protected Status (TPS) for Haitians. Ending TPS for Haitians would leave over 350,000 Haitian nationals at risk of deportation, many of whom reside in the Massachusetts 7th congressional district.

In January 2026, Congresswoman Pressley, alongside Senator Markey, held a field hearing on the importance of extending Temporary Protected Status (TPS) for Haiti. She documented this testimony in the legislative record. Footage from the hearing is available here and photos here.

In January 2026, Rep. Pressley also organized a press conference in D.C. in January to sound the alarm on the harm of terminating TPS for Haiti on seniors and the U.S. care economy.

• On June 28, 2025, Congresswoman Ayanna Pressley (MA-07) issued the following statement condemning the Trump Administration’s abominable termination of Temporary Protected Status (TPS) for Haiti effective September 2nd, 2025.
• On June 5, 2025, Congresswoman Ayanna Pressley (MA-07) and Yvette D. Clarke (NY-09) issued the following statement on Donald Trump’s executive order that bans citizens of 12 countries, including Haiti, from traveling to the United States, and places partial restrictions on citizens of seven more nations.
• On March 18, 2025,  Congresswoman Ayanna Pressley (MA-07), Congresswoman Yvette Clarke (NY-09), and Senator Chris Van Hollen (D-MD) led 62 of their colleagues in the House and 23 of their colleagues in the Senate in a letter to Department of Homeland Security Secretary Kristi Noem demanding the Trump Administration redesignate and extend Temporary Protected Status (TPS) for Haiti, which the administration recently canceled on questionable legal authority.
• On February 20, 2025, Congresswomen Ayanna Pressley (MA-07), Yvette Clarke (NY-12), and Sheila Cherfilus-McCormick (FL-20) issued the following statement condemning the Trump Administration’s decision to end Temporary Protected Status (TPS) for Haiti.
• On April 23, 2024, Rep. Pressley, alongside Co-Chairs Congresswoman Yvette D. Clarke (NY-09) and Sheila Cherfilus-McCormick (FL-20), led a group of 50 lawmakers urging the Biden Administration to redesignate Haiti for Temporary Protected Status (TPS), pause on deportations back to Haiti, extend humanitarian parole to any Haitians currently detained in Immigration and Customs Enforcement’s detention centers, end detention of Haitian migrants intercepted at sea, and provide additional humanitarian assistance for Haiti.
• On April 18, 2024, Rep. Pressley and Haiti Caucus Co-Chairs led a letter to House Ways and Means Committee leadership emphasizing support for the early renewal of the Haitian Hemispheric Opportunity through Partnership Encouragement (HOPE) and the Haiti Economic Lift Program (HELP) Acts, commonly known as HOPE/HELP.
• On April 12, 2024, Rep. Pressley joined Haitian-led activists, organizations, and a directly impacted person in Haiti for a press call urging federal action to address the worsening humanitarian crisis in Haiti.
• On March 27, 2024, Rep. Pressley joined Senator Elizabeth Warren (D-MA) and her colleagues on the Massachusetts congressional delegation in urging the Biden Administration to expedite visa processing for Haitians, particularly  for relatives of U.S. citizens and lawful permanent residents.
• On March 12, 2024, Rep. Pressley and Haiti Caucus Co-Chairs Reps. Cherfilus McCormick and Yvette Clarke issued a statement on the resignation of Haitian Prime Minister Ariel Henry.
• On March 6, 2024, Rep. Pressley issued a statement on the recent jailbreak and State of Emergency in Haiti.
• On December 8, 2023, Rep. Pressley and Congresswoman Yvette Clarke urged the U.S. Department of State to withdraw U.S. support for an armed foreign intervention in Haiti and encourage negotiations for a Haitian-led democratic political transition.
• On December 6, 2022, Rep. Pressley issued a statement applauding the Biden Administration’s extension and re-designation of Temporary Protected Status (TPS) for Haiti.
• On December 1, 2022, Rep. Pressley, Rep. Cori Bush, and Rep. Mondaire Jones led 14 of their colleagues on a letter to Department of Homeland Security Secretary Alejandro Mayorkas urging the Department to extend and redesignate Haiti for Temporary Protected Status (TPS).
• On August 17, 2022, Rep. Pressley, along with Haiti Caucus Co-Chairs Reps. Val Demings, Yvette Clarke, and Sheila Cherfilus-McCormick (FL-20), called on President Biden to appoint a new Special Envoy to Haiti, a position that has remained unfilled since September 2021.
• On May 31, 2022, Rep. Pressley and Reverend Dieufort Fleurissaint, chair of Haitian Americans United, published an op-ed in the Bay State Banner in which they called on the Biden administration to withdraw support for de facto ruler of Haiti, Ariel Henry, and instead support an inclusive, civil society-led process to restore stability and democracy on the island. 
• On May 26, 2022, Rep. Pressley, along with with Representatives Jan Schakowsky (IL-09), Andy Levin (MI-09), Jim McGovern (MA-02), and Frederica Wilson (FL-24), led a letter to United States Agency for International Development (USAID) Administrator Power urging her to act to ensure food security in Haiti.
• In February 2022, Reps. Pressley, Judy Chu (CA-27), and Nydia Velázquez (NY-07) led 33 other House Democrats on a letter to CDC Director Walensky demanding answers about the agency’s justification for treating asylum seekers as a unique public health threat, how these expulsions are being coordinated, how asylum seekers being returned to dangerous situations are being cared for, and more. Days later, Rep. Pressley once again called on the Biden Administration to reverse the Title 42 Order and other anti-Black immigration policies.
• On March 16, 2022, Rep. Pressley and Rep. Mondaire Jones called on Department of Homeland Security Secretary Alejandro Mayorkas and Centers for Disease Control and Prevention Director Rochelle Walensky to fully end Title 42, cease deportations of people to Haiti and affirm their legal and fundamental human right to seek asylum.
• On February 16, 2022, Rep. Pressley joined Congresswoman Cori Bush (MO-01), Senator Cory Booker (D-NJ), and 100 House and Senate colleagues in urging President Biden to reverse inhumane immigration policies – such as Title 42, originally introduced under the Trump Administration – that continue to disproportionately harm Black migrants.
• On February 14, 2022, Congresswoman Ayanna Pressley (MA-07), alongside Representatives Judy Chu (CA-27) and Nydia Velázquez (NY-07), led 33 other House Democrats on a letter to Rochelle Walensky, Director of the Centers for Disease Control and Prevention, demanding answers about the agency’s justification for treating asylum seekers as a unique public health threat, how these expulsions are being coordinated, how asylum seekers being returned to dangerous situations are being cared for, and more.
• In April 2022, she joined her colleagues at a press conference reaffirming her support for President Biden’s decision to end Title 42. Full video of her remarks at the press conference is available here. Rep. Pressley applauded the Biden Administration’s end of Title 42 in a statement in April 2022.
• In September 2022, Rep. Pressley and Rep. Velázquez led 54 of their colleagues on a letter calling on the Biden Administration to immediately halt deportations to Haiti and provide humanitarian parole protections for those seeking asylum. The lawmakers’ letter followed the Administration’s resumption of deportation flights to Haiti as thousands of Haitian migrants continue to await an opportunity to make an asylum claim at the border. 
• In September 2022, Rep. Pressley joined her colleagues on the House Oversight Committee in demanding answers regarding the inhumane treatment of migrants in Del Rio, Texas, by Border Patrol agents on horseback and pushing to Biden Administration to end the ongoing use and weaponization of Title 42.
• On July 7, 2022, Rep. Pressley and Haiti Caucus Co-Chairs Reps. Andy Levin (MI-09), Val Demings (FL-10) and Yvette D. Clarke (NY-09) released a statement marking the one-year anniversary of the assassination of Haitian President Jovenel Moïse.
• On November 21, 2021, Rep. Pressley and Senator Elizabeth Warren led the Massachusetts congressional delegation on a letter to the Office of Refugee Resettlement (ORR) calling on them to coordinate with the government agencies of the Commonwealth of Massachusetts to assist newly arrived families from Haiti. 
• On October 18, 2021, Rep. Pressley, and Haiti Caucus Co-Chairs Reps. Val Demings (FL-10), Yvette Clarke (NY-09), and Andy Levin (MI-09) issued a statement following the kidnapping of American and Canadian missionaries in Haiti.
• On October 18, 2021, Rep. Pressley issued a statement on the civil rights complaint filed by Haitian families demanding a federal investigation into the heinous actions perpetrated by federal officials at the border.
• On October 22, 2021, Rep. Pressley, along with Oversight Chairwoman Carolyn B. Maloney, Subcommittee on Civil Rights and Civil Liberties Rep. Jamie Raskin (D-MD), and Reps. Rashida Tlaib (MI-13), Alexandria Ocasio-Cortez (NY-14), and Debbie Wasserman Schultz (D-FL), sent a letter to Troy A. Miller, the Acting Administrator of U.S. Customs and Border Protection (CBP), demanding a briefing and answers regarding press reports of the inhumane treatment of migrants in Del Rio, Texas, by Border Patrol agents on horseback. 
• On September 17, 2021, Rep. Pressley and Congresswoman Nydia M. Velázquez (NY-07) led 52 of their colleagues calling on the Biden Administration to immediately halt deportations to Haiti and take urgent action to address the concerns of the Haitian Diaspora after a 7.2 magnitude earthquake devastated Haiti.
• On August 14, 2021, Rep. Pressley Yvette Clarke (NY-09), Andy Levin (MI-09) and Val Demings (FL-10) and Mondaire Jones (NY-17) released a statement regarding the recent earthquake in Haiti.
• On July 14, 2021, Rep. Pressley and Haiti Caucus Co-Chairs Reps. Yvette Clarke (NY-09), Andy Levin (MI-09) and Val Demings (FL-10) sent a letter to U.S. Department of Homeland Security (DHS) Secretary Alejandro Mayorkas calling on him to take a series of steps to support the Haitian diaspora amid ongoing political turmoil in Haiti.
• In July 2021, the Reps. Pressley, Clarke, Demings and Levin issued a statement condemning the assassination of President Moïse and calling for swift and decisive action to bring political stability and peace to Haiti and the Haitian people.
• In May 2021, on Haitian Flag Day, Reps. Pressley, Levin, Clarke and Demings announced the formation of the House Haiti Caucus, a Congressional caucus dedicated to pursuing a just foreign policy that puts the needs and aspirations of the Haitian people first.

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