Home Care: The Meeting Is Real, and So Is the Letter He Signed. The 'Stewardship' Framing Omits What His Vote Did.

Healthcare Source: Facebook Post MISSING CONTEXT

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Why This Matters

Home care is how rural NY-23 seniors and people with disabilities stay out of nursing homes and hospitals. Rep. Langworthy’s July 2 post about meeting the Home Care Association of New York State frames the shared federal agenda as protecting patients by rooting out “fraud, waste, and abuse.” Parts of his home-care record genuinely support the “common goal” framing — and this entry says so. What the post omits is the other half of the ledger: the Medicaid law he voted for, whose home-care effects are being tracked nationally, and the sector’s own published numbers, which describe erosion, not waste-hunting.

Statement

Source: Facebook post, July 2, 2026 (screenshot preserved; post archived)

“Great meeting with the Home Care Association of New York State in DC. We share a common goal: protect patients while being strong stewards of taxpayer dollars. By working collaboratively to root out fraud, waste, and abuse, we can strengthen home care and ensure resources reach patients who need them.”

What checks out for him — and it is real

  • He signed the bipartisan home-health letter. In September 2024, Rep. Ritchie Torres led a New York delegation letter to President Biden, OMB, and CMS opposing the CY2025 Medicare home-health payment rule — “an unprecedentedly steep payment reduction.” According to Rep. Torres’s release, the letter was “signed by all rank-and-file members of the New York Congressional Delegation,” which includes Langworthy.
  • The association praised that stand. HCA’s statement on the letter: “Our state’s Congressional Delegation deserves the appreciation of all New Yorkers for this direct, impassioned request… Thank you to our Congressional Members for taking this strong stand on behalf of your constituents in need.”
  • HCA has not condemned the Medicaid law he voted for. The association does not appear among the eighteen organizations on Medicaid Matters New York’s statement condemning the House’s H.R. 1 Medicaid cuts, and its Federal Advocacy Center takes no stated position on the reconciliation law. Its loud federal ask is Medicare-side: “Stop Home Health Cuts!” and support for the Home Health Stabilization Act — very likely what this meeting was about.
  • The workforce’s union did take a position. 1199SEIU United Healthcare Workers East — the healthcare workers’ union whose New York membership includes home care workers — is on that same Medicaid Matters statement, and its words were aimed at his delegation: “New York Republicans shamefully reneged on their promises to their constituents to protect Medicaid, instead voting for the largest cut in history.” (Statement issued on House passage, May 2025; the union’s $625 billion figure reflects the House-passed bill’s Medicaid estimate at that time.) So the split is precise: the employers’ association he met is publicly neutral on the law; the union representing the people who deliver the care condemned it, naming his delegation.

Per this site’s methodology: a group meeting with its representative is exercising access, not endorsing a record — and nothing in this entry should be read as putting HCA on either side of Langworthy’s votes.

What the framing omits

1. “Fraud, waste, and abuse” is the stewardship gloss on a law that cuts the program home care runs on. Langworthy voted for H.R. 1 (Roll Call 190, July 3, 2025), which CBO scores as reducing Medicaid and SNAP resources by roughly $900 billion over 2026–2034. Medicaid is the dominant payer for home- and community-based care, and KFF is already tracking how states manage Medicaid home-care spending “ahead of H.R. 1 effects.” This site has documented the home-care consequence before: reduced access to home-based services for disabled NY-23 residents (the AAPD entry). The post’s framing — waste-hunting as the path to “strengthen home care” — does not mention the largest Medicaid reduction in the program’s history, which he supported.

2. The sector’s own published numbers describe erosion, not slack. As reported by Spectrum News (March 2026), citing the association he met with: 60% of New York home care and hospice agencies are losing money; 20% of agencies have closed over the past five years; more than 200,000 Medicaid patients have been unable to receive care. HCA president Al Cardillo called it “a continuing trend of erosion.” The letter Langworthy himself signed in 2024 carried the same picture on the Medicare side: a 24.6% decline in New York home-health admissions (2019–2023), more than 180,000 enrollees who needed but did not receive home health care, and combined wage-index cuts exceeding 8% in 21 New York counties.

3. The enforcement record behind “root out abuse.” The post’s stated method — rooting out abuse — sits alongside a documented record of narrowing the tools that do the rooting:

  • His own vote: the H.R. 1 package he supported (Roll Call 190) included a rider blocking the federal nursing-home minimum-staffing rule for ten years — the regulation designed to reduce neglect by requiring adequate staff (documented here).
  • The administration finished the job: on December 3, 2025, HHS/CMS published an Interim Final Rule rescinding the staffing standards outright.
  • The abuse cases themselves: a ProPublica analysis of Justice Department data found the DOJ dropped roughly 23,000 pending criminal investigations in 2025 as it shifted resources to immigration — nearly 11,000 declinations in February 2025 alone, the most in any month since at least 2004 — and the closed cases included “an investigation into a Virginia nursing home with a recent record of patient abuse.”

Those are the actions of the administration and, in the rider’s case, of Langworthy himself. A post promising to “root out fraud, waste, and abuse” in home care omits that the staffing rule is gone with his vote’s help, and that federal prosecutors dropped a nursing-home abuse investigation amid record case closures.

4. The timing. The post came one day after approximately 450,000 New Yorkers lost Essential Plan coverage under the same law (documented here) — a subject absent from his feed, his 71-minute June 25 town hall, and this post.

In plain language: the meeting is real, the Medicare-side common ground is real, and we say so. But “root out fraud, waste, and abuse” describes a sector with 60% of agencies underwater and 200,000 patients unserved — numbers published by the very association in the photo — and the post never mentions that the biggest recent federal change to home care’s funding stream is a cut he voted for.

Questions This Raises

  1. Does “strong stewards of taxpayer dollars” include the ~$900 billion Medicaid/SNAP reduction in H.R. 1, and if so, how does that “strengthen home care” for the 200,000+ Medicaid patients already going unserved?
  2. He signed the 2024 letter warning that Medicare home-health cuts would “further threaten the already severe underfunding of home health services.” Does he apply the same logic to the Medicaid cuts he voted for?
  3. Will he support the Home Health Stabilization Act that HCA is asking for — and say so on the record?

Sources

Note: This entry credits what the record supports — the 2024 delegation letter he signed and the Medicare-side common ground with HCA — and documents what the post omits. It does not characterize HCA’s position on H.R. 1 (the association has taken none publicly that we located), and per this site’s fairness standard, the meeting itself carries no implication about the association’s views of the congressman’s record. The “fraud, waste, and abuse” characterization of H.R. 1’s Medicaid provisions is the post’s framing, not this site’s.

Last updated: July 2, 2026