Approximately one in four home health aides are immigrants. Some of them are here legally and some are not. Elder law and immigration law advocates are already starting to report that many illegal immigrants are going into hiding, since they fear being deported. There is beginning to be a shortage in the labor supply for home health workers that are needed to keep the elderly in their own homes.
If this continues, it could force more seniors into nursing homes and assisted living facilities. This could also come with greater costs, since there are only so many available beds and many of those facilities also rely on immigrant labor.