North Carolina is rapidly aging—the population over 65 is projected to more than double by 2050. A growing number of seniors will need low-cost solutions for the challenge of long-term care, and in-home care services provide a much more cost-effective approach than nursing homes.

Unfortunately, the rate at which Medicaid reimburses home health care providers in North Carolina is just $13.88—the fourth lowest in nation and well below what it takes for employers to profit and workers to earn wages that allow them to make ends meet.