haitians

On June 25, the United States Supreme Court decision allowed President Donald Trump and his administration to end Temporary Protected Status (TPS) for Haitians, paving the way for their legal immigration status to be removed.

Trump has pushed to end TPS for several groups, as part of his efforts to restrict immigration into the US.

But lawmakers from both political parties have argued that stripping Haitians of their TPS status could create a caregiving crisis, given their presence in key industries like healthcare.

“Of the 350,000+ lawful Haitian TPS holders, roughly 1/3 work in our healthcare system. Immediately shutting off TPS will create a crisis in our hospitals, nursing homes, and in the [intellectual disabilities] community,” Republican Representative Mike Lawler wrote on the social media platform X.

Democratic Representative Ayanna Pressley echoed that sentiment in a statement.

“Seniors will lose their caregivers when we already have a caregiving crisis, and seniors will lose their ability to age in community with much-needed assistance,” she wrote.

The Temporary Protected Status programme allows nationals from countries experiencing crises, such as natural disasters or armed conflict, to live in the United States for up to 18 months. The federal government had previously renewed the designations, making them effectively permanent, before President Trump took office for a second term in 2025.

Lawler’s estimates about how many Haitians with TPS work in the US healthcare system are within the range of what the data show.

The Trump administration decision — and Supreme Court ruling — affect about 330,000 Haitians whose TPS-related work authorisations expire on July 10. They face deportation unless they qualify for another status. The ruling also applies to Syrians and Venezuelans.

About 158,000 Haitians in Florida have TPS, the majority of whom are in South Florida. The Sunshine State has the largest population of TPS recipients in the US: nearly 404,000 people. More than half are from Venezuela and about one-third are from Haiti, according to the nonpartisan Congressional Research Service.

With an ageing population and an existing caregiver shortage, healthcare experts say the end of TPS for Haitians will have a significant effect on the US healthcare industry.

Of the 330,000 Haitian TPS holders, about 13,000 work daily as nursing assistants, caring for 65,000 patients, The Boston Globe found. Another 8,000 Haitian caregivers serve 12,000 children and ageing people, according to Americans for Immigrant Justice, a Miami-based nonprofit law firm that provides free representation to low-income immigrants.

Experts said the TPS healthcare workforce exodus will be felt most acutely in New York, Massachusetts and Florida.

With its high populations of older people and immigrants, Florida is expected to be particularly hard-hit.

David Grabowski, a Harvard Medical School healthcare policy professor, said the decision will “have a major impact on nursing homes, assisted living facilities and home care agencies”.

What will happen if most Haitians with TPS are deported?

Healthcare researchers say deporting Haitian recipients of Temporary Protected Status will add pressure on a strained system.

Immigrants who have TPS are more likely to work in healthcare, with one 2025 study finding that recipients represent 15 percent of all noncitizen healthcare workers. (TPS recipients make up about 2.1 percent of the total immigrant population.)

Immigrants make up a large share of direct care workers — people who are home health aides, personal care aides and nursing assistants.

There is already a national shortage of home health aides, personal care aides, nursing assistants and other long-term care and eldercare workers, but the US will need even more in the future. The US 65-and-up population is expected to rise from 58 million to 82 million by 2050 — a 42 percent increase.

Nearly half of US nursing homes report limiting admissions due to staffing shortages, and 19 percent recently met the minimum staffing levels set by the Centers for Medicare & Medicaid Services. In 2023, shortages of nurses and other employees caused about two-thirds of US hospitals to operate below capacity.

“People who run nursing homes, chronic care hospitals and home care agencies – they are all saying this is a crisis,” said Dr Steffie Woolhandler, a distinguished professor of public health at City University of New York’s Hunter College. “There has long been a shortage of folks who are willing to do direct care work as nursing aides, and there’s still a shortage now, so, of course, if the US deports them all, it’s just going to make it worse.”

Drishti Pillai, the director of immigrant health policy at the research nonprofit KFF, said, “The long-term care industry is already facing shortages prior to these immigration policy changes, so I think it’s accurate to say that this is going to further exacerbate the situation.”

Why do so many Haitians with TPS work in caregiving?

Healthcare experts pointed to several reasons for TPS holders’ high numbers in direct care, including job availability, an easier certification process compared with other healthcare jobs, and prior experience caring for family members.

“We do not have sufficient native-born workers to fill all the caregiving jobs,” Grabowski, the healthcare policy professor, said.

These positions also typically have lower barriers to entry for licensure, or no English language requirements, experts said. Refugee settlement organisations often recommend the work to immigrants for those reasons.

The positions are “extremely difficult to fill” because they’re physically and emotionally demanding, with low pay and with little or no employee benefits, said Priya Chidambaram, senior policy manager with KFF’s programme on Medicaid and the uninsured.

Some Haitians also have experience caring for sick family members in their homes, given the lack of nursing home infrastructure in their home country.

In the end, experts said there will be many more people who need this care than people who will be able to provide it.

“This was true before the ruling,” Chidambaram said. “Now, the impact will only be worse.”

The US Supreme Court has sided with the Trump administration in its bid to end Temporary Protected Status (TPS) for Haitians and Syrians. The ruling allows the policy to take effect before the courts have reached a final decision on its legality.

WASHINGTON  — The Supreme Court ruled Thursday that the Trump administration may end the Temporary Protected Status granted to more than 350,000 Haitians and Syrians whose home countries remain unsafe.

In a 6-3 decision, the court’s conservative majority said Congress gave the administration, not judges, the power to cancel or renew this temporary protection for non-citizens who are living and working here.

In a second win Thursday for the Trump administration, the court also upheld the administration’s policy of blocking asylum seekers at the southern border.

By the same 6-3 vote, the court said migrants do not have a right to apply for asylum if they are not already in the United States.

The decision on Temporary Protected Status could affect up to 1.3 million non-citizens who are in the country.

In 1990, Congress authorized this emergency humanitarian relief for non-citizens whose home countries were wracked by armed conflict, natural disasters or other extraordinary disruptions.

Under the law, the Department of Homeland Security may grant this protection for 6, 12 or 18 months and either renew or extend it for a similar period.

But this legal authority has been under dispute since Trump returned to the White House last year and targeted the 1.3 million people with TPS from 17 countries who were living in the United States.

Trump’s lawyers said the law made clear there was “no judicial review” of the government’s decision to cancel the grant of temporary protection.

However, immigrant rights lawyers argued the government failed in its duty to consult the State Department and assess whether it was safe for migrants to return home.

Repeatedly, U.S. district judges agreed with the challengers and ruled the administration’s decisions were “arbitrary” and unreasonable. But in nearly every case, the Supreme Court granted emergency appeals from the administration and set aside those orders.

Since TPS was created, the government has ended the protected designation for citizens of 18 countries.

DHS under then-Secretary Kristi Noem ended TPS for Honduras, Nicaragua, Afghanistan and Venezuela. A spokesperson for the agency previously said the Haiti designation became “a de facto amnesty program” and that allowing Syrians to remain is contrary to national interest.

Advocates for the immigrants argue that the administration failed to conduct the required process to properly evaluate each country’s conditions and instead acted on political grounds driven by racial animus.

State Department travel advisories for both countries warn people against traveling to either because of the risk of terrorism, kidnapping and widespread violence. But Federal Register notices announcing the terminations said country conditions had improved enough.

Recently released internal documents show that DHS decided to terminate protections for Haitians without any input from the State Department.

Citing the documents, which were obtained by the National TPS Alliance in a separate lawsuit, lawyers for the Haitians asked the Supreme Court to dismiss the case and send it back to lower courts. They argued that the justices should first consider the communications before issuing a decision.

Internal emails show that homeland security officials sought a recommendation from the State Department in May 2025, ahead of Noem’s early June deadline on whether to extend protections for Haiti. But by the time Noem signed what appears to be a final decision memo, U.S. Citizenship and Immigration Services had not received input from the State Department, the emails show.

“State recommendation for Haiti TPS has not come in despite of many outreach,” a homeland security deputy assistant secretary wrote in a June 2, 2025, email. A recommendation “would be helpful to have,” the person added.

Eleven days later, a USCIS project manager wrote in an email that Noem “recently elected to terminate Haiti without country conditions from DOS.”

USCIS initially recommended automatically extending protections before Homeland Security decided to terminate them, earlier versions of the memo indicate.

The June decision was blocked by a federal judge. In November, DHS issued another notice terminating TPS protections for Haitians.

That time, according a previously publicized email, a homeland security senior counselor asked a State Department official for the agency’s views on the country conditions in Haiti. The official, Spencer Chretien, didn’t address the country conditions but responded that “there would be no foreign policy concerns.”

Lawyers for the Haitians argued that response didn’t meet the legal standard for a sufficient consultation, though the Trump administration disagreed.

WASHINGTON — The Supreme Court’s conservative majority sounded ready Wednesday to rule that the Trump administration may end the temporary protection that has been granted to more than 1.3 million immigrants from troubled countries.

Congress in 1990 authorized Temporary Protected Status, or TPS, for noncitizens who could not safely return home because their native country was wracked by war, violence or natural disasters. If those people passed a strict background check, they could stay and work legally in this country.

But President Trump came to office believing too many immigrants had been granted permission to enter and stay indefinitely.

Last year, his Department of Homeland Security moved to cancel the temporary humanitarian protection for immigrants from 13 countries, including Venezuela, Haiti, Syria, Honduras and Nicaragua. Court challenges on behalf of Haitians and Syrians were consolidated into a single case, Mullin vs. Doe, which the justices heard Wednesday.

Immigrant-rights advocates challenged those decisions as political and unjustified, and they won orders from federal judges that blocked the cancellations.

But Trump’s lawyers filed an emergency appeal at the Supreme Court arguing the judges had overstepped their authority. They pointed to a provision in the 1990 law that bars “judicial review” of the government’s decision to end temporary protection for a particular country.

The justices ruled for the administration and set aside the lower court rulings in a series of 6-3 orders.

Faced with criticism over its brief and unexplained orders, the justices agreed to hear arguments on the TPS issue on the last day of oral arguments for this term.

But the ideological divide appeared to be unchanged.

Solicitor Gen. D. John Sauer said Congress had prohibited “judicial micromanagement” of these decisions, and none of six conservatives disagreed.

UCLA law professor Ahilan T. Arulanantham, representing several thousand Syrians, said the Homeland Security secretary had failed to consult the State Department, which says it is unsafe to travel there.

He said the government “reads the statute like it’s a blank check … to give the secretary the power to expel people who have done nothing wrong.”

Chicago attorney Geoffrey Pipoply, representing more than 350,000 Haitians, said the cancellations were driven by “the president’s racial animus toward non-white immigrants.”

The court’s three liberals argued the administration failed to follow the procedural steps required under the law. But that argument failed to gain traction.

Justice Amy Coney Barrett and her husband adopted two children from Haiti who are citizens. Like most of the conservatives, she asked few questions during the argument.