Justices Warned Axing Migrant Relief Will Harm Care to Seniors

Canceling employment authorization for several hundred thousand Haitian migrants will hurt patients receiving long-term care and the larger health-care system, a South Florida senior living center warned the US Supreme Court.

Sinai Residences operates in a sector that experiences persistent staffing shortages and relies on immigrant caregivers to meet workforce needs, it said in a court filing Monday. Haitians covered by Temporary Protected Status in particular are a core part of that workforce, it said.

“Removing them from the labor force would not be a modest administrative inconvenience,” Sinai said. “It would destabilize care in facilities already operating under strain.”

The Supreme Court later this month will hear arguments on the Trump administration’s bid to strip TPS protections from some 350,000 Haitians and another 6,000 Syrian nationals.

The Department of Homeland Security has moved to eliminate TPS designations for more than a million immigrants from 13 nations as part of the Trump mass deportation agenda. But the agency’s run into hurdles at lower courts that have repeatedly found it didn’t follow the required process to remove protections.

Now the government wants justices to let it move forward with stripping protections despite those district court orders and to find that the program is off limits from judicial review.

Sinai Residences, along with a regional association of aging services providers, filed one of several amicus briefs Monday that argued TPS holders are integral to the US economy and that justices should affirm lower court orders preserving protections.

Continuity of Care

The home health and personal care sector is projected to grow by 17% in the coming decade and facilities are already struggling to meet staffing needs—especially in Florida, the brief said. Sinai Residences employs about 40 TPS holders in positions such as licensed nurses, nursing assistants, and operational roles.

Suddenly losing those workers would be especially serious for residents with dementia and cognitive impairments for whom “continuity of care and familiar caregivers are especially important,” according to the brief.

Those workers know how to ensure patients prescribed dozens of pills each day take all of their medications. And nurses’ familiarity with patients who have dementia allow them to effectively calm them when they become agitated, Sinai said.

“That is why the effects of TPS terminations cannot be measured only in vacancies or hiring timelines. For residents in amici’s and other senior care facilities, the stakes are immediate and personal,” the brief said.

Sinai Residences is represented by Colombo & Hurd PL. Plaintiffs are represented by Muslim Advocates, Van Der Hout LLP, and the International Refugee Assistance Project. The government is represented by the Solicitor General.

The case is Mullin vs. Dahlia Doe, U.S., No. 25-1083, amicus brief filed 4/13/26.