Unpaid Caregiving Takes a Toll on Retirement Security

Published in RINewsToday on August 10, 2026

Unpaid family caregiving is often viewed as a labor of love. But a new national study shows that caring for a loved one can also come with a significant financial price — one that may well follow caregivers right into their retirement years.

On July 22, the Washington, D.C.-based Employee Benefit Research Institute (EBRI), a nonprofit, nonpartisan research organization that studies employee benefits, released its 42-page report, “Caregivers and Retirement: Findings From the 2026 Retirement Confidence Survey.” The report examines how unpaid caregiving affects financial security, employment, health and retirement planning.

Not surprisingly, the findings paint a very troubling picture. Caregivers are more likely than non-caregivers to report lower financial assets, debt problems, poorer health and less confidence about having enough money to live comfortably throughout retirement.

The report is part of a broader caregiving project being developed by EBRI and Greenwald Research. The goal is to provide employers with educational resources and strategies to help employee caregivers better prepare for retirement while managing the all-consuming demands of caring for a family member.

A Growing Retirement Security Issue

The 2026 Retirement Confidence Survey, now in its 36th year, found that nearly three in 10 Americans age 25 and older are unpaid caregivers.

For purposes of the study, caregivers were defined as people who provided unpaid care for an adult or child during the previous 12 months in a non-institutional setting and helped the care recipient with at least one activity of daily living or instrumental activity of daily living.

The findings were discussed during a July 22 EBRI and Greenwald Research webinar featuring Craig Copeland, EBRI’s director of wealth benefits research; Lisa Greenwald, CEO of Greenwald Research; Kerry Sette of Voya Financial; and Cynthia Hutchins of Bank of America Merrill Lynch.

Throughout the discussion, the message was quite clear: caregiving is not simply a family or health issue. It must also be viewed as a retirement security issue.

“Caregiving is often discussed as a family, health or workplace issue, but this research shows it is also an important retirement security issue,” Copeland and Greenwald said in announcing the report.

“Caregivers are doing many of the same planning activities as non-caregivers, but they are more likely to face debt, lower assets, mental health strain and lower confidence about their long-term financial future,” they noted.

The 2026 report builds on an earlier 2023 EBRI/Greenwald Research study that also examined caregivers. Comparing the two surveys, Copeland said caregivers continue to fall behind their non-caregiving counterparts.

Taking a Look at the Key Findings

Caregiving can take a toll on health. Only 36% of caregivers said their health was excellent or very good, compared with 45% of non-caregivers. Caregivers were also less likely to have household incomes of $75,000 or more — 53%, compared with 62% of non-caregivers. Women represented 61% of caregivers, compared with 47% of non-caregivers. 

Caregivers have fewer financial resources to build wealth. Thirty-four percent of caregivers reported having less than $10,000 in savings and investments, compared with 25% of non-caregivers. Debt was also more likely to be a problem: 69% of caregivers said debt was a problem, compared with 57% of non-caregivers.

Caregiving can hit the family wallet. Thirty-four percent of caregiving workers and 20% of caregiving retirees said they provide financial support to the person they care for. In addition, 20% of caregiving workers and 15% of caregiving retirees said they had taken on new or additional debt as a result of caregiving.

The emotional toll is substantial. Sixty-four percent of working caregivers and 52% of caregiving retirees said caregiving had negatively affected their mental health. Among working caregivers, the financial tasks most affected were saving for emergencies (56%) and working the hours they wanted or needed to work (54%).

The financial pressures of caregiving can make it harder for people to prepare for their own futures. Caregivers in both the lower- and upper-income groups were more likely than non-caregivers with similar incomes to lack confidence that they would have enough money to live comfortably throughout retirement.

Among households earning less than $35,000, 75% of caregivers said they were not confident they would have enough money for retirement, compared with 55% of non-caregivers. Among households earning $75,000 or more, 32% of caregivers lacked confidence, compared with 23% of non-caregivers.

Caregivers were also more likely to worry about the impact of an economic recession, rising housing costs, and having to provide care for a loved one with a health condition or disability.

When Caregiving Changes Retirement Plans

For some caregivers, the demands of providing care can even change when they leave the workforce.

The survey found that caregiving retirees were more likely than non-caregiving retirees to have retired earlier than planned. Among those who retired earlier than expected, caregivers were more likely to say they did so because they had to care for a spouse or another family member.

Caregiving retirees were also more likely to describe their current retirement lifestyle as fair rather than excellent. They were more likely to say their retirement lifestyle was not what they had envisioned and that several retirement expenses were higher than expected.

Higher-income caregivers also lagged behind non-caregivers with similar incomes in completing several important retirement-planning tasks, including calculating how much they needed to save, saving for retirement, planning for emergency expenses and estimating future health care costs.

The report points to a number of ways employers can help working caregivers, including flexible scheduling, remote-work opportunities, caregiver resources, education and benefits designed to reduce some of the financial pressures associated with caregiving.

Lisa Greenwald, CEO of Greenwald Research, says caregiving creates financial, health and social-emotional pressures at different stages of life — while people are working, preparing for retirement and after they retire.

For employers, she says, recognizing these challenges can help them provide the flexibility and support caregivers need to remain productive at work while continuing to save for retirement.

Having Their Say…

Washington insider Dan Adcock, director of government relations and policy for the National Committee to Preserve Social Security and Medicare, agrees with the report’s findings about the financial and personal pressures facing caregivers.

Unless unpaid family caregivers receive greater support through respite care or paid Home- and Community-Based Services, Adcock says, caregiving responsibilities can take a toll on their physical and emotional health.

He also points to another concern not fully captured by the EBRI survey: working-age caregivers who leave the workforce to care for a loved one can end up with lower Social Security benefits because the program’s benefit formula is based in part on a worker’s earnings history.

That is one reason Adcock supports a Social Security caregiver credit.

He urges Congress to pass the Social Security Caregiver Credit Act of 2026 (S. 4396/H.R. 8490). The legislation was introduced by Sen. Chris Murphy (D-Conn.) and Sen. Kirsten Gillibrand (D-N.Y.) in the Senate, with Rep. Brad Schneider (D-Ill.) introducing the House companion measure.

The legislation would allow qualifying unpaid caregivers to receive up to five years of deemed wages for purposes of calculating Social Security benefits. To qualify, a caregiver would generally have to provide at least 80 hours of care per month to a dependent child under age 12 or a chronically dependent relative.

The bills remain in committee. S. 4396 was referred to the Senate Finance Committee, while H.R. 8490 was referred to the House Ways and Means Committee.

The issue is particularly important here in Rhode Island, where thousands of family members provide unpaid care that helps loved ones remain in their homes.

Maureen Maigret, policy advisor with the Senior Agenda Coalition of Rhode Island (SACRI), says the EBRI findings confirm what advocates have been seeing for years.

“Caregiving takes a significant physical, emotional, and financial toll on our unpaid caregivers,” she says.

Maigret notes that Rhode Island caregivers provide thousands of hours of unpaid care that can allow people to remain at home longer, potentially delaying or avoiding more costly nursing facility care.

SACRI is pushing for policies to strengthen support for caregivers, including expanding the state’s Temporary Caregiver Insurance program, adequately funding respite services, and creating a state caregiver tax credit.

Rhode Island has already taken steps to support working family caregivers through its Temporary Caregiver Insurance program. Aging advocates, however, continue to push for expanded eligibility and additional weeks of paid leave.

Taking a Close Look at AARP’s Caregiver Study

After a media briefing last year, AARP and the National Alliance for Caregiving (NAC) published a reportCaregiving in the U.S. 2025, that warns of a looming crisis that will impact America’s 63 million caregivers, an increase of 45% over the past decade. The report, released June 24, 2025, noted that caregivers are at a “crisis point.” Nearly half reported major financial problems, one in five reported fair or poor health, and more troubling, nearly a quarter felt completely alone.

One in five caregivers report poor health; a quarter are taking on debt due to caregiving. Half report negative financial impact due to caregiving, and one in five cannot afford basic needs like food.

EBRI’s new survey adds an important retirement-focused perspective to an ongoing national conversation about unpaid caregiving.  The research shows how caregiving can affect not only today’s household decisions but a person’s long-term financial security.

And that may well be the most important takeaway from the new EBRI report.

Millions of Americans step up to the plate when a parent, spouse, child or other loved one needs help. They do it because it is what families do. But caregiving should not mean that the person providing that care has to sacrifice his or her own financial future.

Like AARP’s 2025 caregiver study, EBRI’s report examines how caregiving responsibilities are associated with retirement confidence, debt, savings, financial stress, workplace needs and long-term retirement preparation among workers and retirees.

The EBRI research, complementing AARP’s definitive caregiving research, makes it clear that unpaid caregiving carries consequences that can extend far beyond the time spent providing care. For many Americans, the price may be paid not only today, but again when they reach retirement.

A Final Note…

EBRI’s Copeland points out: “The survey results clearly show caregiving has significant impacts on both workers and retirees, not only now but in the future as well. While you may not be a caregiver currently, if you have parents or children, you are likely to be one in the future. Thus, preparing for this need, or better handling current caregiving needs, can make a huge difference in retirement preparations and current expenses. Caregiving can take a toll on all aspects of life, so anything individuals can do to plan for it or better educate themselves can foster a caregiver’s well-being, both financially and emotionally.”
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The 2026 Retirement Confidence Survey was conducted online from January 2 through January 28, 2026, among 2,544 Americans age 25 and older. It included a general population sample of 2,052 people — 1,007 workers and 1,045 retirees — plus an oversample of 492 caregivers. The final analysis included 701 caregiving workers and 305 caregiving retirees.

The 2026 survey was supported by the American College of Financial Services, American Funds/Capital Group, Bank of America, Bright Horizons, CareScout, Edward Jones, Empower, Fidelity Investments, FINRA Foundation, Jackson National, J.P. Morgan Chase & Co., Mercer, Nationwide, Principal Financial Group, Protective, Prudential/PGIM, T. Rowe Price and Voya Financial.

To watch the EBRI Webinar and for a copy of the slides, go to https://www.ebri.org/publications/webinars/past-webinars

To read AARP’s 2025 Caregiver Study, go to Caregiving in the U.S. 2025 – AARP Research Report

National Report: Brain Health Matters to Most, But Understanding Falls Short

Published in RINewsToday on April 27, 2026

As with the findings detailed in previous reports, the numbers in the Alzheimer’s Association’s recently released 2026 Alzheimer’s Disease Facts and Figures report are jarring.

In 2026, about 7.4 million Americans aged 65 and older, or roughly 1 in 9, are living with Alzheimer’s disease. Nearly three-quarters are 75 or older, and almost two-thirds are women.

As these numbers continue to rise, the challenges ahead grow even more daunting.  We see the graying of the U.S. population, which has resulted in the number of people living with Alzheimer’s rising sharply, says the report. By 2030, all baby boomers, those born between 1946 and 1964, will be in higher-risk age groups for developing devastating cognitive disorders.  By 2060, Americans with Alzheimer’s could reach 13.8 million.

Over the years, the Facts and Figures reports have become the nation’s primary source of statistics and analysis on Alzheimer’s and other dementias.  The report has been published every year since 2007, and this year’s edition also appears in the April 2026 issue of Alzheimer’s & Dementia®, the Association’s journal.

The 142-page report, released last week, provides updated national and state-level data. Its findings suggest that Alzheimer’s has become more common and challenging for caregivers. The report remains a guiding roadmap for state and federal officials and researchers to combat this serious cognitive disorder.  It also includes a special survey about how Americans aged 40 and older think about and manage brain health.

“The latest data show Alzheimer’s is still a growing challenge for families in Rhode Island,” said Laura Hoffman, executive director of the Alzheimer’s Association’s Connecticut and Rhode Island chapters, in a statement announcing the report’s release on April 21, 2026. “That’s why it’s critical to keep progressing research and developing treatments that can improve outcomes and support everyone facing the disease,” she says.

Hoffman stressed that the nationwide crisis demands urgent action now, given the mounting financial burden on caregivers. This year, professional care for people with Alzheimer’s and other dementias is expected to cost $409 billion. By 2050, Hoffman warns, this figure could reach nearly $1 trillion.

Caregiving is still mostly handled by family and friends, the report notes. Nearly 13 million relatives and friends provided more than 19 billion hours of unpaid care last year. The value of their efforts is estimated to be a whopping $446 billion.

The report noted that Alzheimer’s is also a growing cause of death.  Since 2000, deaths from the progressive g cognitive disorder have surged by 134%. In the same period, deaths from heart disease have risen by only 3.8%. Today, Alzheimer’s takes more lives than breast and prostate cancers combined.

Rhode Island: By the Numbers

According to the report’s Rhode Island-specific data, about 22,000 Rhode Islanders aged 65 and older are living with Alzheimer’s disease.  That’s 11.4% of this population group. Another 37,000 people serve as caregivers — many are unpaid family members or friends. So roughly 1 in every 30 Rhode Islanders is caring for someone with the cognitive condition. Together, they provide 53 million hours of unpaid care, valued at $1.5 billion.

In 2025, the State’s Medicaid costs of caring for persons with Alzheimer’s and other Dementias totaled around $ 640 million. Per-capita Medicare spending for these individuals was $33,705, according to the report.

Recently, Rhode Island’s care network relied on just 32 geriatricians and about 8,070 home health and personal care aides to support persons with Alzheimer’s and dementia. To keep up with rising demand for dementia care, Rhode Island’s workforce must expand. The state requires a 23.9% increase in home health aide roles by 2032 and an 18.8% increase in specialist geriatricians by 2050, according to the report.

When comparing national and Ocean State-specific data, Hoffman, who heads the Alzheimer’s Association’s Connecticut and Rhode Island chapters, notes that the nation’s smallest state has the same rising trend in Alzheimer’s prevalence, increasing caregiver burden, and growing strain on health systems.  “As a smaller, aging state, these trends will be felt even more. The impact on families, providers, and community resources is both visible and immediate,” she says.

Hoffman calls for more dementia care professionals across the long-term care continuum. “There is also a need for more respite care, adult day programs, and long-term options that are equipped to treat complex Alzheimer’s or dementia cases,” suggests Hoffman, to fill gaps in providing services, supports, or workforce capacity to care for Alzheimer’s and dementia patients.

With the General Assembly now in session, Hoffman is urging lawmakers to pass HB 7542 or SB 2874, which establishes a Dementia Services Coordinator position within the Department of Health. “This state agency position will support the work of the Advisory Council on Alzheimer’s Disease Research and Treatment, oversee implementation of the state Alzheimer’s plan, and serve as a liaison between state agencies, the governor, the legislature, and external stakeholders,” she says.

Understanding and Sustaining Cognitive Health

The Alzheimer’s Association’s 2026 Alzheimer’s Disease Facts and Figures report comes with a special report, Brain Health in America: Comprehending and Supporting Lifelong Cognitive Health. It is based on a survey of more than 3,800 U.S. adults aged 40 and older.

The special report’s findings show a clear disconnect: most Americans see brain health as a top priority, equal to or even more important than physical health, yet many are unsure how to protect it.

“Americans care deeply about their brain health and recognize that midlife is a critical time to take action,” said Heather M. Snyder, Ph.D., the Association’s senior vice president of Medical and Scientific Relations. “But many don’t know where to start and are looking for clear, practical guidance,” she says.

Almost all respondents said keeping their brains healthy is important, but only 9% feel well informed about it. Many know that sleep, diet, and exercise matter, but fewer people clearly understand how these habits might lower the risk of dementia.

Many respondents expressed concern about their potential declining cognitive health. More than two-thirds of those surveyed admit they worry about their brain health and the chance of developing Alzheimer’s or another dementia. Still, fewer than half of these individuals strongly link healthy lifestyle habits with lowering that risk.

The special report’s findings also reveal that interest in prevention programs is high, but barriers to participation remain. About 73% would consider joining brain health programs, such as cognitive exercises, health monitoring, nutrition advice, or physical activity. However, the program’s cost, location, motivation, and insurance coverage are major obstacles to participation.

Respondents also said they want flexible options. About 40% prefer self-guided programs at home, while 38% like blended formats that mix independent and in-person participation. Only 8% prefer fully in-person programs.

Many say midlife, ages 35 to 64, is a key time for them to act. Nearly two in five respondents think people should start focusing on brain health during these years. Almost half believe formal programs should begin then. About one-third also said brain health should be a lifelong pursuit.

Even with a strong interest, many people say they do not talk often with health care providers about brain health. Two-thirds of respondents said they would like to discuss brain health with their physician.  Most would welcome these talks during regular office visits. Most would welcome these conversations during routine office visits. Still, only a small percentage say they have actually had them.

“These outcomes show a real opportunity to better integrate brain health into routine care,” Snyder said. People are motivated to protect their brain health, but they need clear, effective guidance, she says.

Snyder sees a wider, clear message in the report: Brain health is a lifelong priority, not just a concern in older age, she says. “By connecting efforts across individuals, communities, workplaces, and health care systems, we could support cognitive health and help reduce dementia risk,” she adds.

A Final Note…

With this year’s Alzheimer’s Facts and Figures report released, Hoffman also sees a clear takeaway for Rhode Islanders: “Brain health matters at every stage of life. Take steps now—stay active, eat well, get enough sleep, remain socially engaged, and talk to your healthcare provider about memory concerns,”  she adds.

The Alzheimer’s Association is expanding efforts with community and research partners to deliver evidence-based information and programs. These projects are informed in part by the landmark U.S. POINTER study, which continues to explore how lifestyle interventions may help protect cognitive function.

If you have any questions about Alzheimer’s or any other form of dementia, contact the Alzheimer’s Association 24-7 Helpline at 1/ 800-272-3900.

For a copy of the Alzheimer’s Association’s 2026 Facts and Figures Report, go to Alzheimer’s Disease Facts and Figures

For a copy of this year’s Brain Health in America special report, go to Brain Health in America: Understanding and Supporting Lifelong Cognitive Health.

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For details about the U.S. POINTER study, to https://www.alz.org/us-pointer/study-results

Home Foot Care Legislation Gains Momentum Toward Passage in RI

Published in RINewsToday on April 13, 2026

Through the efforts of aging advocates and older Rhode Islanders, the House last week followed the Senate’s lead in passing legislation that would allow certified foot care nurses to provide routine foot care to homebound patients. Under the legislative proposal, nurses must receive proper training and certification and demonstrate clinical competency.

At press time, the two chambers must still reconcile and pass identical versions of the bill before the legislation can be sent to the governor for signature.

On April 7, the Senate unanimously passed S. 2116A, introduced by Sen. Lori Urso, to expand access to routine foot care for homebound patients. Two days later, the House followed suit, passing Rep. Jennifer Boylan’s H 7029A by a vote of 65–0.

The sponsors—Rep. Boylan (D-Dist. 66, Barrington and Riverside) and Sen. Urso (D-Dist. 8, Pawtucket) —say the legislation addresses a critical need for basic, preventive foot care in the home. Many elderly and disabled patients require assistance with services such as toenail care and treatment of corns and calluses, yet are often unable to access care outside the home, including visits to a podiatrist.

Under the legislation, nurses must demonstrate knowledge and clinical competency in foot and nail structure and function, common foot conditions, and appropriate care techniques. They must also be certified by a national professional organization, such as the American Foot Care Nurses Association (AFCNA), or an equivalent approved by the Rhode Island Department of Health. Additionally, two of the required 10 continuing education hours per certification period must focus specifically on foot care. In addition to CEUS, 30 hours of training with a podiatrist are required for certification.

“This bill is about expanding access for vulnerable Rhode Islanders who currently have no safe options for routine foot care,” said Sen. Urso. “While this care may seem simple to some, for others it is difficult or even impossible to perform safely on their own.” She noted that similarly trained nurses already provide this care in most other states, including Massachusetts, whose regulations served as a model for the legislation.

Urso also pointed to the state’s aging demographics. “With the City of Pawtucket joining the AARP Age-Friendly initiative, along with several other Rhode Island communities, it is imperative that we support residents who wish to age in place,” she said. “Rhode Island has more residents over age 65 than under age 20, and initiatives like this help meet their needs.”

Rep. Boylan emphasized the broader issue of healthcare access. While many Rhode Islanders are aware of shortages in primary care and specialty providers, she said, fewer realize that essential services like in-home foot care are largely unavailable. This gap leaves many older adults without safe options.

“It’s especially dangerous for individuals with diabetes, who are prone to infections and other foot problems that can lead to serious complications or even death,” Boylan said.

Strong Backing from Leadership and Advocates

House and Senate leadership, along with aging advocates, say the proposal addresses a longstanding gap in home- and community-based care.

“This legislation will provide a lifeline for vulnerable Rhode Islanders who rely on in-home health services and currently face significant barriers to receiving basic but essential foot care,” said Senate President Valarie J. Lawson. She described the bill as a common-sense solution that improves the quality of life for both patients and caregivers.

House Speaker K. Joseph Shekarchi  called the measure a practical response to a widespread problem. “As someone with diabetes, I understand the serious risks associated with a lack of routine care. This bill helps protect the health and safety of Rhode Islanders,” he said.

Tina McDonald, a registered nurse licensed in both Rhode Island and Massachusetts who is certified in foot care, testified in support of H. 7029A. With 12 years of experience in foot care nursing, she argued that there is a significant unmet need among homebound elderly and chronically ill residents who can no longer visit a podiatrist’s office.

“It’s not a question of doctor versus nurse. It is a matter of nurse versus no one,” McDonald told House lawmakers, warning that podiatrists are not filling this gap in care.

Addressing the primary opposition from podiatrists, she clarified that nurses would not be practicing medicine but instead addressing a “self-care deficit” within the established nursing scope of practice.

During her testimony, McDonald emphasized that nurses are highly trained in assessment, infection control, and wound care.

Carol Anne Costa, executive director of the Senior Agenda Coalition of Rhode Island (SACRI), said the legislation would benefit homebound and mobility-challenged residents and their caregivers.

“SACRI was proud to testify in strong support of this bill,” she said. “It represents a vital step toward ensuring that older adults have the care and support they need to age safely and with dignity in their communities.”

Costa noted that allowing trained nurses to provide limited foot care services at home supports both family caregivers and broader home- and community-based care systems. “Those needing these services are often older adults or individuals with disabilities who face mobility challenges, making it difficult to access care outside the home,” she said.

She added that aging and underlying health conditions can make nail care more difficult and increase the importance of proper foot care.

Catherine Taylor, AARP Rhode Island State Director, echoed those concerns. “Access to in-home foot care is critical for older adults facing mobility, vision, or chronic health challenges,” she said. “Without regular care, minor issues can progress into infections, pain, or mobility limitations that increase fall risk and lead to more serious conditions. Home-based care supports prevention, early detection, and aging in place.”

“The bill would provide relief not only to patients, but also to families and caregivers who are often forced to choose between going without care or attempting to provide it themselves,” Taylor added.

Mary Lou Moran, director of the Pawtucket Division of Senior Services at the Leon Mathieu Senior Center, highlighted the local impact.

“This bill removes unnecessary barriers to essential preventive care and helps close a significant service gap,” she said. “Many individuals we serve cannot safely perform their own foot care and face transportation, mobility, or financial challenges accessing clinic-based services.”

Moran added that regulated, in-home care provided by qualified nurses can help prevent avoidable complications, reduce healthcare costs, and improve quality of life.

Podiatry Association Flags Concerns

Following House passage of H 7029A, the Rhode Island Podiatric Medical Association (RIPMA) issued a statement acknowledging improvements in the bill while raising concerns.

“This issue has always been about ensuring patients can access care from certified and credentialed providers,” the statement read. “We appreciate the inclusion of language requiring nurses to be certified by an accredited organization approved by the Department of Health.”

The organization noted that the bill could benefit truly homebound patients by reducing the risk of self-injury, but emphasized that it is not a substitute for physician care. Patients who can access a podiatrist (in the home or office)—especially those with underlying medical conditions—should continue to receive regular professional treatment.

RIPMA also cited studies showing that Medicare patients with diabetes who receive podiatric care experience fewer hospitalizations and amputations. The group expressed interest in collaborating with certified nurses to ensure safe, appropriate care.

At the same time, Past RIPMA President Dr. Michael Reuter, DPM, FACFAS, voiced concerns about the legislation’s broader impact.

“The legislation aims to solve a problem, but I am concerned it may create new ones,” he said.

Reuter, a board-certified podiatric foot and ankle surgeon in Rhode Island, criticized the absence of a Rhode Island Department of Health recommendation requiring collaboration between nurses and podiatrists. He said such coordination is essential to ensure timely referrals when needed.

“I hope the Department of Health establishes strong safeguards and oversight for providers entering vulnerable patients’ homes,” he said.

He also noted potential cost implications. “Patients will have to pay out of pocket for these services, whereas visits to a podiatrist—whether in-office or through a home visit—are covered by insurance,” he said.

Here is the link to the Feb. 10th House Committee on Health and Human Services on H 7029 A, go to House Committee on Health & Human Services – RISE: 2-10-2026

Here is the link to the March 3rd Senate Committee on Health and Human Services on S. 2116 A, go to Senate Committee on Health & Human Services: 3-3-2026