Document Type

Fact Sheet

Publisher

RTC:Rural

Publication Date

6-2026

Disciplines

Health Policy | Public Policy | Social and Behavioral Sciences

Abstract

This summit summary examines the critical personal assistance workforce shortage in rural communities, where demand for care increasingly outpaces supply. Drawing on national data and expert panel insights, the event highlighted how structural barriers including low wages, administrative complexity, and limited data undermine the safety, independence, and dignity of disabled people in rural areas. The summit concluded that protecting rural community living requires coordinated policy investments in workforce wages, working conditions, and data systems, recognizing direct care workers as essential to the health and independence of the people and communities they serve.

Keywords

personal assistance services, direct care workforce, rural communities, workforce shortage, home and community based services, disability, policy, structural barriers, family caregivers

Rights

© 2026 RTC: Rural

Granting Agency

National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR)

Acknowledgement

This publication was developed with funding from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90RTCP0007). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents do not necessarily represent the policy of NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government.

Project Number

90RTCP0007

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