Senate Democrats are laying the foundation to incorporate home healthcare coverage into Medicare benefits as part of their policy agenda should their party win both chambers of Congress and the White House in the 2028 elections. Sen. Ron Wyden (D-OR), the lead Democrat on the Senate Finance Committee, and 17 other Democrats sent a policy strategy letter, obtained by the Washington Examiner, to their Senate colleagues on Wednesday outlining three main goals to improve long-term healthcare for seniors and people with disabilities ahead of the next presidential election cycle.“Too many American families go to sleep at night worried about how they will pay for a loved one’s care,” Wyden and his colleagues wrote. “American families are forced to navigate a confusing, fragmented long-term care system filled with gaps, complexities, and staggering price tags.”

Healthcare affordability has become a central issue in the 2026 midterm election season, ranking higher on voters’ minds than other concerns like inflation, unemployment, and the war in Iran.

But Wyden’s initiative looks beyond this fall in an attempt to cobble together a unified front so the party is ready to enact major healthcare reforms should they win a governing trifecta in the 2028 presidential election cycle.