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</html><thumbnail_url>https://kffhealthnews.org/wp-content/uploads/sites/2/2018/07/home-health-aide-union_1350.jpg</thumbnail_url><thumbnail_width>1350</thumbnail_width><thumbnail_height>900</thumbnail_height><description>Federal officials are proposing a rule to prohibit home health aides paid directly by Medicaid from having their dues for the powerful Service Employees International Union automatically deducted from their paychecks. The effort would likely mean those workers are far less likely to pay dues and could diminish the union&#x2019;s influence.</description></oembed>
