Congress Watch: Midterm Elections That Could Sway the Balance of Power

October 22, 2025

With Republicans currently holding control across the executive, legislative, and judicial branches of the U.S. government, the 2026 midterm elections are emerging at a critical juncture for the future direction of federal policy. The outcome of these elections determines whether we will see the continuation of complete Republican control, or whether a new balance of power emerges, most likely through a Democratic shift in the House of Representatives. 

Key races in both chambers are beginning to take shape, and we’re closely tracking a growing number of toss-up contests that will determine the control of Congress. As these campaigns continue to take shape, early and sustained engagement with both current and prospective lawmakers is essential to make sure our collective voices are heard. Now is the time to build relationships that will help inform and educate future decision-making and to ensure the interests of the communities we serve are prioritized.

Toss-Ups to Watch

Senate: Several Senate races are expected to be highly competitive. These include: 

  • Sen. Susan Collins (R-ME) 
  • Sen. Jon Ossoff (D-GA) 
  • Open seats in Michigan and North Carolina 

House: On the Democratic side, toss up seats include: 

  • AZ-13 (Gray) 
  • CA-45 (Tran) 
  • ME-02 (Golden) 
  • NC-01 (Davis) 
  • NM-02 (Vasquez) 
  • NY-04 (Gillen) 
  • OH-09 (Kaptur) 
  • OH-13 (Sykes) 
  • TX-28 (Cuellar) 
  • WA-03 (Perez) 

Republican-held seats that are expected to be competitive include: 

  • AZ-01 (Ciscomani) 
  • CO-08 (Evans) 
  • IA-01 (Miller-Meeks) 
  • MI-07 (Barrett) 
  • PA-07 (Mackenzie) 
  • PA-10 (Perry)  
  • WI-03 (Van Orden) 
  • An open seat in Arizona 

What You Can Do Now

Members of Congress will recess the week of November 10 in observance of the Veterans Day holiday. This presents a timely and strategic opportunity to engage directly with elected officials in their home districts and states. We strongly encourage our members to: 

  • Request in-district or in-state meetings with their representatives 
  • Invite lawmakers for site visits to showcase the impact of your work firsthand 

These conversations are instrumental in building lasting relationships with policymakers and in ensuring your priorities are represented in the decisions that follow.

Sarah Dobson is Senior Director of Advocacy and Public Policy at Lutheran Services in America.

Lutheran Services in America Welcomes Sarah Haight as Vice President of Program Planning and Growth

October 22, 2025

Announcing Our New Standing Public Policy and Advocacy Committee

October 21, 2025

We’re pleased to announce the formal launch of our Public Policy and Advocacy Committee, transitioning from a successful one-year pilot into a permanent body that will guide and elevate our network’s federal policy agenda.

This marks a key step in advancing our shared mission. Building on the “Here We Stand” campaign, the committee will amplify our national advocacy efforts and reflect the diversity and expertise of our network, bringing together 20 leaders from across our network working in health, housing, aging, child and family services and disability.

The committee will focus on priority issues like Medicaid, affordable housing, and workforce development, while also exploring how data, AI, and emerging technologies can strengthen service delivery. It will help shape our federal policy positions and support coordinated advocacy across member organizations.

We’ll also leverage members’ connections to anchor strategic meetings with lawmakers, especially those in leadership or on key committees, alongside network members from the same states or districts. These engagements will support both federal and state-level advocacy.

At a time when public trust in institutions is waning, our “Here We Stand” polling offers both encouragement and direction: a majority of Americans trust faith-based providers to deliver high-quality care. This committee will help us lean into that trust by lifting up our collective voice, demonstrating impact, and deepening our commitment to the people and communities we serve.

The committee consists of:

  • Michelle Angalet, Chief Operating Officer, Inspiritus
  • Salah Ansary, Regional Director, Lutheran Community Services Northwest
  • LaSharnda Beckwith, President & CEO, Lutheran Social Services of Southern California
  • Murray Chanow, Sr. VP of Brand & Public Affairs, Upbring
  • Stephanie Chedid, President & CEO, Luther Manor
  • Héctor Colón, President & CEO, Lutheran Social Services of Wisconsin and Upper Michigan
  • Anne Dennis-Choi, President & CEO, AK Child & Family
  • Maria Foschia, CEO, Lutheran Metropolitan Ministry
  • Shelly Griffith, CEO, Eben Ezer Lutheran Care Center
  • Chris Koenig, President & CEO, Niagara Lutheran Health System, Inc.
  • Adam Marles, President & CEO, Lutheran Senior Services
  • Amy Moore, VP of External Relations , Ascentria
  • Tara Muir, Advocacy & Government Relations Coordinator , Immanuel
  • Margaret Nimmo, Chief Strategy Officer, enCircle
  • Joan Plump, Chief of Staff, Gemma Services
  • Mark Stutrud, President & CEO, Lutheran Social Services of Illinois
  • Erin Sutton, Senior Director of Advocacy, Lutheran Social Service of Minnesota
  • Tom Syverson, Director of Government and External Affairs, Good Samaritan
  • Linda Timmons, President & CEO, Mosaic

We’re excited to grow this committee into a cornerstone of our advocacy efforts, ensuring our values are reflected in the lives we touch and the communities we serve.

Sarah Dobson is Senior Director of Advocacy and Public Policy at Lutheran Services in America.

Whole Communities, Whole Families: How Cross-Sector Collaboration Moves Results

October 20, 2025

This month, teams from the Family Stabilization Initiative (FSI) and the Rural Aging Action Network (RAAN) came together in Billings, Montana, to strengthen how we support whole families and whole communities. Leaders from across sectors aligned around one result: giving children the opportunity to grow up in safe, stable, permanent families, and ensuring older adults and caregivers have what they need to thrive. With representation from 10 communities across six states, the gathering was designed for practical learning and concrete action.

We are in the work of transformation, not transaction. Our focus is on creating lasting change, not just checking boxes or exchanging resources. Collaboration begins with relationships and grows through belonging and shared accountability.

When organizations coordinate around shared outcomes, communities feel the difference: children become safer and more connected; parents and caregivers gain stability and hope; older adults access coordinated, dignified support; and community trust in local organizations grows. That understanding is why we brought partners together in Billings — to strengthen relationships, align around shared results, and lay the groundwork for actions that can move us toward those outcomes.

What We Did Together

On Day 1 we used data, community voice, and a shared results framework to move from coordination to collaboration.

To surface the stories behind the numbers, we began with a Data Walk. The goal was simple: see patterns, spot gaps, and lift up bright spots we could build on. We asked, “What had changed — and what could change — for families, older adults, and caregivers? What root causes were we seeing across age ranges?”

From there, paired FSI and RAAN teams compared their Results-in-the-Center charts to find overlap and leverage, moving from intention to action. Using plain-language concepts adapted from the Collaboration Multiplier, teams surfaced shared root causes and practical opportunities to act together. Throughout, we listened for how lived experience and community voice were engaged in design and decision making.

We closed with Team Time and action commitments. Each team documented a near-term roadmap detailing goals for the next 6 to 12 months, owners and partners, timelines, and the feedback loops they would use for course correction.

Day 2 offered an opportunity for FSI and RAAN to focus on their respective models and priorities. The RAAN collaborative spent the day diving deep into their data — exploring what the numbers reveal about their communities, identifying trends, successes, and areas for growth to strengthen their work in serving rural older adults and family caregivers. Each RAAN also took part in a storytelling session, sharing personal stories that highlighted the impact of their efforts to support older adults and mobilize their communities. The day concluded with meaningful discussions on managing compassion fatigue and a leadership development session that underscored the unique gifts each leader brings and the power of collaboration in advancing this important work.

In parallel, FSI focused on systems change and the practice shifts needed to improve family outcomes. We highlighted the Community Building and Mobilization Framework we developed with Chapin Hall, a shared language for how communities lead and how organizations resource what already works. In Montana, partners brought the framework to life by sharing their story and organizing a Fall Family Festival that met families in trusted spaces, elevated lived experience, and activated cross-sector support on the ground. Teams also examined their current efforts, traced their “story of change,” and identified the next tests of change to carry forward.

The Leadership Stance We Modeled

We knew that support that lasts requires more than a new initiative; it requires adaptive work. We let go of “how we have always done it,” challenged assumptions, tried new approaches, and learned in the open. We built shared accountability across organizations and sectors and centered lived expertise and community voice as non-negotiables. We did not script perfection at the front of the room; we modeled authentic learning so teams could mirror that same openness at their tables.

A Note of Thanks

We could not have created this container for change without our partners, who helped us dig deeper. Their support stretched our learning and leadership and demonstrated what is possible when local vision is resourced and respected. We are grateful for partners investing in the long game — community trust, equitable outcomes, and stronger families. And last but certainly not least, a special thank you to our host organization, St. John’s United, for their generous hospitality, beautiful meeting spaces, and thoughtful support throughout our time together. Their team’s care and attention to detail helped create an environment that encouraged collaboration, reflection, and connection.

Together, we showed that when organizations lean into community partnerships and elevate family voices, families thrive and systems shift.

Renada Johnson is Senior Director of Children, Youth & Family Initiatives at Lutheran Services in America. Regan McManus is Director of Aging Initiatives at Lutheran Services in America.

Building Affordable Housing—and Hope—One Unit at a Time

October 16, 2025

How do you create more affordable housing? One unit at a time.

I saw this truth in action on my recent trip to California, where I joined California Lutheran Homes (CLH)—a member of the Lutheran Services in America network—for tours of affordable housing projects and the dedication of a new community space for the Biddy Mason Charitable Foundation (BMCF). Each represents a powerful example of how faith-based organizations are expanding housing services and supports to foster economic stability and community well-being.

Mission in Action: Creating Affordable Housing that Transforms Lives

California Lutheran Homes fulfills its mission daily by providing assistance for those in need of housing and services through partnerships with congregations and community-based organizations, ensuring that all people have the dignity of a safe and stable place to live. Their recent work demonstrates how affordable housing development creates more than a building, embracing people, values, and partnerships that strengthen entire communities.

During my visit, I saw a property transformation that perfectly illustrates this. What once had rotted beams and uneven floors are now high-quality homes for more than 80 low-income residents who might otherwise have faced homelessness. This restoration was made possible only through an early-stage loan from California Lutheran Homes—a great example of the type of flexible, mission-aligned financing we are working to expand through our Housing Solutions Collaborative.

As Deacon Nancy Ackerman wisely said during our visit: “We create affordable housing one unit at a time.” That commitment is at the heart of how our network brings hope and housing stability to vulnerable populations across the country.

Honoring Legacy: The Biddy Mason Charitable Foundation

The visit also included the dedication of the newly renovated Biddy Mason Charitable Foundation home—a craftsman house purchased and restored by CLH to serve foster youth in Los Angeles.

Biddy Mason’s story is one of extraordinary resilience and faith. Born into slavery, she sued for and won her family’s freedom in California, became a respected healer and midwife, and emerged as one of Los Angeles’s first Black real estate owners and philanthropists. She was also a founder of the First AME Church. Her legacy of empowerment lives on through the foundation that bears her name.

With support from CLH, BMCF now has a permanent home from which to continue the mission of providing care, mentorship, and opportunity to foster youth. It was an honor to witness this dedication and to celebrate how California Lutheran Homes helped keep her spirit alive building both homes and hope.

A Network United for Housing and Economic Stability

California Lutheran Homes is a member of the Housing Solutions Collaborative, where members share insights, strategies, and lessons learned to accelerate affordable housing development across our national network. CLH also stepped forward as a founding member of our Housing Leadership Circle, providing catalytic funding that allows LSA to advance this critical work and expand housing services and supports nationwide.

This collaboration exemplifies how the LSA network leverages faith-based partnerships to make complex housing solutions achievable, helping vulnerable communities access the stability they need to thrive.

Join Us in Building Housing and Hope

Expanding affordable housing takes partnership, innovation, and shared commitment across sectors—faith-based organizations, philanthropies, health systems, and mission-driven investors all have a role to play.

If you are an LSA member, we invite you to join our Housing Solutions Collaborative—a learning and action network where members share tools, insights, and strategies to advance affordable housing and strengthen housing services and supports for people in their communities.

If you are a philanthropic partner, purpose-driven business, or impact investor, we invite you to join our Housing Leadership Circle—a national coalition that connects leaders with opportunities to invest in affordable housing, foster economic stability, and build stronger, more resilient communities through collaboration with Lutheran social ministry organizations across the country.

Together, we can ensure that every person has access to safe, affordable housing—and the dignity, health, and opportunity that comes with it.

Join us in this mission to build housing and hope, one unit at a time. Contact me at snewton@lutheranservices.org to learn more.

Susan Newton is Senior Director of Strategic Initiatives at Lutheran Services in America.

Community Building That Sticks: A Framework for Stronger Families and Thriving Communities

October 17, 2025

Every day, families work hard to care for their children and build stable lives, often while navigating gaps in systems that weren’t designed with them at the center. If we want children to grow up in safe, stable, permanent family homes, we have to build communities where help is early, relationships are strong, and partners act together.

Our network of 300 health and human services organizations reaches one in 50 people in America each year. That reach gives us a unique ability to see both the barriers that threaten family stability and the strength, leadership, and innovation within communities themselves.

The Conditions Families Face

When affordable child care, mental health supports, or reliable access to food are out of reach, even the most determined efforts can become overwhelmed. These challenges reflect systems that too often step in after a crisis has unfolded, rather than investing in the conditions that help families thrive from the start. When support arrives late, crises can snowball—placing children at greater risk of long-term hardship and forcing families to carry burdens that should be shared by communities and systems. Research and experience show that when families have access to employment opportunities and strong supports within their communities, they are far more likely to be stable.

Laying the Foundation for Change  

This understanding laid the foundation for the launch of our Family Stabilization Initiative (FSI) four years ago—a multi-pronged effort to build systems that put family well-being first. Through this initiative, we’ve partnered with six communities in four states to strengthen evidence-based wraparound programs that help families overcome crises and prevent unnecessary involvement in the child welfare system. To deepen and expand this work, we partnered with Chapin Hall to develop a practical new framework for the field: “Community Building and Mobilization for All Families: A Pathway to Family Stability.”

This new framework provides clear guidance for operationalizing key principles that address the root causes of instability and build on the inherent strengths of families and communities. It’s grounded in lived expertise, shaped by on-the-ground partnerships, and designed for practitioners and organizations committed to authentically engaging communities in partnership with families.

Guiding Principles

At our recent webinar, practitioners and nonprofit leaders explored five guiding principles that form the framework’s Theory of Change:

  • People-driven Collaboration: Centering community members’ voices to co-create solutions that reflect local priorities and build resilient, long-term relationships.
  • Asset-based Partnerships: Building on existing community strengths and networks, both traditional and nontraditional, to foster trust and sustainable change.
  • Capacity Building: Investing in people and systems to create equitable, adaptable, and enduring community support structures.
  • Shared Leadership: Promoting collective action, fair power-sharing, and lasting partnerships that enable communities to respond effectively and sustainably.
  • Collaborative Evaluation: Co-developing goals, using both data and lived experience to measure progress, and creating feedback loops that ensure strategies evolve with community needs.

These principles are already in practice through FSI sites, including AK Child & Family in Alaska, Lutheran Community Services Northwest in Washington state, Lutheran Social Services of South Dakota, and St. John’s United in Montana. Each organization has demonstrated how community-driven strategies can lead to better, measurable outcomes for children and families.

Why This Framework Matters

The framework is a set of simple practices that help communities lead and help organizations resource what already works. It doesn’t replace services — it creates the conditions that make them accessible, trusted, and effective.

It’s a way of working that weaves relationships, local leadership, and data into every decision. Transactional responses meet immediate needs, but transformational relationships create the conditions for lasting change. Community building helps us move from delivering services to co-creating solutions, calling us to practice humility and share power.

Community building is prevention with people at the center.

Join Us

The well-being of children and families is a shared responsibility that belongs to everyone: families, schools, service agencies, government, business, and the faith community alike. As we continue to advance this work through the FSI framework, we invite you to join us.

We encourage Lutheran Services in America members to explore how these five principles can strengthen your own community partnerships. We also welcome the chance to create new partnerships with outside organizations willing to help us scale this framework to more communities nationwide to advance family stability.

The strength of this framework lies in what happens next — in how each of us chooses to lead, connect, and act. Community building isn’t extra work; it’s the work that makes lasting change possible.

Renada Johnson is Senior Director of Children, Youth & Family Initiatives at Lutheran Services in America.

Lawmakers Face Government Shutdown as CMS Launches Workforce and Rural Health Initiatives

September 25, 2025

As of today, with just days left before fiscal year 2025 funding expires, Congress is racing to avoid a government shutdown. Late last week, the House passed a continuing resolution, mostly along party lines, to fund the government through November 21. However, the Senate has not yet acted on it and seems unlikely to do so, making a government shutdown more likely when current funding expires on October 1.

While Republicans indicate general support for a short-term funding patch without any additional provisions to allow more time for broader negotiations, this is at odds as Democrats advocate that any temporary funding bill must include a permanent extension of expiring health insurance premium tax credits. The President canceled a planned meeting (that was set to take place today, Sept. 25) with Democratic leaders and signaled he would use a shutdown to shrink federal agencies by designating fewer workers as “essential.” His administration also directed agencies to consider firing employees working on unfunded programs that don’t align with his priorities to support additional downsizing once funding resumes.

Meanwhile, lawmakers have yet to reach consensus on a second budget reconciliation package, which could bring damaging cuts to Medicaid and other critical human services. Lutheran Services in America urges advocates to contact their lawmakers now to protect these essential programs.

Amid these debates, the Centers for Medicare & Medicaid Services has announced two major initiatives. First, a $75 million investment in workforce training for skilled nursing facilities, aimed at addressing shortages of nurses and certified nursing assistants. The program will support tuition reimbursement, stipends, and training programs in collaboration with states. Second, CMS has launched the $50 billion Rural Health Transformation Fund, giving states the opportunity to address pressing rural health challenges over the next five years.

Congress is also taking steps to address workforce shortages through new legislation. The bipartisan Healthcare Workforce Resilience Act and the Dignity Act of 2025 seek to expand the pool of authorized healthcare workers through immigration reforms. In addition, new research highlights the role of telehealth and artificial intelligence in expanding healthcare capacity—though neither alone can solve the workforce crisis.

Stay engaged with these fast-moving developments: Join our next Capitol Conversations webinar on Thursday, October 16 at 1 p.m. ET.

Sarah Dobson is Senior Director of Advocacy and Public Policy at Lutheran Services in America.

Congress Watch: Midterm Elections that Could Sway the Balance of Power in the House

September 24, 2025

With so much change happening in Washington, D.C. with Republicans in control of the executive, legislative and judicial branches, many are starting to look to the 2026 midterm elections to see what the future might hold. We will continue to see Republican control of all branches? Will Democrats win control of the House of Representatives and change the balance of power in Congress?

The races to watch are starting to emerge and we are tracking toss-ups elections in 2026 in both the House and the Senate. The best way to make your voices heard is to engage early and often in cultivating relationships with current and future elected officials.

What can you do now? Congress will recess the week of November 10 for the Veterans Day holiday. This is a good time to request in-district and in-state meetings with your elected officials and/or invite them for a site visit to tour and see the work of your organization up close.

For more information, please contact Lutheran Services in America advocacy staff: Sarah Dobson at SDobson@lutheranservices.org, Bill Kallestad at BKallestad@lutheranservices.org, and Kylie Bowlds at KBowlds@lutheranservices.org.

Sue Polis is Vice President of Public Relations and Government Affairs at Lutheran Services in America.

Policy Shifts at CMS & HHS and What it Means for Social Service Providers 

September 24, 2025

The U.S. Department of Health and Human Services (HHS) and agencies under it, including the Centers for Medicare and Medicaid Services (CMS), have recently offered insights into policy priorities that further signal significant policy shifts. Below is a synopsis of key changes, including potential opportunities and challenges for social service providers.

In May, CMS, through their Innovation Center (CMMI), recently released their new strategic direction, which focuses on evidence-based prevention, data access, and choice and competition. Given CMS’s recent withdrawal of federal Medicaid guidance that impacts the ability of states to use waivers and other funds to address health-related social needs, CMMI’s new strategic direction points to the following areas of interest: 

  • Evidence-Based Prevention: Includes great focus and emphasis on meeting nutrition needs, including food access, healthy food access and food as medicine; accountable care and accountable care organizations (ACOs) that assume global risk/downside risk; caregiver support; chronic disease management and disease prevention
  •  Data Access: Priorities include global risk/total cost of care models and waivers for predictable cost sharing for certain services.  
  •  Drive Choice and Competition: With a focus on rural providers, ACOs, community health centers; site neutral payments across settings; changing certificate of need requirements; and prioritizing high value care and services and incentivize unnecessary utilization

HHS also recently released their Make America Healthy Again key strategies report with a broad prevention-based agenda across several areas, including some more specifics important for social service providers including: executive actions, process reform and deregulation, public awareness and education, and private sector collaboration. Some more specific areas that Lutheran Services in America will continue to monitor include:

  • USDA Nutrition Programs: USDA will use its authorities to prioritize utilization and promotion of whole, healthy foods across its 16 nutrition programs.
  • Supplemental Nutrition Assistance Program (SNAP): USDA will provide states with technical assistance in SNAP waiver development and implementation to restrict the purchase of junk food and reorient the program towards better nutrition. 
  • MAHA Boxes: USDA will develop options to get whole, healthy food to SNAP participants. 
  • Head Start Nutrition: ACF and USDA will implement the new Dietary Guidelines for Americans (DGAs) through supporting access to USDA’s Child and Adult Care Food Program (CACFP) and the National School Breakfast and Lunch programs in Head Start providers, and will provide supplemental funding opportunities to support the provision of whole, healthy foods in Head Start programs. 
  • Medicaid Quality: CMS will collaborate with states to establish quality metrics for Medicaid managed care organizations that promote measurable health improvements through nutrition coaching and other fitness indicators (e.g., predicted VO₂ Max). 
  • Quality Measurement: HHS and CMS will develop quality measures that promote children’s health outcomes rather than just healthcare utilization. 
  • Pediatric Mental Health: HHS will ensure the Pediatric Mental Health Care Access Program at Health Resources and Services Administration (HRSA) is effective at providing access to pediatric mental health professionals, especially as youth anxiety and depression are increasing and are linked to factors such as screen time, vaping, poor nutrition and lack of physical fitness.  

For more information, please contact Sue Polis.

Sue Polis is Vice President of Public Relations and Government Affairs at Lutheran Services in America.

Lutherans Unite for Illinois Honoring Leadership and Compassionate Care

September 22, 2025

Last week, I traveled to Chicago to participate in “Lutherans Unite for Illinois,” a gathering hosted by Lutheran Social Services of Illinois that brought together Lutheran social ministry leaders and regional representatives united by a shared commitment to human dignity and compassionate care.

The event was hosted by Lutheran Social Services of Illinois (LSSI), which honored Governor J. B. Pritzker with the Paul Simon Courage in Public Service Award and state representative Lindsey LaPointe with the LSSI Legislator of the Year Award for their dedication to public service.

Several Lutheran Services in America network leaders joined LSSI CEO Mark Stutrud at the gathering, including Grace Araya (Concordia Place), Mike Bertrand (Lutheran Child and Family Services of Illinois), and Sharif Walker (Bethel New Life). It was an excellent opportunity for leaders to connect over our shared values and mission to advance health and opportunity for all people.

The event was a great opportunity to strengthen our network’s partnerships and lift up the value of social sector leadership.

Bill Kallestad is senior director of public policy and advocacy for the Lutheran Services in America Disability Network.

Supporting
Our Neighbors,

TOGETHER.

Our shared Lutheran tradition of service to our neighbor is more vital than ever.

Join us as we work to ensure our network continues delivering essential services to all in need.