Home Care Workers Deserve Minimum Wage Protection

On December 15, 2011, as part of his We Can't Wait program, President Obama pledged to end federal regulations excluding home care workers from minimum wage and overtime protections.

One year later, WE'RE STILL WAITING.

Home care workers assist older Americans and people with disabilities with activities critical to their safety and quality of life, yet 50% of these workers rely on public assistance in order to meet their own basic needs.

President Obama, STAND BY YOUR PROMISE to home care workers and carry these long-overdue minimum wage and overtime reforms across the finish line today.

Storybook

We can't wait!: Americans Speak Out for Fair Pay for Home Care Workers -- Presents first-person stories from more than 40 home care workers, consumers, employers, and advocates explaining why home care workers deserve the same basic wage protections as most other American workers.


The Institutionalization Myth

DATA BRIEF: Institutionalization Rates in States that Extend Minimum Wage and Overtime Protection to Home Care Workers -- This data brief disproves the myth that narrowing the companionship exemption will result in higher rates of institutionalization for consumers. It shows that institutionalization rates are NOT higher in the 15 states that extend minimum wage and overtime protections to home care workers.

Value the Care


Minimum Wage & Overtime Map

Home care workers are excluded from federal minimum wage and overtime protections. Find out which states have--and which states have not--chosen to extend these important labor protections to the home care workforce.


Background Information


Podcast

Steve Edelstein, PHI national policy director, discusses efforts to extend minimum wage and overtime protections to home care workers and the expected benefits to continuity and quality of care.


Additional Resources

SourceTitleDescriptionDate
National Employment Law Project (NELP) Letter to President Obama (pdf) Home care workers, administrators, and care recipients urging the Obama Administration to amend the companionship exemption December 13, 2012
PHI Official PHI Comments on Proposed Rule (pdf) As submitted via regulations.gov March 21, 2012
PHI Statement for the Record by PHI (pdf) For the Hearing on Ensuring Regulations Protect Access to Affordable and Quality Companion Care March 20, 2012
PHI Critique of NAHC/NPDA Membership Survey (pdf) Examines how the validity of the survey is undermined by shoddy methodology. February 16, 2012
National Council of La Raza Caring for Caregivers: Latinos in the Direct-Care Workforce (pdf) Overview of Latinos in the direct-care industry and how the companionship exemption affects conditions for these workers. February 3, 2012
National Domestic Workers Alliance Remarks by Ai-jen Poo (pdf) As given at US Department of Labor press briefing December 15, 2011
Eldercare Workforce Alliance letter Call for DOL to revise companionship exemption (pdf) EWA co-conveners Steven Dawson and Nancy Lundebjerg urge the DOL to take timely action and issue a revision to the FLSA companionship exemption. July 15, 2011
National Employment Law Project (NELP) "Fair Pay for Home Care Workers" (pdf) Makes recommendations regarding the reform of the US Department of Labor's companionship rules under the Fair Labor Standards Act March 2011
Eldercare Workforce Alliance letter "EWA Says ‘Companionship Exemption' Policy Needs Rethinking" (pdf) The 25 member organizations of the Eldercare Workforce Alliance (EWA) sent this letter (pdf) to DOL Secretary Solis and HHS Secretary Sebelius urging them to extend federal wage and overtime protection to home care workers. March 27, 2009
PHI letter to Obama Administration "Request that the U.S. DOL revise interpretation of the ‘Companionship Exemption’ for Home Care Workers" (pdf) Following the 2008 election, PHI sent this letter to the Obama Administration calling for an end to the “companionship exemption” for home care worker November 21, 2008
Evelyn Coke (1934-2009) Plaintiff in Long Island Care at Home v. CokeEvelyn Coke (1934-2009) Plaintiff in Long Island Care at Home v. Coke

1938

The federal Fair Labor Standards Act (FLSA) is enacted to ensure a minimum standard of living for workers through the provision of a minimum wage, overtime pay, and other protections -- but domestic workers are excluded.

1974

The FLSA is amended to include domestic employees such as housekeepers, full-time nannies, chauffeurs, and cleaners. However, persons employed as "companions to the elderly or infirm” remain excluded from the law.

1975

The Department of Labor interprets the “companionship exemption” as including all direct-care workers in the home, even those employed by third parties such as home care agencies.

2001

The Clinton DOL finds that “significant changes in the home care industry” have occurred and issues a “notice of proposed rulemaking” that would have made important changes to the exemption. The revision process is terminated, however, by the incoming Bush Administration.

2007

The US Supreme Court, in a case brought by New York home care attendant Evelyn Coke, upholds the DOL’s authority to define exceptions to FLSA.

2011

On December 27, 2011, the US Department of Labor (DOL) issued a notice of proposed rulemaking that would end the exclusion of home care workers from minimum wage and overtime protections. The comment period on the proposed rule closed on March 21, 2012. PHI supports the DOL's proposed rule to amend the companionship exemption and calls for the issuance of a final rule as soon as possible.

Deane Beebe
PHI Media Relations Director
(718) 928-2033
DBeebe@PHInational.org

Media Coverage

SourceTitleDate
Washington Post Personal-Care Aides, Invaluable and Ignored May 13, 2013
HealthyCal.org Fair Pay in Best Interests of Home Care Consumers May 7, 2013
Knoxville News Sentinel Those Who Work in Home Care Need Upgrades in Pay May 4, 2013
Yahoo! News Home Care Workers in Wait-and-See Over Minimum Wage Proposal May 2, 2013
Diane Rehm Show The Growing Demand for Home Health Aides May 1, 2013
New York Times The Long Wait for Wage Protections April 30, 2013
Kaiser Health News Obama Administration Mulls Rule to Give Home Health Aides Better Wages April 29, 2013
Healthcare Finance News Direct-Care Workers Apply Pressure April 22, 2013
Home Health Care News Home Care Workers to Obama: "We're Still Waiting" April 18, 2013
Modern Healthcare Advocates Fear Long Delay for Rule on Home-Care Worker Pay April 18, 2013
The Hill's Congress Blog Women's Work: The Unfinished Business of Frances Perkins April 11, 2013
Pittsburgh Post-Gazette Pay Home-Care Aides Fairly April 10, 2013
AARP Blog Home Health Aides -- More Than Just Babysitters April 5, 2013
HealthyCal.org Home Care Workers Are in Demand, But Still Struggling to Make Ends Meet March 28, 2013
Miami Herald The Need for In-Home Care Rises as Baby Boomers Age March 16, 2013
CNN Money Why Grandma's Aide Earns So Little March 12, 2013
CNN Money America's Fastest Growing Job Pays Poorly March 11, 2013
The Hill Act Now on Fair Wages for Home Care Aides March 6, 2013
New York Times Home Care Rules in the Home Stretch February 24, 2013
Detroit Free Press It Worked in Michigan; Raise Wages for Home Care Workers Across the Nation February 28, 2013
The Hill Administration Revives Wage and Overtime Fight for Home-Care Workers February 20, 2013
Huffington Post The State of Quality Care Demands Quality Jobs February 13, 2013
National Public Radio Home Care Aides Away Decision on New Labor Rules February 3, 2013
American Prospect Workers, Not Babysitters January 24, 2013
The Hill Mr. President, keep your promise to domestic and homecare workers January 9, 2013
Philadelphia Inquirer Be Fair to Home-Care Workers December 28, 2012
Huffington Post A Stable Workforce Is Essential for People with Disabilities December 18, 2012
Huffington Post Home Care Workers Urge Obama to Follow Through on Granting Minimum Wage Protections December 13, 2012
MomsRising.org Ask the President to Keep His Promise to Home Care Workers December 12, 2012
New York Times A Troubling Portrait of Domestic Work December 2, 2012
Huffington Post Closing the Circle of Care for Our Veterans November 11, 2012
National Public Radio Home Health Aides: In Demand, Yet Paid Little October 16, 2012
Huffington Post Home Health Aides: The Front Lines of the Future September 8, 2012
Des Moines Register Letter to the editor September 5, 2012
Huffington Post What Will Excluded Workers Celebrate Next Labor Day? September 4, 2012
Forbes This Labor Day, Let’s Celebrate Domestic Workers September 3, 2012
Huffington Post Let’s Not Make Home Care Workers Wait Any Longer for Their Rights August 31, 2012
New York Times Rules Delayed, Governing Denied August 11, 2012
McClatchy Newspapers Home Health Workers Sweat Obama Rule on Pay August 7, 2012
Tennessean Let's Pay Home-Care Providers Fairly (pdf) August 1, 2012
MomsRising.org Show Respect for Home Care Aides — Some Day You Mean Need One! July 31, 2012
Connie Schultz, Creators.com Home Care Workers' Pay: Eventually, It's Personal July 2, 2012
Arizona Republic Home Care Workers Deserve Job Protections July 2, 2012
New York Times Eileen Boris and Jennifer Klein: Home Care Workers Aren’t Just “Companions” July 1, 2012
Houston Chronicle Renee Tillman: Home Care Workers Deserve Basic Rights June 29, 2012
Department of Labor blog Adriana Kugler: Taking Care of Those Who Take Care of Us June 28, 2012
San Jose Mercury News Sascha Bittner: Home Care Workers Deserve Minimum Wage and Overtime Pay June 27, 2012
BusinessWeek America’s Fastest-Growing Workforce Fears the Clock Is Running Out June 13, 2012
CNN Home care workers deserve protections June 11, 2012
BrainTrack Will Proposed Regulations Help Home Care Aides? May 16, 2012
USA Today Home health care is one of the most profitable franchises May 7, 2012
New York Times editorial Keeping a Promise to Home Care Aides April 15, 2012
WERE 1490AM Radio interview with PHI's Steve Edelstein March 30, 2012
Washington Post Home health aides deserve a living wage March 29, 2012
American Prospect Hard Work Doesn't Pay for Home-Care Workers March 22, 2012
Newsday Watts: Home care workers deserve fair wages March 6, 2012
Bloomberg Businessweek Growing Home Care Industry May Have to Raise Pay February 28, 2012
Washington Times Home Care Workers Can Relieve the Stress of Caregiving February 23, 2012
Huffington Post Looking Out for Homecare Workers, Looking Out for Our Future February 21, 2012
USA Today High turnover affects home health care quality February 15, 2012
New York Times Fair Pay for Home Care Workers February 8, 2012
Sojourner Truth Program, KPFK Los Angeles Dr. Dorie Seavey Discusses the Companionship Exemption January 5, 2012
Nation Winning Basic Care for Care Givers December 26, 2011
New York Times Fairness for Home Care Aides December 25, 2011
New York Times Wage Protection Planned for Home Care Workers December 15, 2011
Associated Press Plan Would Lift Wages of Home Care Workers December 15, 2011
USA Today Obama Proposes Overtime Initiative December 15, 2011
San Jose Mercury News Home care workers should not be exempt from minimum wage laws December 5, 2011
Huffington Post Health Care Workers On Verge Of Winning Equal Rights, Higher Pay December 1, 2011
New York Times editorial Fair Pay for Hard Work November 25, 2011
Economix blog, New York Times The Depreciation of Care at Home October 31, 2011
Sargent Shriver National Center on Poverty Law Home Health Aides Deserve Minimum Wage and Overtime Protections October 25, 2011
State legislators' letter to DOL The FLSA should no longer exclude home care workers (pdf) August 12, 2011
Patriot-News Federal Law doesn't treat home care workers fairly July 24, 2011
New York Times A Fair Wage for Home Care Workers July 20, 2011
THE HILL'S Congress Blog When companionship doesn't pay July 13, 2011
HealthWatch: THE HILL'S Healthcare Blog Effort to give home care workers labor protections gains steam on two fronts June 16, 2011
Newsday op-ed OPINION: Home health workers need more pay protections (pdf) July 22, 2010
New York Times letter Home Care Workers June 9, 2010
New York Times editorial Domestic Workers' Rights June 6, 2010
New York Times letter Home Health Workers February 7, 2010
New York Times editorial Lilly and Evelyn January 28, 2010
New York Times Evelyn Coke, Home Care Aide Who Fought Pay Rule, Is Dead at 74 August 9, 2009
New York Times editorial Fair Pay for Caregivers July 8, 2009
Press Release from Senator Harkin Harkin, Senators Urge Fairness for Home Care Workers June 11, 2009
New York Times editorial Caring for Caregivers January 27, 2009
New York Times Day in Court for Queens Home-Care Aide April 17, 2007
PHI board member Karen Kulp (center with glasses) was on hand as President Obama announced his support for narrowing the companionship exemption.PHI board member Karen Kulp (center with glasses) was on hand as President Obama announced his support for narrowing the companionship exemption.

Organizations Supporting Minimum Wage & Overtime Protections for Home Care Workers

9to5, National Association of Working Women

A Better Balance: The Work & Family Legal Center

AARP

Alliance for Retired Americans

Alpha One

Alzheimer's Foundation of America

American Association for International Aging

American Association of People with Disabilities (AAPD)

American Association of University Women (AAUW)

American Federation of Labor and Congress of Industrial Organizations (AFL-CIO)

American Federation of State, County and Municipal Employees (AFSCME)

American Federation of Teachers Program on Retirement and Retirees

American Geriatrics Society

American Rights at Work

Arizona Direct Care Worker Association

Association for Gerontology and Human Development in Historically Black Colleges and Universities

Brazilian Immigrant Center

Break the Chain Campaign at IPS

Buffalo River Services

Campaign for Community Change

Caring Across Generations

Catalina In-Home Services, Inc.

Center for American Progress Action Fund

Center for Community Change

Center for Law and Social Policy (CLASP)

Coalition of Labor Union Women

Coalition on Human Needs

Community Action Partnership

Community Catalyst

Community Voices Heard

Cooperative Care

Cooperative Home Care Associates

Council on Social Work Education

Direct Care Alliance

Eldercare Workforce Alliance

Epilepsy Foundation

Experience Works

Families USA

Family Values @ Work

Florida Immigrant Advocacy Center

Florida Professional Association of Care Givers

Focus Care

Focus Health Educators, LLC

Food Chain Workers Alliance

From the Heart Companion Services

Graham Behavioral Services

Gray Panthers

Great Livin' LLC

Green Praxis

Halcyon Home Care

Hand in Hand: The Domestic Employers Association

Health Care for America NOW (HCAN)

Home Care Associates

Indiana Care Givers Association

Influencing State Policy

Institute for Policy Studies

Interfaith Worker Justice

International Union, United Automobile, Aerospace & Agricultural Implement Workers of America, UAW

Jobs with Justice

Labor Justice Committee of El Paso

Legal Aid Society

Maine Center for Economic Policy

Maine Women's Lobby

Make the Road New York

MataHari: Eye of the Day

Medicare Rights Center

Mississippi Coalition for Citizens with Disabilities

NAACP

National Academy of Elder Law Attorneys

National Active and Retired Federal Employees Association

National Advocacy Center of the Sisters of the Good Shepherd

National Alliance for Direct Support Professionals

National Asian Pacific Center on Aging

National Association of Area Agencies on Aging

National Association of County Behavioral Health and Developmental Disability Directors

National Association of Direct Care Workers of Color

National Association of Nutrition and Aging Services Programs

National Caucus and Center on Black Aged

National Consumer Voice for Quality Long-Term Care

National Council of Jewish Women

National Council of La Raza (NCLR)

National Council of Negro Women (NCNW)

National Council of Women’s Organizations

National Council on Aging

National Day Laborer Organizing Network

National Domestic Workers Alliance/ La Alianza National de Trabajadores del Hogar

National Hispanic Council on Aging

National Immigration Law Center

National Indian Council on Aging

National Network of Career Nursing Assistants

National Partnership for Women & Families

National Priorities Project

National Senior Citizens Law Center

National Women’s Law Center

NCB Capital Impact

NETWORK, A National Catholic Social Justice Lobby

New Mexico Direct Caregivers Coalition

North Carolina Justice Center

Northwest Workersʹ Justice Project

OWL - The Voice of Midlife and Older Women

Paradise Home Care Cooperative

Paso del Norte Civil Rights Project

Pathways PA

Pennsylvania Direct Care Workers Association

PHI

Philipino Workers Center

Provincial Council of the Clerics of St. Viator (Viatorians)

Public Justice Center

Restaurant Opportunities Centers United

Sargent Shriver National Center on Poverty Law

Senior Service America, Inc.

Service Employees International Union (SEIU)

Society's Assets

Sociologists for Women in Society

Sugar Law Center for Economic and Social Justice

Taxi Workers Alliance of Pennsylvania

The National Consumer Voice for Quality Long-Term Care

Training Academy for Personal Caregivers and Assistants

United Food and Commercial Workers

United Steelworkers (USW)

USAction

Washington Community Action Network

Washtenaw County Workers' Center

Weinberg, Roger & Rosenfeld

Wider Opportunities for Women

Wisconsin Direct Caregiver Alliance

Women Employed

Women of Color Policy Network, NYU Wagner

Women’s Research & Education Institute

YWCA USA

President Obama Announces Home Care Rule Change

In this announcement, President Obama declares his support for a new DOL rule that would end the "companionship exemption": a DOL ruling that excludes home care workers from minimum wage and overtime.


Walk a Day in My Shoes: Barack Obama

In 2007, Senator Obama spent a day working alongside homecare worker Pauline Beck of Alameda, California, a mother of six children who earns $10.50 an hour and gets no sick time, overtime, or vacation pay.


We Can't Wait: Pauline Beck

In 2007, then-Senator Barack Obama spent a day with Pauline Beck, a homecare worker. He worked alongside her, getting to know the daily life and concerns of a homecare worker. Now, as President, he has taken action that will require homecare workers recieve at least a minimum wage and overtime protections - which many were previously exempt from.


Evelyn Coke Tribute Video

Home care worker Evelyn Coke brought her fight for fair pay all the way to the Supreme Court. PHI released this video on the first anniversary of her passing.

She loved the work, but she earned only around $7 an hour and got no overtime pay. For years Ms. Coke, a single mother of five, quietly grumbled, and then, quite uncharacteristically, rebelled. (New York Times)