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Direct-care workers in training

The House Committee on Financial Services passed the Public Housing Reinvestment and Tenant Protection Act of 2010 (H.R. 5814) on July 27, which includes provisions to fund training for public housing residents to become home health and personal care aides.

If enacted, a three-year, federal pilot grant program would be established to train public housing residents to provide home health and personal care services and supports to public housing and federally assisted rental housing residents who are elderly or living with a disability, including veterans.

Home care providers, community health centers, faith-based organizations, labor organizations, public housing agencies, and state and local government agencies that have established — or provide assurances that they will establish — an employment training program would be eligible to apply for a grant.

The funding is targeted to programs that primarily serve urban, rural, or Indian populations, as well as people in Puerto Rico or the U.S. Islands.

Under the act, the U.S. Department of Housing and Urban Development (HUD) would receive $2.5 million for distribution in each fiscal year: 2011, 2012, and 2013.

Recognizing Workers’ Needs

In addition to supporting home health and personal care aide training, the grant money could also be used to cover transportation and child care expenses for the public housing residents in the training programs.

“This model recognizes the needs that many home care aides have as they transition to work, particularly child care and transportation,” said PHI New York State Policy Director Carol Rodat. “Funding for these critical supports is seldom available, which is why the grants envisioned in this legislation are so important.”

Income earned from providing home care services will apply toward the public housing residents’ eligibility for federal housing on a graduated basis for the first three years, with no income applying in the first year.

These provisions of the Public Housing Reinvestment and Tenant Protection Act of 2010, sponsored by Rep. Maxine Waters (D-CA), were taken from the Together We Care Act of 2009, introduced by Rep. Nydia Velázquez (D-NY) in December 2009 and cosponsored by Rep. Barney Frank (D-MA), the Financial Services Committee Chair, and Waters.

“Home care is a profession that will be in high demand for years to come and this legislation will offer hard-working public housing residents the tools they need to enter this field,” said Velázquez when she introduced the Together We Care Act last December.

– by Deane Beebe

A new PHI PolicyWorks analysis finds that a growing number of states report that personal and home care aides are receiving wages that put them at risk of poverty.

In 2009, 36 states reported average hourly wages that fell below 200 percent of the Federal Poverty Level, up from 32 states in 2008, according to the analysis reported in PHI’s updated State Chart Book on Wages for Personal and Home Care Aides (pdf).

Wages below 200 percent of the federal poverty level ($10.42) are low enough to qualify workers for many state and federal public assistance programs.

“That fully two-thirds of states are now showing these kinds of low wage levels for personal care workers is very disappointing,” said Dorie Seavey, PHI director of policy research.

“These very low wages are a significant obstacle to meeting the country’s rapidly growing demand for personal assistance services,” Seavey said. “They also jeopardize the economic security of hundreds of thousands of caregivers who make it possible for others to live independently.”

Data Spans 10 Years

The updated Chart Book tracks wages in all 50 states and the District of Columbia, and for the first time presents a full decade of data from 1999 to 2009.

Other highlights include:

• After adjusting for inflation, national wages for home care aides and personal care aides (PCAs) essentially remained unchanged over the 10-year period.
• In 2009, within the continental U.S., state nominal median wages ranged from $7.50 in Texas to $12.01 in the District of Columbia; real median wages (in 1999 dollars) ranged from $6.01 to $9.66.
• Over the 10-year period, 15 states showed a decline in real median wages for these workers. Eight states saw real wages fall by 5 percent or more.

“For the first time, with the passage of health reform, the need to improve the quality of personal care aide jobs is receiving concerted federal attention,” said Steve Edelstein, PHI national policy director.

Informing Health Reform

“PHI’s PCA wage analysis is very timely. It can inform the federal government’s growing concern with improving the quality of these jobs and ensuring that there is a sufficient PCA workforce to meet future demand,” Edelstein said.

The national health care law includes numerous opportunities (pdf) for PCAs, including:

• the formation of a PCA Workforce Advisory Panel that will be charged with examining and advising on PCA workforce issues, including wages, benefits, and access to services;
• and the awarding of grants to six states to develop PCA training demonstration programs that emphasize core competencies and certification of these workers.

– by PHI Policy Team

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