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Home Care Workers: Still Waiting for Obama

Once again the Democratic leadership is wavering at a crucial moment, and could fail to grant home care attendants and aides the right to overtime pay and the minimum wage.


This story originally appeared at Labor Notes.

Why do Democratic administrations fear to recognize the labor of care?

Once again the Democratic leadership is wavering at a crucial moment, and could fail to grant home care attendants and aides the right to overtime pay and the minimum wage.

These front-line caregivers ensure that frail elderly and disabled people can remain at home and avoid institutionalization. They help with bathing and dressing, feeding and walking, taking medicine and going to doctors, and they perform household chores.

During the Clinton years, the Department of Labor proposed to end the “companionship exemption” that since 1975 had wrongly removed home care workers employed through agencies from the Fair Labor Standards Act (FLSA). But after objections by some advocates for developmentally disabled people, who argued that higher wages would limit the amount of care available, the DOL withdrew its proposal in the mid-1990s and went back to the drawing board.

Years dragged by until the DOL issued revised rules just as George W. Bush became president. Bush scuttled the initiative.

For the next decade, home attendants and aides remained the invisible workers of the welfare state, caring for elderly and disabled persons under Medicaid and other public programs without any guarantee of fair compensation—unless they happened to be in one of the dozen or so states that eventually recognized their unions. Since that time, home health care has become the fastest-growing workforce in the nation.


False claims and an opportunistic sleight-of-hand lay behind the denial of labor rights for home care workers.

When Congress extended FLSA’s minimum wage and overtime protections to private domestic workers in 1974, the DOL cut home care workers out of the new amendments. It distinguished home care attendants from housekeepers, though as anyone who did the job could have told them, home care work requires both intimate care of the person and care of their home environment.

The move equated women who labored to support their families with part-time, teenage babysitters, who were also exempt from FLSA. DOL went further, actually removing workers employed through agencies from coverage. These caretakers are workers, not mere friendly neighbors, volunteers, or “companions.” They have been compelled to put in many extra hours off the clock.


Three years into his administration, President Obama finally offered his own proposal to rectify this injustice.

Prepared with a detailed cost/benefit analysis backed by substantial research, the DOL opened an extended comment period that closed in March. Two-thirds of 26,000 comments favored the change, which the government estimates would win the workforce an additional $35- $215 million a year.

Although the rule change would by no means reach all, especially since so many attendants work off the books, it was expected to apply to about two-thirds of the 1.8 million care workers, both those employed through agencies and those working for publicly funded programs. Four-fifths of home care funding comes from public sources.

Weeks went by, and now the proposal is in limbo, stuck within the DOL and not yet accepted for review by the Office of Management and Budget, which must give a final assessment of its fiscal impact on government and business.


This latest round of struggle and stalemate comes at a moment when labor rights are being challenged for ever more types of workers. Union bargaining rights for home care workers have been stripped or curtailed in Wisconsin and Michigan, and the National Right to Work Legal Defense Fund has petitioned the Supreme Court to consider the very legality of home care unions.

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