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Vital Signs

The Healthcare Business Blog

Delay in overtime, minimum-wage regs frustrating home-care workers

By Ashok Selvam

Home-care workers are growing inpatient with the White House's delay in publishing a regulation that would bring them overtime pay and the federal minimum wage.

Advocates rallied Tuesday in the nation's capital outside the Labor Department in support of lifting the home-care companionship exemption.

“Every day we don't have these rules finalized, workers are suffering,” Ai-Jen Poo, executive director of the National Domestic Workers Alliance, told The Hill. “It's outrageous that you can work so hard—full time—and still be living in poverty.”

A regulation in place since 1938 provided that families paying a live-in caretaker wouldn't be on the hook to pay hourly wages and a family member who lived at home and took care of another family member wouldn't be eligible for overtime—which would be costly if caretakers were considered on the job whenever they were at home.

But unions argue that the home-care industry can now afford to pay the wages. One industry group estimates home-care providers bring in $88 billion in annual revenue, and the unions note that many of their members live below the poverty line.

The government was supposed to make a decision on the regulation in April. Two months later, home-care groups say haven't heard much from the administration on where the rule stands.

The Obama administration brought up the companionship exemption two years ago as the president geared up for his re-election bid. Service Employees International Union, which represents more than 150,000 healthcare workers, strongly backed the Democratic presidential candidate, contributing more than $50 million to Obama in 2011-2012. Home-care trade associations view the companionship exemption as Obama's payback to SEIU's more than 1.5 million members nationwide for its support.

Home-care trade associations, though, remain fiercely opposed to the exemption, saying its members can't afford the increased wages and would have to increase what they charges clients to make up the wages.

The industry is making a similar argument for carving out a special exemption from the healthcare reform law's requirement that employers offer affordable health benefits or pay a penalty.

Follow Ashok Selvam on Twitter: @MH_aselvam

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