PolicyBrief
H.R. 2304
119th CongressMar 24th 2025
Ensuring Access to Affordable and Quality Home Care for Seniors and People with Disabilities Act
IN COMMITTEE

This bill amends the Fair Labor Standards Act of 1938 to clarify and preserve exemptions for companionship and live-in domestic services, ensuring affordable home care access for seniors and people with disabilities.

Mary Miller
R

Mary Miller

Representative

IL-15

LEGISLATION

Bill Seeks to Keep Minimum Wage, Overtime Exemptions for Home Care Workers

This bill, the "Ensuring Access to Affordable and Quality Home Care for Seniors and People with Disabilities Act," aims to amend the federal Fair Labor Standards Act (FLSA) to specifically preserve existing pay exemptions for certain home care workers. It focuses on those providing "companionship services" and "live-in domestic services," essentially ensuring they remain outside the standard requirements for minimum wage and overtime pay that cover most other jobs.

Locking In the Pay Rules

The core of this legislation is about maintaining the status quo under the FLSA. Currently, workers classified as providing companionship (defined here as non-medical care, fellowship, and protection, including up to 20% of time on related household tasks) or live-in domestic help can be exempt from federal minimum wage and overtime rules. This bill amends Sections 13(a)(15) and 13(b)(21) of the FLSA to explicitly keep these exemptions in place, even defining "third-party employment" to clarify that the exemptions can apply when workers are employed by an agency, not just directly by the family receiving care. The definition of companionship services, particularly the 20% allowance for household work, leaves some room for interpretation on what tasks fall under the exemption.

Care Costs vs. Worker Wages

So, what does this mean in the real world? For families and agencies employing these workers, preserving these exemptions could help keep the costs of in-home care lower, potentially making it more accessible. However, for the workers themselves – the home health aides and companions looking after seniors and people with disabilities – it means they might continue to lack the basic protections of federal minimum wage and overtime pay. This raises concerns about workers earning a living wage and could impact job stability in a demanding field. There's often a link between caregiver compensation and the quality and consistency of care people receive.

The Fine Print on In-Home Help

Ultimately, this bill reinforces the existing framework rather than reforming it. It locks in rules that treat companionship and live-in domestic work differently from many other types of labor under federal law. While the stated goal involves affordability and access to care, the direct mechanism is maintaining exemptions that limit wage standards for the workforce providing that care. It highlights the ongoing tension between the cost of providing essential in-home support and ensuring fair labor standards for those who perform this critical work.