President Obama proposes to eliminate the Companion Exemtion from overtime and minimum wage.

Stephen Tweed | December 15, 2011 | Newsroom
President Obama today, (12-15-11) put forth a new regulation designed to eliminate the Companionship Exemption from minimum wage and overtime in the Fair Labor Standards Act. This is another initiative in the President's "we can't wait" campaign against Congress. It is also in opposition to the 2007 U.S. Supreme Court ruling that upheld home care…

President Obama today, (12-15-11) put forth a new regulation designed to eliminate the Companionship Exemption from minimum wage and overtime in the Fair Labor Standards Act. This is another initiative in the President’s “we can’t wait” campaign against Congress. It is also in opposition to the 2007 U.S. Supreme Court ruling that upheld home care workers’ exemption from wage and hour standards.

An article in USA Today on 12-15-11 provided some interesting facts about this issue:

  • home care workers today are part of a growing $70 billion industry that has doubled in size during the past decade
  • The nation’s over-65 population is projected to grow from 40 million to 72 million by 2030
  • 27 million Americans will need home care by 2050, the government estimates.
  • More than 90% of home care workers are women, and nearly 50% are minorities.
  • they average $17,000 to $20,000 a year — more than the $7.25-per-hour minimum wage,
  • About 1.6 million of the 1.8 million workers are employed by agencies that pay more than the minimum wage but not overtime.
  • Home care costs Medicaid and Medicare about $56 billion annually.
  • The proposed change is projected to cost about $100 million a year, mostly in overtime costs
  • The exemption from the Fair Labor Standards Act‘s wage and overtime rules dates to 1974.
  • President Clinton sought to change it shortly before leaving office in 2001, but President George W. Bush reversed that effort
  • Obama co-sponsored Senate legislation in 2007 that would have ended the exemption for most home care workers.
  • As an Illinois state senator in 2003, he voted to raise the pay of home care workers to $9 an hour.

The National Association for Home Care and Hospice says the change would lead the agencies to hire more workers, rather than pay overtime rates.

“The worker is not getting anything out of it,” says Bill Dombi, the group’s vice president for law. “Instead, the employer ends up with higher costs because they have to hire more people.”

Eventually, he says, an aging society will outpace the industry’s ability to serve it, leading to cost overruns for federal and state government programs serving the elderly and disabled.

The Home Care Association of Florida opposes the plan to eliminate the companionship services exemption at the state and federal level until a comprehensive plan can be implemented that addresses service funding, worker health insurance and career development for home health aides.

HCAF urges owners, adminstrators, and CEOs of home health agencies and private duty home care companits to send an urgent message to your Senators and Members of Congress to oppose President Obama’s call to tend the companionship exemption.

What do you think about this issue? Give us your comments.

Stephen Tweed
Stephen Tweed is among the top Thought Leaders in Home Care today. As an industry researcher, author, and executive coach, he has worked with owners and CEOs of companies in the top 5% of Home Care and is a frequent speaker at Home Care association conferences and corporate meetings across the US and Canada.

Related Posts

The 2026 Future of Home Care Study.

October 7, 2025
For the past month, I've been working with my friends at AxisCare to refine the survey for the 2026 Future of Home Care Study. This year, we have added some new questions based on last year's data, and we have added a whole new section on AI. This year's study has three major sections; Industry…

Visioneering Home Care

October 2, 2025
This week I was in Nashville, TN to present the opening keynote presentation for the Seniors Helping Seniors franchise conference. My topic was "Visioneering Home Care." I opened with these two questions: Do you remember the words of Walt Disney who said, "If you can dream it, you can achieve it?" This holds true in Home Care. If you…

Pickleball for Fun, Fitness, and Fellowship

September 18, 2025
This past Friday, my friend, John, and I drove from Louisville, KY to Cincinnati, OH to watch the Professional Pickleball Association Violia Championship Showcase. We spent the full day watching some of the best pickleball players in the world.Pickleball is the fastest growing participation sport in America. According to the Sports & Fitness Industry Association (SFIA), about…