Companionship Exemption
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The companionship exemption refers to federal labor regulations in the United States that exclude workers providing companionship services to the elderly or disabled from the federal
minimum wage A minimum wage is the lowest remuneration that employers can legally pay their employees—the price floor below which employees may not sell their labor. Most countries had introduced minimum wage legislation by the end of the 20th century. Bec ...
and overtime protections that apply to most other American workers. The exemption came into existence in 1974 through an amendment to the
Fair Labor Standards Act The Fair Labor Standards Act of 1938 (FLSA) is a United States labor law that creates the right to a minimum wage, and "time-and-a-half" overtime pay when people work over forty hours a week. It also prohibits employment of minors in "oppres ...
(FLSA). While the main purpose of the amendment was to expand labor protections to
domestic worker A domestic worker or domestic servant is a person who works within the scope of a residence. The term "domestic service" applies to the equivalent occupational category. In traditional English contexts, such a person was said to be "in service ...
s, two exceptions were included: one for those serving as “casual” babysitters and another for those providing “companionship services for individuals who (because of age or infirmity) are unable to care for themselves.”


Controversy Over Application to Home Care Workers

The United States Department of Labor (DOL) holds significant discretion over how the companionship exemption is interpreted and applied in the workplace. Under the DOL’s current interpretation, the companionship exemption applies to most
home care Homecare (also spelled as home care) is health care or supportive care provided by a professional caregiver in the individual home where the patient or client is living, as opposed to care provided in group accommodations like clinics or nursing ho ...
workers (also known as personal care assistants), allowing their employers—unless they are in a state with regulations superseding those at the federal level—to pay below minimum wage and avoid overtime compensation. Since the companionship exemption was put in place, a variety of unsuccessful efforts have been made through legislation, court challenges, and by the DOL itself to narrow the exemption so that more home care workers become eligible for minimum wage and overtime. In 2007, the case ''Long Island Care at Home, Ltd. v. Coke'' brought the issue of the companionship exemption in front of the United States Supreme Court. In this case, home care worker Evelyn Coke claimed she was unfairly denied minimum wage and overtime pay by her employer. While the court ruled against Coke, its decision reaffirmed the DOL’s authority to change its interpretation of the exemption at any time. The New York Times has written three editorials calling for an end to the companionship exemption. The disability community and many home care workers are concerned that the proposed changes will force seniors and people with disabilities into institutions, cut the take-home pay of attendants, reduce the available attendant workforce, force people with disabilities to cut the hours of longtime attendants and bring strangers into their homes, and devastate consumer directed services. They point out that the administration failed to adequately engage the disability community as described i
Executive Order 13563
The ww.ncd.gov National Council on Disabilitysent
letter
urging the Obama administration to use a negotiated rule-making to address this oversight.


Current Status

The Obama administration announced in December 2011 that it ha

amending the companionship exemption. If implemented, the regulation would grant minimum wage and overtime protections to home care workers throughout the U.S. The regulation will become a final rule following
60-day comment period
ADAPT ADAPT (formerly American Disabled for Attendant Programs Today) is a United States grassroots disability rights organization with chapters in 30 states and Washington, D.C. They use nonviolent direct action in order to bring about disability just ...
still considers the issue unresolved. Source: https://web.archive.org/web/20130119005555/http://www.adapt.org/main.2012 On September 17, 2013, the U.S. Department of Labor announced a final rule extending the Fair Labor Standards Act’s minimum wage and overtime protections to most of the nation’s workers who provide essential home care assistance to elderly people and people with illnesses, injuries or disabilities. The Obama Administration anticipated that this change would provide FLSA protections to nearly two million direct care workers—such as home health aides, personal care aides and certified nursing assistant and help guarantee that those who rely on the assistance of direct care workers have access to consistent and high-quality care from a stable and increasingly professional workforce. With an unprecedented 15 month implementation timeframe, the narrowing on the companionship exemption under FLSA, becomes effective January 1, 2015. The final rule, released October 2013, is intended to provide additional protections under FLSA for homecare workers and has been accompanied by dedicated webpages on the DOL's Wage an Hour website at www.dol.gov/whd/homecare.


Notes

{{Reflist United States labor law