Help that Hurts: How DOL's Home Care Rule Harms People with Disabilities and Caregivers

I. HOME CARE WORKERS AND THE FLSA ........................... 435 II. CHALLENGES TO THE COMPANIONSHIP EXEMPTION ....... 436 A. Legislative Challenges .............................................. 437 B. Challenges through Litigation ................................. 439 C. Administrative Challenges ....................................... 444 D. Home Care Association Challenge ........................... 448 III. EFFECTS FOR RECIPIENTS OF CARE .............................. 451 A. Delivery of Services ................................................... 451 B. State Implementation ............................................... 453 C. Harms to Recipients of Care ..................................... 455 IV. CONSEQUENCES FOR HOME CARE WORKERS ................ 460 A. Home Care Worker Representation ......................... 461 B. Pragmatic Effects for Home Care Workers .............. 466 V. CONCLUSION ................................................................. 470