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Improving Labor Standards for the Publicly Funded Direct Care Workforce

Improving Labor Standards for the Publicly Funded Direct Care Workforce. PHI ~ Quality Care through Quality Jobs. PHI works to improve jobs for direct-care workers in order to improve quality of supports and services

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Improving Labor Standards for the Publicly Funded Direct Care Workforce

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  1. Improving Labor Standards for the Publicly Funded Direct Care Workforce

  2. PHI ~ Quality Care through Quality Jobs • PHI works to improve jobs for direct-care workers in order to improve quality of supports and services • PHI works with all LTSS stakeholders – consumers, workers, employers/providers, organized labor, policymakers, researchers • Workplace practices and policy solutions

  3. DCW at a Glance (2011) • Female ~ 89% • Average age in home health care is 45 • 47% are white; 30% are African-American; 16% are Latino • Foreign born ~ 21% • Some college or a degree ~ 46% • One in 12 low-wage workers is a DCW Source: US Census Current Population Survey analysis done by PHI

  4. United States: Median Hourly Wages for Direct-Care Workers, 2012 Source: PHI analysis of BLS/OES

  5. LTSS Financing

  6. Medicaid Funds for LTSS

  7. Comparing Cost of Home Care Services and Caregiver Pay, 2008 Source: National Private Duty Association (2009) State of Caregiving Industry Survey, Executive Summary. Available at: NPDA State of Caregiving Industry – via PHI, Caring in America

  8. New York City: Medicaid Redesign Spurs Action on Worker Wages • Employment relationships: LHCSAs (indirect payments from state), home attendant agencies (payment by city) • NYC living wage law; unionization • Managed care companies/Integration

  9. Home Care Aide Worker Parity Law • Proposed by the Governor as an amendment to the state budget • Downstate metropolitan counties – NYC, Nassau, Suffolk, & Westchester • Increased in three increments to $10/hour on 3/1/14. Requires $4.09 additional in benefits.

  10. Maryland • Maryland Minimum Wage Act of 2014 (HB 295) • Requires a 3.5% increase in reimbursement rates to agencies, and requires that it be spent on wages • Public funding an opportunity & a challenge

  11. Public Authorities for Home Care Workers • Public agency that provides an organizing framework for independent home care workers (OR, CA) • Acts as the employer of record • Collective bargaining agreement • Provides training and a registry • Fragmented workforce without a worksite and high turnover hard to organize.

  12. For more information, contact: Gail MacInnes, National Policy Analyst gmacinnes@phinational.org Visit PHI PolicyWorksat: www.phinational.org/policy

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