U.S. District Court Issues Order Blocking a New Department of Labor (DOL) Rule Which Would Redefine Companionship Services
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Barbara D. Woolley
Washington, D.C. (December 31, 2014)Andrea Devoti, chairman of the National Association for Home Care & Hospice (NAHC) today hailed the decision of the U.S. District Court for the District of Columbia, which issued a Temporary Restraining Order (TRO) blocking the Department of Labor (DOL) from enforcing a proposed new definition of companionship services.
This means that our most vulnerable citizens get at least a temporary reprieve from what would otherwise have become a significant cost barrier to paying for help at home for their chronic diseases. Without this relief, many seniors would be pushed into institutional care, said Ms. Devoti.
This decision follows on the heels of a December 22 ruling by this same court which restored the rights of home care consumers to benefit from companionship services and live-in exemptions, regardless of whether their caregivers were employed by persons receiving the care or by a home care company.
The lawsuit challenges a rule that would have significantly changed a longstanding 40-year-old federal overtime rule known as the companionship exemption under the Fair Labor Standards Act. The new DOL rule would have defined companionship services as primarily fellowship and protection. Under the new rule, the exemption would not have applied if home care workers serving patients gave more than incidental personal care services. The proposed rule would have required all current caregivers to be paid overtime compensation in almost all cases. This change would have led to higher costs which would have been borne by infirm individuals or by the states and federal government through financially strapped programs such as Medicaid.
Following the courts ruling on December 22, NAHC asked the court to stay the effective date of a new narrow definition of companionship services, which seemed intended to eliminate two exemptions to overtime rules that benefit patients and home care employers.
In its motion for a temporary stay, NAHC argued that home care recipients, companies, employees, and payers of services would face a risk of irreparable harm if the DOL rule went into effect. NAHC also explained that it would be likely that its claims would likely succeed on the merits and that the public interest would be best served by maintaining the status quo on overtime exemptions while the lawsuit proceeds.
The effort for temporary relief was supported with detailed affidavits of likely harm submitted by two disability rights advocacy groups, The Centers for Independent Living and ADAPT, along with the Kansas State Department on Aging, which is concerned about the financial stability of its home care programs if overtime compensation is required.
The next phase of the case will occur quickly because the court has scheduled a briefing and hearing on whether a preliminary injunction should be issued. A TRO can be in force for no more than 10 days while a preliminary injunction can be in effect until a final ruling on the case. The hearing is set for January 9 at which time the judge is expected to rule on NAHCs request for an injunction.
During the time in which the TRO is in effect, home care companies can continue to pay home care aides and personal care attendants without added overtime compensation except where state law requires it. Home care companies are advised to consult competent counsel to determine if they qualify to use the exemption. If the requested injunction is granted on January 9, the exemption from overtime will continue until the court makes a final ruling or the Court of Appeals reverses the injunction. The DOL has previously indicated that it would appeal any adverse ruling by the court.
Obviously some well-intentioned people in the DOL put forth a rule which they said would be good for patients, helpful to home care employees, and the companies that hire them, and equally good for state/federal programs such as Medicaid. The fact is that the proposed regulation would have had exactly the opposite effect on every category. For this reason NAHC applauds the US District Court for its rulings and will continue to lead the effort in support of companionship rules that have been in effect for more than 40 years, and that have been sustained by a unanimous vote in the U.S. Supreme Court, said Chairman Devoti.
The National Association for Home Care & Hospice (NAHC) is a nonprofit organization that represents the nations 33,000 home care and hospice organizations. NAHC also advocates for the more than two million nurses, therapists, aides and other caregivers employed by such organizations to provide in-home services to some 12 million Americans each year who are infirm, chronically ill, and disabled. Along with its advocacy, NAHC provides information to help its members provide the highest quality of care and is committed to excellence in every respect. To learn more about NAHC, visit www.nahc.org.