Will New DOL Regulations for Direct Care Workers Drive Changes in Pay?

Will New DOL Regulations for Direct Care Workers Drive Changes in Pay?

Here in Northeast Ohio, it is well known that the healthcare industry is by far the largest in the region, employing thousands upon thousands of workers in a wide range of positions (and salaries). One position type that has made headlines in recent weeks is the “direct care worker.”

Although not typically the subject of high profile news stories these employees (e.g. home health aides) will soon be seeing a significant change in how they are paid. Nationally, the Bureau of Labor Statistics (BLS) suggests that approximately 1.9 million workers across the country would be re-classified by the Department of Labor (DOL) under the Fair Labor Standards Act (FLSA) and this could mean big changes for the fifteen-thousand or so home health aides employed in the immediate area.

According to the DOL, beginning in 2015 these so called “direct care” workers will be subject to minimum wage laws and qualify for overtime pay for their services. Up until the 2013 ruling by the DOL, a home health aide or other “direct care” worker would have fallen under a provision of the FLSA that excludes “domestic service” workers from those two specific legal wage protections. Combined with a very strong job outlook (the BLS is projecting 70% job growth from 2010-2020), these new protections could significantly impact wages both nationally and locally.

Despite making up approximately 4.2% of the total workforce in the region (compared to 3% nationally), the “home health aide” has seen very little growth in compensation in recent years. In addition, home health aide salaries repeatedly come in at or near the bottom of the list of healthcare support occupations in terms of compensation- again both nationally and locally. As the figure below illustrates, even high demand and high levels of job growth in Northeast Ohio has barely moved the median salary since 2009.

Source: 2012 ERC Non-Profit & HHS Compensation Survey

Although it is as yet unclear exactly what impact this DOL ruling will have on individual salaries, the BLS did note that in terms of the services being provided by these workers they maintain that the ruling, “will also 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.”



  • Liz Maier-Liu

    Liz Maier-Liu specializes in writing high-quality, engaging copy across all channels, including email, web, blogs, print, and social media. She is passionate about helping ERC build long-lasting relationships with clients and members through storytelling and delightful copy that calls them to action.Since 2019, Liz has supported ERC’s marketing team. She currently manages ERC’s email marketing campaigns, social media accounts, marketing automation, and websites. Liz also executes content strategies that drive engagement, leads, and customer retention.