The shortage of home health aides has been exacerbated in recent years partially because of low wages. Minimum wage (MW) policy changes may alleviate this workforce shortage. This study examined the effects of MW policies on wages and employment of home health aides. We performed a county-level longitudinal analysis using 2012 to 2018 national data. The study cohort included 2,496 counties and focused on all workers in the home health industry. Outcome variables included wages and the employment of home health aides. Key variables of interest included the consumer price index adjusted state MW and a set of variables that captured the effect of the Fair Labor Standards Act (FLSA) extension. This study found that home health aides’ hourly wages were $1.00 higher (p = .011) in states that increased their MWs from below $8 to above $10. The FLSA extension was associated with $1.15 higher wages in states with higher MWs (i.e., state MW above $10 in 2014). The FLSA extension was associated with higher employment of home health aides in less-competitive markets, rather than high- or average-competitive markets. This study suggests that state MW increases combined with the FLSA extension may help maintain the current home health workforce and improve their wages.
Harris-KojetinLSenguptaMPark-LeeE.Long-term care providers and services users in the United States: data from the national study of long-term care providers, 2013–2014. Vital Health Stat 3. 2016;38:x-xii; 1-105.
6.
BercovitzAMossAJSenguptaM, et al. An Overview of home health aides. National Center for Health Statistics (U.S.) D of HCS, ed.; 2007. Accessed June 19, 2022. https://stacks.cdc.gov/view/cdc/13188
7.
BandiniJRollisonJFeistelKWhitakerLBialasAEtchegarayJ.home care aide safety concerns and job challenges during the COVID-19 pandemic. New Solut. 2021;31(1):20-29. doi:10.1177/1048291120987845
The U.S. Department of Labor. Wages and the Fair Labor Standards Act. The U.S. Department of Labor. 2019. Accessed May 29, 2020. https://www.dol.gov/agencies/whd/flsa
US Department of Labor. Minimum Wage, Overtime Protections Extended to Direct Care Workers by US Labor Department. US Department of Labor. 2020. Accessed December 1, 2022. https://www.dol.gov/agencies/whd/direct-care
VadeanFAllanS.The effects of minimum wage policy on the long-term care sector in England. Br J Ind Relations. 2021;59(2):307-334. doi:10.1111/bjir.12572
20.
RuffiniK.Worker earnings, service quality, and firm profitability: evidence from nursing homes and minimum wage reforms. SSRN Electron J. Published online April 21, 2021. doi:10.2139/ssrn.3830657
Agency for Healthcare Research and Quality. Social Determinants of Health Database (Beta Version). Agency for Healthcare Research and Quality. 2019. Accessed December 8, 2021. https://www.ahrq.gov/sdoh/data-analytics/sdoh-data.html
AretzBGregoryTArntzM.The minimum wage affects them all: evidence on employment spillovers in the roofing sector. Ger Econ Rev. 2013;14(3):282-315. doi:doi:10.1111/geer.12012
ImaiKKimIS.On the use of two-way fixed effects regression models for causal inference with panel data. Polit Anal. 2021;29(3):405-415. doi:10.1017/pan.2020.33
JardimELongMCPlotnickRvan InwegenEVigdorJWethingH.Minimum Wage Increases, Wages, and Low-Wage Employment: Evidence from Seattle. National Bureau of Economic Research; 2017. doi:10.1017/CBO9781107415324.004
30.
EhrenbergRSmithRHallockK.Modern Labor Economics: Theory and Public Policy. Routledge; 2016.
31.
JutkowitzELakeDShewmakerPGauglerJE.The effects of increasing state minimum wage on family and paid caregiving. J Appl Gerontol. Published online September 13, 2022. doi:10.1177/07334648221124913
32.
FranzosaEJudonKMGottesmanEM, et al. Home health aides’ increased role in supporting older veterans and primary healthcare teams during COVID-19: a qualitative analysis. J Gen Intern Med. 2022;37:1830-1837. doi:10.1007/s11606-021-07271-w
33.
OsakweZTOsborneJCSamuelT, et al. All alone: a qualitative study of home health aides’ experiences during the COVID-19 pandemic in New York. Am J Infect Control. 2021;49(11):1362-1368. doi:10.1016/j.ajic.2021.08.004
RussellDFongMCGaoO, et al. Formative evaluation of a workforce investment organization to provide scaled training for home health aides serving managed long-term care plan clients in New York state. J Appl Gerontol. 2022;41(7):1710-1721. doi:10.1177/07334648221084182
37.
FongM-CRussellDGaoOFranzosaE.Contextual forces shaping home-based health care services between 2010 and 2020: insights from the social-ecological model and organizational theory. Gerontologist. Published online August 3, 2022. doi:10.1093/geront/gnac113
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