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·Pulse issue · October 9, 2026

Siskiyou County approves first In-Home Supportive Services contract

Siskiyou County approved its first In-Home Supportive Services contract, ending minimum-wage pay for home-care workers and adding an 85-cent hourly supplement.

The question

As Siskiyou raises pay, what will show that older adults can still use paid care at home?

The read

The Siskiyou agreement addresses a worker-pay burden. A study of the 2015 Home Care Rule shows why the next consequence to watch is whether paid care at home remains within reach for older adults. The open question is how to balance strengthening worker protections and maintaining access to care for vulnerable populations.

2 developments · 2 cited sources

What happens next

Once implemented by the California Department of Social Services, will IHSS workers receive $17.75 an hour?

What could change this read

This read would change with evidence that Siskiyou’s wage increase is accompanied by increased paid home-care use among older adults or by a measured decline in use.

Developments in this issue

Reference paths