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Pulse story · 2 cited sourcesOctober 19, 2026

Travel between the homes of more than one client

Travel between the homes of more than one client during the day on behalf of the same home care agency is considered all in a day’s work and must be paid.

A paper finds that the 2015 Home Care Rule reduced older adults’ probability of using paid home care by approximately 4.8 percentage points and reduced hours of paid home care by about 0.46 hours per day. The study found no consistent evidence that reduced paid home care was systematically offset by home health services, institutional care, or care from family members or friends. Its authors suggest targeted subsidies or workforce investments as possible measures to support care access.

Evidence

Each line below is a claim this source supports, checked against its text.

01
Are rest breaks, meal breaks, and travel time considered work ...beta.dol.gov · Oct 13
  • Travel between the homes of more than one client
  • Travel between the homes of more than one client during the day on behalf of the same home care agency is considered all in a day’s work and must be paid.
02
The effects of the Home Care Rule on care utilization and expenditure for U.S. older adults | Review of Economics of the Household | Springer Nature Linklink.springer.com · Sep 9
  • A paper finds that the 2015 Home Care Rule reduced older adults’ probability of using paid home care by approximately 4.8 percentage points and reduced hours of paid home care by about 0.46 hours per day.
  • The study found no consistent evidence that reduced paid home care was systematically offset by home health services, institutional care, or care from family members or friends. Its authors suggest targeted subsidies or workforce investments as possible measures to support care access.

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