Thanks to an exemption in the 1974 federal minimum wage standards, home health care workers are not guaranteed a minimum wage. But that may all change if the Obama administration formally approves revisions to the Fair Labor Standards Act that would set minimum wage requirement for home health care workers. Home health care has ballooned to a $55 billion industry since 1974, but in the eyes of the law, the nation’s 2.5 million home health care workers are treated almost like babysitters, meaning that their employers set their wages for them, and often the workers take home half of what their employers charge. 

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