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Private Care Association

Full company profile

uuid0023v6w

Namestring
Private Care Association
Legal namestring
Private Care Association, Inc.
Websiteurl
privatecare.org
Company typeenum
Private
Founded yearint
1977
Descriptiontext

Private Care Association (PCA), founded in 1977 and headquartered in Southern Pines, North Carolina, is a 501(c)(6) national non-profit trade association representing home care registries that refer independent contractor caregivers for in-home companion care, homemaker services, and nursing services. PCA operates with 51-100 employees and maintains a regional Florida chapter (PCAFL) in Delray Beach. It is governed by a volunteer Board of Directors and led by an Executive Director and elected officers; current President is Lisa Kaufman.

PCA's core offering is a tiered membership program (National, Florida, and Associate) that delivers advocacy, education, government relations, networking, and industry credibility to member registries. The association operates the Caregiver Registry Standards Board (CRSB), which provides the only national accreditation program for caregiver registries, and runs an Annual Conference with multi-tier sponsorships ranging from $2,500 (Amethyst) to $20,000 (Diamond). Additional products include a PCA Political Action Committee (PAC), a public self-assessment quiz, and a members-only resources library. Revenue is generated primarily through recurring annual membership dues and event/corporate sponsorships, supplemented by PAC donations; financial figures are not publicly disclosed.

PCA's go-to-market is community-led: it recruits and retains registries by serving as the sole national voice for the caregiver registry model, advocating at federal and state levels on issues such as the Fair Labor Standards Act Companionship Services Exemption. Distribution channels include direct website enrollment, the Florida state chapter, conference sponsorship sales, and the CRSB accreditation application process. PCA has a multi-year flagship sponsorship with Ally (JTR Solutions, LLC), positioning the association at the center of an emerging ecosystem that links registries, technology vendors, and accreditation standards under the consumer-directed care model.

Short descriptiontext

Private Care Association is a 501(c)(6) national non-profit trade association, founded in 1977, representing home care registries that refer independent caregivers for in-home companion, homemaker, and nursing services across the United States.

Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
51–100
akta.pro rankint
HeadquartersSouthern Pines, United States
HQ citystring
Southern Pines
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Offices2 records

Each record includes

City, Country, Type, Description, Source

Keyword5 values
home care registries, trade association membership, caregiver accreditation, consumer-directed care advocacy, nurse registry standards
Industry2 codes
1Private-Duty Caregiver Staffing Agencies
CodeHSABAMABPrimaryYes
2Healthcare Licensing, Accreditation & Credentialing Boards
CodeHLAJACACPrimaryNo
NAICS code2 codes
  • Business Associations81391
  • Business, Professional, Labor, Political, and Similar Organizations8139
SIC code2 codes
  • Services-Membership Organizations8600
  • Services-Home Health Care Services8082
Product category
Home Care Trade Association
GTM motion1 record

Each record includes

Type, Description, Source

Revenue model3 records
1Membership Dues
TypeSubscription Recurring
Description

The PCA generates revenue through membership dues from caregiver registries (National, Florida, and Associate membership categories). The association is a 501(c)(6) organization.

privatecare.org
2Sponsorships
TypeSubscription Recurring
Description

Multi-year sponsorship agreements with industry partners such as Ally, including exclusive marketing rights and top sponsor status at National Conference.

privatecare.org
3PAC Donations
TypeAffiliate Referral
Description

Political Action Committee receives donations from members up to $5,000 per calendar year per person, used to support candidates who support the industry.

privatecare.org
Marketing channels7 records

Each record includes

Title, Type, Stage, Description, Source

Distribution channels4 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components4 values
Personnel, Operations, Marketing or Sales, Others
Pricing details4 tiers
1National Membership for registries operating outside Florida
ModelSubscriptionBilling cadenceAnnual
Notes

Voting member status; available to registries conducting all business outside of Florida

privatecare.org
2Florida Membership for registries operating in Florida
ModelSubscriptionBilling cadenceAnnual
Notes

Voting member status; includes additional state-level benefits from PCAFL chapter

privatecare.org
3Associate Membership for suppliers and service providers
ModelSubscriptionBilling cadenceAnnual
Notes

Non-voting member status; available to individuals, firms, partnerships, or corporations supplying products/services to registries

privatecare.org
4Franchise Rate for registries with more than 10 offices
ModelSubscriptionBilling cadenceAnnual
Notes

Group rates available upon email inquiry

privatecare.org
GTM typeB2B
B2B
Offering typeServices
Services
Core offering1 text field

Private Care Association (PCA) is a national 501(c)(6) nonprofit trade association founded in 1977 that represents home care registries which refer independent caregivers providing companion care, homemaker services, activities of daily living assistance, and nursing services in client homes. The association delivers membership programs, federal and state legislative advocacy, the Caregiver Registry Standards Board (CRSB) accreditation program, annual conferences, and a political action committee (PAC).

Differentiator
Functional benefit
Problem solved
Product overview1 text field

The Private Care Association (PCA) is a national trade association representing home care registries that refer independent care providers. Rather than a single software product, PCA operates as a membership organization offering several interconnected services: PCA Membership (core offering providing advocacy, education, and industry credibility), the Caregiver Registry Standards Board (CRSB) Accreditation program (establishing national standards for registry operations), Annual Conferences (providing education and networking), PCA PAC (political advocacy), and state chapters such as PCAFL for Florida-specific support. The association also provides member-exclusive tools, resources, and a self-assessment quiz for registry evaluation.

Product and service7 records
1PCA Membership Program
CategoryMembership Service
Description

Trade association membership for home care registries providing advocacy, education, networking, and industry credibility with consumers and government stakeholders.

2Caregiver Registry Standards Board (CRSB) Accreditation
CategoryAccreditation Service
Description

National accreditation program establishing industry standards for caregiver registries that screen and refer independent contractors, covering administrative credentialing, screening, information management, and registry practices.

3PCA Annual Conference
CategoryEvent Service
Description

Annual industry conference providing educational opportunities, networking, and sponsorship opportunities for caregiver registry owners and industry suppliers.

4PCA PAC (Political Action Committee)
CategoryAdvocacy Service
Description

Political action committee that allocates funds to candidates who support the home care registry industry and works to pass or combat relevant legislation.

5Private Care Association of Florida (PCAFL) State Chapter
CategoryRegional Chapter
Description

Florida-specific state chapter providing advocacy, regulatory guidance, operational mentorship, and legislative influence for nurse registries operating in Florida.

6Registry Self-Assessment Quiz
CategoryAssessment Tool
Description

Free self-assessment tool allowing registry operations to evaluate how their business measures up against industry standards.

7Members Only Tools & Resources
CategoryMember Benefit
Description

Exclusive resources for members including sample forms, webinars, and operational guidance for caregiver registries.

Scale indicator3 records

Each record includes

Type, Value, Description, Source

Partnership1 partner
Strategic tierFlagshipTypeGTM or Marketing PartnerAnnounced on2020-06-12
Description

Ally, a caregiver registry platform developed by JTR Solutions, LLC, entered into a multi-year sponsorship agreement as the Official Sponsor of the Private Care Association. The partnership includes shared marketing efforts and industry-specific exclusivity as the top sponsor at the National Conference. Ally has been perfecting a caregiver registry platform that allows entrepreneurs to continue to grow their business, built specifically for the caregiver registry industry.

Recent move8 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight5 records

Each record includes

Type, Description

Peers10 records
TypeOthers
Description

WellSky is a major healthcare technology vendor with home care software offerings used by registries and agencies. It is an ecosystem supplier to PCA's members rather than a direct trade association peer, but is comparable as a service provider to the registry industry.

TypeBroad incumbent
Description

Argentum is a national trade association for senior living operators, providing advocacy, education, and member services. Like PCA, it is a 501(c)(6) association with tiered membership, conferences, and PAC activity, but its members are senior living communities rather than caregiver registries.

TypeEmerging player
Description

PHI is a national advocacy and research organization focused on the direct-care workforce, including home care workers. It is comparable to PCA around workforce quality and policy advocacy for in-home caregivers, but frames the issue from a worker/wage perspective rather than an employer/registry perspective.

TypeDirect peer
Description

HCAOA is a national trade association representing home care agencies and the private-duty home care industry. It is the closest direct comparable to PCA in mission (advocacy for private-duty home care providers), although HCAOA leans toward agency models versus PCA's registry model.

TypeEmerging player
Description

NCOA is a national nonprofit advocating for older adults and the programs serving them, including community-based care. It is comparable to PCA in advocacy for senior care services, but operates as a 501(c)(3) public charity rather than a 501(c)(6) trade association.

TypeOthers
Description

Home Care Pulse is a third-party data, benchmarking, and credentialing provider serving private-duty home care agencies. It is a thematically adjacent ecosystem player to PCA because it competes with CRSB in the registry/agency accreditation and benchmarking space.

TypeBroad incumbent
Description

AHCA is the largest U.S. association representing skilled nursing and long-term care facilities. It is comparable to PCA as a long-standing 501(c)(6) advocacy organization for a fragmented long-term care provider segment, though its members operate facilities rather than registries.

TypeBroad incumbent
Description

NAHC is the largest U.S. trade association for the home care and hospice industry, providing advocacy, education, and member services. It overlaps with PCA on federal home care advocacy and member services, but covers a much broader home health/hospice membership rather than narrowly focusing on caregiver registries.

TypeBroad incumbent
Description

LeadingAge is a national association of nonprofit aging services providers, including home and community-based services. It overlaps with PCA on aging-related advocacy and member services, but represents a broader continuum of providers rather than caregiver registries specifically.

TypeDirect peer
Description

ALCA is a membership organization for geriatric care managers and aging care professionals providing in-home and community-based services. It mirrors PCA's model of combining advocacy, member standards, and a credentialing/accreditation component, but its focus is on care managers rather than caregiver registries.

Market position
Strengths5 records

Each record includes

Headline, Details, Source

Weaknesses5 records

Each record includes

Headline, Details, Source

Competitive moat4 records

Each record includes

Type, Details

Key risks5 records

Each record includes

Headline, Details, Source

Key highlights6 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Named customers3 records

Each record includes

Name, Industry, Type, Use case, Source, UUID

Segment4 records

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile3 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
No
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles13 records

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

Subsidiaries1 record

Each record includes

Name, Acquired on, Relationship type, Type, Business focus

No data
Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Private Care Association

Home Care Trade Associationprivatecare.org

Private Care Association is a 501(c)(6) national non-profit trade association, founded in 1977, representing home care registries that refer independent caregivers for in-home companion, homemaker, and nursing services across the United States.

What Private Care Association does

Private Care Association (PCA), founded in 1977 and headquartered in Southern Pines, North Carolina, is a 501(c)(6) national non-profit trade association representing home care registries that refer independent contractor caregivers for in-home companion care, homemaker services, and nursing services. PCA operates with 51-100 employees and maintains a regional Florida chapter (PCAFL) in Delray Beach. It is governed by a volunteer Board of Directors and led by an Executive Director and elected officers; current President is Lisa Kaufman.

PCA's core offering is a tiered membership program (National, Florida, and Associate) that delivers advocacy, education, government relations, networking, and industry credibility to member registries. The association operates the Caregiver Registry Standards Board (CRSB), which provides the only national accreditation program for caregiver registries, and runs an Annual Conference with multi-tier sponsorships ranging from $2,500 (Amethyst) to $20,000 (Diamond). Additional products include a PCA Political Action Committee (PAC), a public self-assessment quiz, and a members-only resources library. Revenue is generated primarily through recurring annual membership dues and event/corporate sponsorships, supplemented by PAC donations; financial figures are not publicly disclosed.

PCA's go-to-market is community-led: it recruits and retains registries by serving as the sole national voice for the caregiver registry model, advocating at federal and state levels on issues such as the Fair Labor Standards Act Companionship Services Exemption. Distribution channels include direct website enrollment, the Florida state chapter, conference sponsorship sales, and the CRSB accreditation application process. PCA has a multi-year flagship sponsorship with Ally (JTR Solutions, LLC), positioning the association at the center of an emerging ecosystem that links registries, technology vendors, and accreditation standards under the consumer-directed care model.

Private Care Association firmographics

Firmographics
Name
Private Care Association
Legal name
Private Care Association, Inc.
Website
https://privatecare.org
Company type
Private
Founded year
1977
Operating status
Operating
Headcount range
51–100 employees
Short description
Private Care Association is a 501(c)(6) national non-profit trade association, founded in 1977, representing home care registries that refer independent caregivers for in-home companion, homemaker, and nursing services across the United States.
Ownership category
akta.pro rank

Private Care Association industry classification

Industry
Product category
Home Care Trade Association
NAICS
Business Associations (81391), Business, Professional, Labor, Political, and Similar Organizations (8139)
SIC
Services-Membership Organizations (8600), Services-Home Health Care Services (8082)
akta.pro primary industry
Private-Duty Caregiver Staffing Agencies (HSABAMAB)
akta.pro secondary industry
Healthcare Licensing, Accreditation & Credentialing Boards (HLAJACAC)

Keywords

  • Home care registries
  • Trade association membership
  • Caregiver accreditation
  • Consumer-directed care advocacy
  • Nurse registry standards

Where Private Care Association is headquartered

Location

Headquarters

HQ city
Southern Pines
HQ country
United States
HQ region
North America

Offices2 records

Markets served

Private Care Association business model

Business model
GTM type
B2B
Offering type
Services
Cost components
Personnel, Operations, Marketing or Sales, Others

Revenue model

  1. Membership Dues: The PCA generates revenue through membership dues from caregiver registries (National, Florida, and Associate membership categories). The association is a 501(c)(6) organization.
  2. Sponsorships: Multi-year sponsorship agreements with industry partners such as Ally, including exclusive marketing rights and top sponsor status at National Conference.
  3. PAC Donations: Political Action Committee receives donations from members up to $5,000 per calendar year per person, used to support candidates who support the industry.

Pricing tiers

ModelBillingPrice
SubscriptionAnnualNational Membership for registries operating outside Florida
SubscriptionAnnualFlorida Membership for registries operating in Florida
SubscriptionAnnualAssociate Membership for suppliers and service providers
SubscriptionAnnualFranchise Rate for registries with more than 10 offices

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Private Care Association product offering

Product offering

Core offering

Private Care Association (PCA) is a national 501(c)(6) nonprofit trade association founded in 1977 that represents home care registries which refer independent caregivers providing companion care, homemaker services, activities of daily living assistance, and nursing services in client homes. The association delivers membership programs, federal and state legislative advocacy, the Caregiver Registry Standards Board (CRSB) accreditation program, annual conferences, and a political action committee (PAC).

Product overview

The Private Care Association (PCA) is a national trade association representing home care registries that refer independent care providers. Rather than a single software product, PCA operates as a membership organization offering several interconnected services: PCA Membership (core offering providing advocacy, education, and industry credibility), the Caregiver Registry Standards Board (CRSB) Accreditation program (establishing national standards for registry operations), Annual Conferences (providing education and networking), PCA PAC (political advocacy), and state chapters such as PCAFL for Florida-specific support. The association also provides member-exclusive tools, resources, and a self-assessment quiz for registry evaluation.

Differentiator

Problem solved

Functional benefit

Products and services

  • PCA Membership Program Trade association membership for home care registries providing advocacy, education, networking, and industry credibility with consumers and government stakeholders.
  • Caregiver Registry Standards Board (CRSB) Accreditation National accreditation program establishing industry standards for caregiver registries that screen and refer independent contractors, covering administrative credentialing, screening, information management, and registry practices.
  • PCA Annual Conference Annual industry conference providing educational opportunities, networking, and sponsorship opportunities for caregiver registry owners and industry suppliers.
  • PCA PAC (Political Action Committee) Political action committee that allocates funds to candidates who support the home care registry industry and works to pass or combat relevant legislation.
  • Private Care Association of Florida (PCAFL) State Chapter Florida-specific state chapter providing advocacy, regulatory guidance, operational mentorship, and legislative influence for nurse registries operating in Florida.
  • Registry Self-Assessment Quiz Free self-assessment tool allowing registry operations to evaluate how their business measures up against industry standards.
  • Members Only Tools & Resources Exclusive resources for members including sample forms, webinars, and operational guidance for caregiver registries.

Companies that use Private Care Association

Customer profile

Named customers3 records

Segments4 records

Ideal customer profiles3 records

Private Care Association technology and API

Technology

Technology focussed No

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

Private Care Association partnerships and signals

Strategic signal

Partnerships

One partnership is on record.

  • Ally (JTR Solutions, LLC. d/b/a Ally)flagshipGTM or Marketing Partner · 12 June 2020Ally, a caregiver registry platform developed by JTR Solutions, LLC, entered into a multi-year sponsorship agreement as the Official Sponsor of the Private Care Association. The partnership includes shared marketing efforts and industry-specific exclusivity as the top sponsor at the National Conference. Ally has been perfecting a caregiver registry platform that allows entrepreneurs to continue to grow their business, built specifically for the caregiver registry industry.

Scale indicators3 records

Recent moves8 records

Expansion highlights5 records

Private Care Association competitors and assessment

Company assessment

Others

  • WellSky (via Home Care Solutions): WellSky is a major healthcare technology vendor with home care software offerings used by registries and agencies. It is an ecosystem supplier to PCA's members rather than a direct trade association peer, but is comparable as a service provider to the registry industry.
  • Home Care Pulse: Home Care Pulse is a third-party data, benchmarking, and credentialing provider serving private-duty home care agencies. It is a thematically adjacent ecosystem player to PCA because it competes with CRSB in the registry/agency accreditation and benchmarking space.

Broad incumbents

  • Argentum: Argentum is a national trade association for senior living operators, providing advocacy, education, and member services. Like PCA, it is a 501(c)(6) association with tiered membership, conferences, and PAC activity, but its members are senior living communities rather than caregiver registries.
  • American Health Care Association (AHCA): AHCA is the largest U.S. association representing skilled nursing and long-term care facilities. It is comparable to PCA as a long-standing 501(c)(6) advocacy organization for a fragmented long-term care provider segment, though its members operate facilities rather than registries.
  • National Association for Home Care & Hospice (NAHC): NAHC is the largest U.S. trade association for the home care and hospice industry, providing advocacy, education, and member services. It overlaps with PCA on federal home care advocacy and member services, but covers a much broader home health/hospice membership rather than narrowly focusing on caregiver registries.
  • LeadingAge: LeadingAge is a national association of nonprofit aging services providers, including home and community-based services. It overlaps with PCA on aging-related advocacy and member services, but represents a broader continuum of providers rather than caregiver registries specifically.

Emerging players

  • PHI (Paraprofessional Healthcare Institute): PHI is a national advocacy and research organization focused on the direct-care workforce, including home care workers. It is comparable to PCA around workforce quality and policy advocacy for in-home caregivers, but frames the issue from a worker/wage perspective rather than an employer/registry perspective.
  • National Council on Aging (NCOA): NCOA is a national nonprofit advocating for older adults and the programs serving them, including community-based care. It is comparable to PCA in advocacy for senior care services, but operates as a 501(c)(3) public charity rather than a 501(c)(6) trade association.

Direct peers

  • Home Care Association of America (HCAOA): HCAOA is a national trade association representing home care agencies and the private-duty home care industry. It is the closest direct comparable to PCA in mission (advocacy for private-duty home care providers), although HCAOA leans toward agency models versus PCA's registry model.
  • Aging Life Care Association (ALCA): ALCA is a membership organization for geriatric care managers and aging care professionals providing in-home and community-based services. It mirrors PCA's model of combining advocacy, member standards, and a credentialing/accreditation component, but its focus is on care managers rather than caregiver registries.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Private Care Association social profiles

Digital presence

Private Care Association financial estimates

Financial estimate

Revenue estimate

Valuation estimate

Private Care Association leadership team

Management profile

Number of profiles

Profiles13 records

Private Care Association subsidiaries and ownership

Company hierarchy

Subsidiaries1 record

Private Care Association funding detail

Funding detail

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

Private Care Association M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Private Care Association

What does Private Care Association do?

Private Care Association (PCA) is a national 501(c)(6) nonprofit trade association founded in 1977 that represents home care registries which refer independent caregivers providing companion care, homemaker services, activities of daily living assistance, and nursing services in client homes. The association delivers membership programs, federal and state legislative advocacy, the Caregiver Registry Standards Board (CRSB) accreditation program, annual conferences, and a political action committee (PAC).

Is Private Care Association a public or private company?

Private Care Association is a private company. It is classified as nonprofit foundation owned and is currently operating.

When was Private Care Association founded?

Private Care Association was founded in 1977. It employs 51 to 100 people.

Where is Private Care Association based?

Private Care Association is headquartered in Southern Pines, United States, in the North America region.

How does Private Care Association make money?

Three revenue lines are on record. Membership Dues are the primary driver. The others are sponsorships and PAC Donations.

Who are Private Care Association's main competitors?

Others on record are WellSky (via Home Care Solutions) and Home Care Pulse. Broad incumbents are Argentum, American Health Care Association (AHCA), National Association for Home Care & Hospice (NAHC) and LeadingAge. Emerging players are PHI (Paraprofessional Healthcare Institute) and National Council on Aging (NCOA). Direct peers are Home Care Association of America (HCAOA) and Aging Life Care Association (ALCA).

Does Private Care Association have an API?

No public API is recorded for Private Care Association.

What industry is Private Care Association in?

Private Care Association's product category is Home Care Trade Association. Its primary akta.pro industry code is HSABAMAB, Private-Duty Caregiver Staffing Agencies, with a secondary code of HLAJACAC, Healthcare Licensing, Accreditation & Credentialing Boards. Its NAICS code is 81391 and its SIC code is 8600.

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Live signals
GlobeNewswireNew Long-Term Care Insurance Benefit Plans May Offer Affordable Option for Paying for In-Home Care, According to Private Care AssociationThe Private Care Association said new strategies converting life insurance policies into long-term care benefit plans could help Americans afford in-home private care. It cited a 2013 AARP study projecting family caregiver numbers falling from seven per 80-year-old in 2010 to three by 2050. The association noted registries can save families 10-30% on care costs.GlobeNewswirePrivate Care Association Shares 10 Warning Signs That an Elderly Loved One May Need In-Home Private Care, Advice on Where to Find CaregiversElder care experts advise families to watch for 10 warning signs of deteriorating health in elderly loved ones, including memory changes, unpaid bills, and driving issues. The Private Care Association recommends consulting its member registries to find pre-screened, self-employed caregivers, which can save 10-30% on care expenses.GlobeNewswirePrivate Care Association's 2013 Annual Conference Set for October 2-4 in OrlandoThe Private Care Association will hold its 2013 Annual Conference Oct. 2-4 in Orlando, Fla., featuring educational sessions on home care registries. The pre-conference will cover registry fundamentals, and the keynote speaker will address sales strategies. The conference aims to educate attendees on the registry model amid potential regulatory changes.GlobeNewswireProposed Department of Labor Rule Intended to Help Caregivers Earn More Will Actually Reduce Take-home PayThe Department of Labor proposed a rule change to the Companionship Services Exemption, which would require overtime pay for home care workers. The Private Care Association argues this will cut caregivers' hours and earnings, forcing them to work multiple clients or reduce care hours. The rule could also raise costs for seniors or shift care to facilities.