Caregiving
DOL Rescinds Overtime Rule: A Relief for Ohio Home Care Agencies and Families

The short answer
The Department of Labor has canceled a rule that would have increased overtime pay requirements for salaried workers. This returns the industry to 2019 standards, helping home care agencies avoid financial strain and stay focused on providing care.
What to remember
- The 2024 DOL overtime rule has been officially rescinded, returning the salary threshold to 2019 levels.
- This move helps home care agencies in Ohio avoid sudden spikes in administrative costs.
- While it provides financial relief for agencies, the industry still faces a major struggle with low Medicaid reimbursement rates.
- Families using MyCare Ohio or PASSPORT should see more stability in agency management and staffing coordinator roles.
What Changed with the Overtime Rule?
The legal landscape for home care just took a major turn. Last week, the U.S. Department of Labor (DOL) officially canceled a 2024 rule that would have forced home care agencies to pay overtime to many more employees. According to Home Health Care News, the government has decided to go back to the 2019 salary rules instead.
This change is a big deal for families in Toledo and across Ohio who rely on home care. For the last year, many agencies were worried that new salary requirements would make it impossible to stay in business. By going back to the old rules, the pressure on these agencies has eased up. This means the people who manage your care are less likely to face sudden layoffs or pay cuts.
Why This Matters for Your Caregivers
In 2024, the government tried to raise the 'salary threshold.' This is the amount of money an employee must make before an employer can stop paying them overtime. The new rule would have made almost any supervisor or office manager in a home care agency eligible for overtime pay.
Home Health Care News reports that courts eventually stepped in and blocked the rule. Now, the DOL has formally given up on it. We are back to the 2019 standard, which requires a much lower salary for an employee to be exempt from overtime. While this sounds like a technical business issue, it actually helps keep care consistent for Ohio families. When agencies spend less on legal compliance, they can focus more on finding and keeping good caregivers.
The Squeeze on Ohio Medicaid Providers
Ohio home care agencies operate on very tight budgets. Most of the money they receive comes from Medicaid programs like PASSPORT or the DODD waivers. These programs pay a set rate per hour. If the government raises labor costs (like overtime) but doesn't raise the Medicaid rate, agencies get squeezed.
If the 2024 rule had stayed, many Ohio agencies would have been forced to limit the hours their staff could work. This could have led to slower response times when you called the office or a harder time getting a new caregiver started. By returning to the 2019 rules, agencies have more breathing room to manage their teams without fear of massive lawsuits or fines.
The Bigger Picture: The Staffing Crisis Remains
Even though the overtime rule change is a relief, it does not fix everything. Home Health Care News points out that this move does not solve the root problem: the gap between what it costs to provide care and what the government pays for it.
In Ohio, we are still dealing with a massive shortage of healthcare workers. While the DOL decision helps agencies stay stable, it doesn't automatically mean more nurses or aides are entering the field. For families in Toledo, the struggle to find overnight care or specialized help remains. We still need better funding from the state to make sure caregivers earn a living wage that reflects their hard work.
What Families Should Expect Next
For now, you don't need to change anything about your care plan. This ruling helps make sure the agency you use today is more likely to be there tomorrow. It provides a level of financial stability that was missing for most of 2024.
Reliance Care Solutions continues to monitor these changes to ensure we are always in compliance while putting our clients first. We believe that an informed family is a prepared family. As Ohio continues to update its MyCare and waiver programs, we will be here to explain how these national laws affect your front porch.
Frequently asked
Will my family member lose their care hours because of this rule change?
No. This change affects how agencies pay their staff and manage budgets. Your loved one will still receive the care hours authorized by their waiver or plan.
Will this help with the caregiver shortage in Ohio?
Yes. By returning to lower salary thresholds, agencies have more flexibility to keep their best supervisors and coordinators in the field rather than cutting their hours to avoid overtime pay.
Does my caregiver still get paid overtime?
If your caregiver is a direct home health aide paid hourly, they are still entitled to overtime pay under standard labor laws. This rule change mostly affects the salaried staff who manage the care teams.
Sources we cite
Cite this page
Reliance Care coordinator team. (2026). DOL Rescinds Overtime Rule: A Relief for Ohio Home Care Agencies and Families. Reliance Care Solutions. https://www.reliancecaresolutions.com/resources/news/dol-overtime-rule-rescinded-ohio-home-care
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