29 C.F.R. § 552.6

Companionship services

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(a) As used in section 13(a)(15) of the Act, the term companionship services means the provision of fellowship and protection for an elderly person or person with an illness, injury, or disability who requires assistance in caring for himself or herself. The provision of fellowship means to engage the person in social, physical, and mental activities, such as conversation, reading, games, crafts, or accompanying the person on walks, on errands, to appointments, or to social events. The provision of protection means to be present with the person in his or her home or to accompany the person when outside of the home to monitor the person's safety and well-being.

(b) The term companionship services also includes the provision of care if the care is provided attendant to and in conjunction with the provision of fellowship and protection and if it does not exceed 20 percent of the total hours worked per person and per workweek. The provision of care means to assist the person with activities of daily living (such as dressing, grooming, feeding, bathing, toileting, and transferring) and instrumental activities of daily living, which are tasks that enable a person to live independently at home (such as meal preparation, driving, light housework, managing finances, assistance with the physical taking of medications, and arranging medical care).

(c) The term companionship services does not include domestic services performed primarily for the benefit of other members of the household.

(d) The term companionship services does not include the performance of medically related services provided for the person. The determination of whether services are medically related is based on whether the services typically require and are performed by trained personnel, such as registered nurses, licensed practical nurses, or certified nursing assistants; the determination is not based on the actual training or occupational title of the individual performing the services.

[78 FR 60557, Oct. 1, 2013]
Notes of Decisions
Cited in 73 cases (13 in the last 5 years), 1976–2026 · leading case: Evelyn Coke v. Long Island Care at Home, Ltd., & Maryann Osborne, 376 F.3d 118 (2d Cir. 2004).
Evelyn Coke v. Long Island Care at Home, Ltd., & Maryann Osborne, 376 F.3d 118 (2d Cir. 2004). · cites it 5× “See 29 C.F.R. § 552.6 . The second regulation we consider applies the exemption to “[e]mployees who are engaged in providing companionship services, as defined in § 552.”
Hypolite v. Health Care Servs. of New York Inc., 256 F. Supp. 3d 485 (S.D.N.Y. 2017). · cites it 3× “29 C.F.R. § 552.6 (1975) (the “Home Health Aide Exemption”).”
Brittmon v. Upreach, LLC, 285 F. Supp. 3d 1033 (S.D. Ohio 2018). · cites it 2× “29 C.F.R. § 552.6 (2016). The Final Rule was scheduled to become effective on January 1, 2015.”
Home Care Ass'n v. David Weil, 799 F.3d 1084 (D.C. Cir. 2015). · cites it 3× “” 29 C.F.R. § 552.6 (2014). Additionally, “[s]uch services may include household work related to the care of the aged or infirm person such as meal preparation, bed making, washing of clothes, and other similar services.”
Guerrero v. Superior Court, 20 Wage & Hour Cas.2d (BNA) 464 (Cal. Ct. App. 2013). · cites it 2× “Such services may include household work related to the care of the aged or infirm person such as meal preparation, bed making, washing of clothes, and other similar services.”
Alec Marsh v. J. Alexander's LLC, 869 F.3d 1108 (9th Cir. 2017). · cites it 3× “§ 213 (c)(6); 29 C.F.R. §§ 552.6 (b), 786.1, 786.100, 786.”
Cummings v. Bost, Inc., 218 F. Supp. 3d 978 (W.D. Ark. 2016). · cites it 2× “29 C.F.R. § 552.6 (1975). Bost argues that under this definition of “companionship services,” Plaintiffs were exempt employees because they provided attention and care to disabled clients.”
Terwilliger v. Home of Hope, Inc., 21 F. Supp. 2d 1294 (N.D. Okla. 1998). · cites it 5× “29 C.F.R. § 552.6 . In the instant case, it is clear that Plaintiffs were employed to provide fellowship, care, and protection for individuals of advanced age or infirmity.”
Carmack v. Park Cities Healthcare, LLC, 321 F. Supp. 3d 689 (N.D. Tex. 2018). · cites it 2× “29 C.F.R. § 552.6 (emphasis added). The term companionship services, as revised, includes the provision of care only if it is "provided attendant to and in conjunction with the provision of fellowship and protection and if it does not exceed 20 percent of the total hours worked…”
Alec Marsh v. J. Alexander's LLC, 905 F.3d 610 (9th Cir. 2018). “, does not exceed 20 percent of the total hours worked on the particular babysitting assignment” (emphasis in original)); 29 C.F.R. § 552.6 (b) (“The term companionship services also includes the provision of care .”
Cash v. Winn, 205 Cal. App. 4th 1285 (Cal. Ct. App. 2012). · cites it 3× “The issue here, however, is whether a person, who is not a licensed nurse of any type (professional, registered, graduate, or trained) and whose work is primarily (more than 80 percent of the time) that of a personal attendant as defined above, loses his or her status as a…”
Bayada Nurses, Inc. v. Commonwealth, Dep't of Labor & Indus., 958 A.2d 1050 (Pa. Commw. Ct. 2008). · cites it 2× “29 C.F.R. § 552.6 . More importantly, the MWA and the regulation do not exempt employees of third party employers.”
— 29 C.F.R. § 552.6(a) — 1 case
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