What NYC’s Proposed 24-Hour Shift Ban Could Mean for Families Who Rely on Home Care
Families with a loved one who receives round-the-clock at-home care in Brooklyn (or anywhere else in NYC) are likely hearing rumors about a proposed law that will require changes to their current scheduling for home care. In this article we will help explain to families what is being proposed, where the current status of the legislation is at this time, and how Angel Care Inc can ensure that your loved one continues to receive consistent care regardless of the outcome.
What Is the Proposed Law?
The proposed legislation (Intro 303), also known as the “No More 24 Act”, would limit home care agency staff schedules to no greater than 12 hours per day. Home care workers currently provide around-the-clock support to some of their clients by working 24 hour “live-ins”. Advocates for this new law include some organizations that represent home care workers; they have stated that these 24-hour live-ins are very physically taxing on the workers, and also that the workers do not receive compensation for all hours worked because the employer can deduct hours where the employee had rest time and meals. Therefore advocates believe it is an issue of fairness in the workplace, particularly given that the majority of those working in this field are female immigrants.
Comparison table: current 24-hour home care shift model versus the proposed Intro 303 model in New York City
|
Factor |
Current model |
If Intro 303 passes |
|
Max shift length |
Up to 24 hours (live-in) |
Capped at 12 hours per day |
|
Aides needed for round-the-clock care |
1 aide per 24-hour period |
2 aides per 24-hour period |
|
Paid hours per 24-hour shift |
13 hours (with sleep and meal breaks) |
24 hours (two full 12-hour shifts) |
|
Continuity of caregiver |
Same aide throughout the day |
Handoff between two different aides |
|
Funding source |
State-regulated Medicaid rates |
Same Medicaid rates; no new city funding secured |
|
Legal status (as of July 2026) |
In effect; standard practice citywide |
Bill introduced (Int. 0303-2026); not yet passed |
Based on the terms of Int. 0303-2026 as introduced in the NYC Council. Figures reflect the current 13-hour sleep-and-meals pay standard for 24-hour shifts under existing labor rules.
Why It’s Controversial
Home care services in New York are funded and governed by Medicaid at the State level, rather than the City. Many care providers and Governor Hochul’s office have pointed out to opponents of the bill that a city law limiting each aide to work no more than 12 hours per week will force home health agencies to double their staffing requirements for each client when they substitute two 6-8 hour shifts (separate) for every 24-hour shift they currently staff. This means that either a significant increase in funding is required to pay for these added caregivers; or an even greater limitation on the amount of time that family members can receive care.
In addition to increased costs, critics argue that this law could cause a disruption in the continuity of care. Caregivers who provide assistance to individuals suffering from dementia, limited ambulatory ability, or complex medical needs may experience difficulty establishing a daily routine as multiple caregivers come and go throughout the day.
Where the Bill Stands Now
As of the beginning of this summer, the bill was still pending. The city council is working on it and the Governor’s office has been reportedly trying to keep it off the table with a lot of behind the scenes work due to issues over how much money will be involved. There are other similar bills moving forward in Albany. Families who are using 24 hour home care in NYC right now do not need to worry about these changes happening, however, this is one we should watch closely; if they happen, they may change how you schedule and staff your agency.
Home care aides were paid more than they were prior to the increase which occurred on January 1, 2026, as part of a planned series of pay increases for the home care workforce. This is another example of how home care is changing both legislatively and financially.
What This Means for Your Family
We also understand why discussing potential changes to Home Care may create concern, particularly if your family relies on an ongoing reliable & consistent caregiver for a Parent or Spouse. This is what we want you to know;
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There are no planned immediate changes.
At this time, the Bill has not been passed into Law and even when/if it becomes Law, typically there is a Transition Period prior to implementation of new Scheduling Models.
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Angel Care continues to watch the Legislative/Regulatory Developments
concerning this issue and ensures our Clients/Families remain “informed” of all developments at all times.
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Regardless of future Scheduling Models, Angel Care will continue to prioritize Continuity of Care.
Our goal remains to provide your loved ones with caregivers they already Know and Trust, while maintaining the smoothest transition process possible.
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If you receive or consider 24 hour care, please do not hesitate to contact us
regarding concerns/questions of how these changes could impact you; our Team is available to discuss.
Staying Informed Together
This legislation demonstrates just how much time and effort can be invested in providing support with home care “behind the scenes,” and how crucial it will be to work with an agency that takes note of changes happening at the state level prior to them affecting your family. If you are concerned about your current care arrangement, or if you are researching home care options for a loved one in the Brooklyn or surrounding New York areas; we invite you to call Angel Care today. We would be happy to explain what you can anticipate from our services — both currently, and as the legal environment continues to evolve.
There is an unmistakable "back-to-school" vibe that comes to New York City each August. As stores begin to display backpacks, parents start sharing school supply lists on social media and family members begin counting down the days until the first day of school. While many children and young adults will be returning to the classroom, back to school time may seem unattainably far away for seniors who receive in-home care or have limited mobility. This does not mean that they cannot connect with and celebrate this momentous occasion. They simply need to make it happen. Be the Go-To for First-Day Traditions Many families have those little routines that happen every year when it is time for school: a special meal before leaving the house; taking an annual photo with your children on the porch; a certain lucky words/phrase that you say to each other as you are sending them off. The grandparents may be able to keep many of these traditions alive-even if they are hundreds of miles away. Calling their child/grandchild after waking them up on the first day of school so they can send pictures, or mailing cards wishing them 'Good Luck This Year', give both the grandparent and child something to look forward to, and allows the grandparents to take part in the big moment. Start a Standing "How Was School" Call Many times kids are more open with information in informal settings where there is little pressure, especially when compared to having a family discussion as an agenda item for the evening. The idea of calling your grandmother or grandfather every week and asking them to share with you one positive experience and one negative experience from that week can give kids a reason to be excited for those calls. Furthermore, it will allow grandparents to see what is going on in their grandchildren’s lives. Help with Homework in Their Area of Expertise Your grandparents have decades of knowledge that is much more valuable than you may realize. An old teacher may be able to assist your child with their reading skills. A previous bookkeeper could put an end to your child’s frustration when it comes to completing math worksheets. Someone in your family that has experienced history first-hand can transform a boring textbook chapter into a fun, engaging conversation about events in which your child will learn. Taking a few minutes for a video call to go over a difficult assignment will take what would normally be homework time and turn it into quality family time. Send Something in the Mail In today’s digital world where texting and video chatting have become our norm, an actual letter or post card from a person to a child still has that magical feel. Even a simple postcard, a couple of stickers, or a hand written message wishing them good luck in this new school year can be huge compared to what you would think. Ask to See the School Supplies Something as simple as asking a grandchild to show off their new backpack, pencil case, or folder over video chat gives kids a moment to feel proud and gives grandparents a genuine window into their daily life. Enthusiasm doesn't have to be complicated to be meaningful. Share Their Own School Memories Kids tend to be curious about what school was like when your Grandparents were in school. They want to know how things differ. How did they get to school? What was recess like? Did you all walk to school? By asking these questions, kids will have a greater understanding of their family history as well as allow you to reminisce over some of your favorite times from school. Small Effort, Lasting Impact The concepts discussed above do not demand that grandparent’s travel away from their homes; they also don’t require coordinating an extremely busy schedule; nor will they cause an over whelming amount of stress. All three simply require an intent to connect as well as a desire to call. For many families who are providing home care, establishing small connection points such as back to school, may be one of the most enjoyable times of year for both grandparents and grandchildren. If you support someone in your life by caring for them at home and would like to help them continue to stay connected to the important events/milestones in the lives of those whom they love (such as going back to school), Angel Care’s caregivers are more than willing to assist in setting up video calls, addressing envelopes etc. or just create space for the opportunity for spontaneous conversations to occur.
