Home health aides are currently not entitled to federal minimum wage and overtime protections because the Fair Labor Standards Act classifies them as companions to the elderly and disabled.
The Supreme Court affirmed the so-called "companionship exemption" in 2007, but said federal regulators could reshape it at any time via rule-making.
The Obama administration proposed a new rule in 2011, and according to PHI, the Labor Department sent a draft final rule to the White House Budget Office in January.
That office is now in the process of finalizing the rule, which is controversial among the elderly and disabled.
Advocates for these groups have expressed concerns that applying federal labor standards to home health jobs will increase costs and lead families to institutionalize their loved ones.