While much of the attention to Proposition 206 has been directed toward restaurant and other service workers, there is a larger and more vulnerable population that will be significantly affected by raising the minimum wage in Arizona: Seniors and those who care for them.

As the president of the Arizona In-Home Care Association, I represent an industry that has been hit hard in recent years by the Affordable Care Act and other federal legislation and unfunded mandates. Proposition 206 goes a step beyond in terms of its direct impact to our elderly and disabled population.

What many fail to see is that raising the minimum wage by 50 percent will also cause an increase in the cost of needed in-home care for seniors, disabled adults and even children

Consider this: Currently, the average cost in Arizona for in-home services ranges from $20 to $24 per hour. If Prop. 206 passes, services most likely will exceed $30 per hour.

For many older adults on a fixed income—and for financially strapped baby boomers taking care of their parents and their own families—this increase could be devastating.

When Seattle raised its minimum wage to $15 per hour, it increased the cost of in-home services to nearly $35 per hour—putting these services out of the reach of many seniors, disabled adults and children.

When the cost of care increases and fewer people can afford to use in-home care, large and small in-home care providers throughout the state will be forced to cut back on hours or staffing.  When this happens, the pool of skilled caregivers will choose to go into other industries that are paying similar wages. This also happened in Seattle.

The average non-medical caregiver in Arizona earns just above the current minimum wage, up to $12 per hour, depending on experience and training. While that may not seem like a large sum, it’s important to note that these individuals often use caregiving as an important stepping stone to other medical professions.

As our senior population grows, the demand for skilled caregivers also increases. If the cost to employ skilled caregivers goes up while the pool of available workers shrinks, many in-home care agencies will also be forced to hire workers who are less expensive but less experienced, which can impact overall quality of care.

Even more concerning is the potential unintended consequences of Prop. 206: The emergence of an underground market which would place liability and risk on our most vulnerable community members.

 This could potentially result in increased financial, physical, or even mental abuse by predators targeting seniors and disabled adults and children.  

Why we will all end up paying? There are currently 100,000 seniors and 30,000-plus disabled adults and children in Arizona requiring in-home care being covered under state programs that may be affected by Prop. 206.

In addition, when some older adults not on state programs can no longer afford in-homes services, they will most likely drop from private care and further strain our already burdened Medicaid system.

The cost to Arizona taxpayers? Tens of millions of dollars.

Ask yourself: Can our seniors and their families afford Proposition 206? 

– Mark Young is president of the Arizona In-Home Care Association, CEO of ComForCare and host of “Aging in Arizona” on Patriot Radio.

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