Across America, families are struggling to find affordable, flexible care for aging loved ones. At the same time, many Americans—particularly students—are looking for affordable housing and meaningful, flexible opportunities that fit their lives.

The American Caregivers Act creates a new pathway that connects caregivers with families through vetted sponsoring organizations, making it easier to access safe, affordable, in-home care while creating new opportunities for American students interested in providing meaningful support to seniors. The American Caregivers Act focuses exclusively on non-medical caregiving, helping older Americans who need companionship and daily living assistance—not skilled nursing care.

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The Challenge

Families across the country are facing a growing caregiving crisis caught between the need for in-home care and the availability of affordable options.

  • Non-medical, day-to-day care for seniors is increasingly difficult to secure.
  • Middle-income families are often priced out of private care but do not qualify for public programs.
  • Too often, public policies and regulations make home-based support less accessible than it should be.
  • Regulatory barriers have restricted access to flexible, companionship-based caregiving models.

A Proven Model—Expanded For American Families

For decades, the federally authorized Au Pair Program has successfully connected families with in-home child care through a structured, sponsor-led model. It is well tested and widely used by American families. 

The American Caregivers Act builds on that success, adapting the same proven framework into a domestic caregiving model that expands access to senior care.

The American Caregivers Act establishes a sponsor-led caregiving program designed to expand access to affordable, flexible, non-medical, in-home care, without creating a new government spending program.

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Federal Model State Model

Structure

Sponsor-Based Administration. The department or agency designated to administer this Act designates qualified sponsoring organizations to: 

  • Recruit, vet, train, and place caregivers
  • Monitor placements and ensure compliance
  • Maintain safeguards, including 24/7 reporting mechanism
  • Administer agreements to remove legal burdens from families

Defined Scope of Care. Care is limited to non-medical services, including:

  • Senior care and companionship
  • Supervision, daily assistance, and meal preparation  

Service and Educational Model.

  • American Caregivers engage in a structured program focused on education, training, and skill development.
  • Caregiving is incidental to participation in the program, not a traditional employment relationship.
  • Caregivers shall complete coursework through enrollment at a college or university.

Household Participation.  

  • Host households provide room and board and a safe living environment.

Compensation and Structure.

  • Caregivers receive a stipend tied to program participation, not hourly wages.
  • Sponsoring organizations oversee compensation structure and program compliance.
  • All costs are paid by participating households.
  • The program is fully budget neutral, with no taxpayer funding required.

Legal and Regulatory Clarity. The legislation provides a clear rule of construction to ensure:

  • Caregivers are treated as program participants, not employees, under federal and state wage and hour laws.
  • Care is classified as non-medical companionship.

Why It Matters. This legislation delivers a practical solution to a growing challenge:

  • Expands access to affordable, flexible, in-home care 
  • Supports family choice and aging in place
  • Builds a domestic caregiving pipeline through structured training
  • Reduces reliance on costly institutional care and publicly funded programs
  • Leverages a proven model, bringing the success of the au pair program to a broader caregiving context

Resources

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