Articles · Family caregivers

Yes, your daughter can be paid to take care of you. Here is how.

One of the most valuable and least-claimed benefits under the White Card: the family member who already helps you bathe, dress, cook, and get to appointments can be employed for that work — trained, nurse-supervised, and paid, at no cost to you.

Reviewed by Alara’s Director of Nursing, RN · July 2026

What the benefit actually is.

Under EEOICPA, home health aide services are covered for your accepted conditions — and the aide can be a family member. Your spouse, son, or daughter is hired by the agency, trained, and works under nurse supervision on your plan of care. The program pays their wages, at no cost to you.

The person who knows you best stops going broke to care for you — and starts being paid for the work they were already doing.

How it works, step by step.

  1. Your care is authorized. Home health aide services are part of your physician-ordered, DOL-authorized plan of care. (How hours are set →)
  2. Tell the agency who already helps you. When we set up care, you tell us the family member you want involved.
  3. They are hired and trained. The family member becomes an employed home health aide — trained, background-checked, and supervised by our nurses.
  4. They are paid for the care they give, on the schedule in your plan of care, billed to the Department of Labor like any covered service.

The one rule to know.

The family member being paid as your aide cannot also serve as your Authorized Representative with the Department of Labor — the person who files and manages your claim. The DOL treats that combination as a conflict of interest. Most families simply have one relative do the care and another (or an outside representative) act on the claim.

Common questions.

Which family members can be paid?

Commonly a spouse or adult child who already provides your day-to-day help. The person is employed by the agency and works within your authorized plan of care.

Does this reduce my other benefits?

No. It is part of your covered home health, billed to the Department of Labor like any covered service, at no cost to you.

What if my family member works a job already?

Care hours are set by your plan of care and can fit around other work. We schedule aide hours to your authorization, whoever provides them.

Sources: U.S. Department of Labor, Division of Energy Employees Occupational Illness Compensation. General information, not a determination of eligibility; the Department of Labor authorizes services and sets the rules for representatives.

Is someone in your family already doing this work?

Tell us who helps you. We can explain exactly how they would be enrolled, trained, and paid within your covered care.

Have a nurse call you Or call (702) 814-9630
Alara helps you understand and reach benefits you may already be entitled to. It does not replace the Department of Labor, your Resource Center, your physician, or any federal agency. Nothing here is legal advice or a coverage or eligibility determination.