Paraprofessional Healthcare Institute, Inc. (PHI) is a non-profit organization based in New York City that works to improve long-term services and supports for elders and individuals with disabilities, as well as improve the job quality of the direct-care workers who provide those services whether in people's homes or in nursing homes and other institutional facilities.
[1][2][3] Founded in 1991 and headquartered in New York, PHI has 25 staff members, and implements policy and practice initiatives across 26 states and nationally.
PHI has received state and national grants to run pilot training programs, which teach staff at long-term care organizations how to implement a "Coaching Approach" to communication, supervision, and problem-solving.
PHI supports[7] revising the companionship exemption so that home care aides are no longer excluded from federal minimum wage and overtime protections.
They have been opposed by many organizations which support the rights of people with disabilities such as ADAPT and Disabled In Action of Metropolitan New York [1] which argue that revising the companionship exemption to require the payment of overtime rates for work performed beyond 40 hours a week will lead to reduced hours and take-home pay for home care workers and force many people with disabilities into nursing homes.