The two groups of workers, who are represented by the SEIU and paid through state contracts, will become eligible for taxpayer-funded sick leave under the earned sick time law that voters passed in November.
When Corleen Adams, a childcare provider in Turners Falls, underwent surgery, she took time off. She continued to be paid by the children whose families pay privately, but she was not paid for the low-income children who attend her program with state-subsidized vouchers.
Told that she may be eligible for state-funded paid sick time under a law passed by voters in November, Adams said, "That's great, who wouldn't want it?"
A provision of the sick leave law that passed by referendum on the November ballot will provide earned sick time to personal care attendants and home-based childcare providers who have contracts with the state, at taxpayer expense.
Steve Crawford, a spokesman for Raise Up Massachusetts, a coalition that promoted the ballot initiative, said it is important for these groups to have access to earned sick time.
"They provide care for the most vulnerable citizens in our state - the very old, the very young, the disabled," Crawford said. "We're pleased that the voters of Massachusetts agreed that these workers should be able to take a couple days off with pay when they're sick."
But Jon Hurst, president of the Retailers Association of Massachusetts, said the Service Employees International Union, which represents the workers, snuck a benefit into the ballot initiative to help their own workers.
"In essence that was, by a new law, a new union contract benefit courtesy of the taxpayer," Hurst said.
The personal care attendants are those who have state contracts through MassHealth, the state's Medicaid program, to care for people who are elderly or disabled. The new law says that for purposes of providing earned sick time, the Personal Care Attendant Quality Home Care Workforce Council – a governmental body overseeing the personal care attendants – will be considered the attendants' employer. The law makes the state's Department of Early Education and Care the employer of family childcare providers, home-based daycare providers who care for low-income children who receive state-funded vouchers.
State officials at the Department of Health and Human Services and the Department of Education were unable to provide an estimate of how much the provision will cost the state.
"We are working to provide a timely analysis of the ballot initiative in time for its effective implementation," said Kathleen Hart, a spokeswoman for the Department of Early Education and Care.
Although supporters and opponents of the ballot initiative mentioned some numbers during their campaigns, representatives of the unions and the Retailers Association said this week that they did not have an accurate estimate of the cost.
The law states that all employers with more than 11 employees must provide up to 40 hours of paid sick time a year. (Sick time is accrued based on how many hours an employee works.)
Alec Loftus, a spokesman for the Department of Health and Human Services, said there are approximately 35,000 personal care attendants with state contracts in Massachusetts. They are paid $13.38 an hour, according to a collective bargaining agreement between the SEIU and the state.
If all the workers take their maximum benefit, the cost would be $18.7 million. But because it is a new benefit, those involved with crafting the law say there is no accurate way to estimate how much sick leave will actually be used. That figure does not take into account the number of hours the personal care attendants actually work or the rates at which people get sick.
There are fewer family childcare providers. The SEIU, which represents the providers, says there are around 3,500 providers who get state reimbursements. They are paid according to a formula that varies based on geographic region and age of the children. Family childcare providers are generally reimbursed at between $28 and $49 per child per day, while a relative caring for a child in the relative's home gets $16 per child per day, according to state data. (Those rates are scheduled to increase during the current fiscal year.)
The new sick time law goes into effect July 1, 2015. Any costs to the state will have to be included in Gov.-elect Charlie Baker's first state budget, which will cover the fiscal year that begins in July 2015.
Baker, a Republican, opposed the earned sick time ballot initiative. But he has said he respects the ballot initiative process and will implement the law as passed, without any changes.
The Retailers Association of Massachusetts opposed the earned sick time law because of its effect on small businesses and donated $4,600 to the opponents' ballot initiative campaign. Hurst said he does not necessarily oppose giving earned sick time to these workers, but he is unhappy with the fact that the provision was not publicized much during the debate. Most of the discussion of the ballot initiative focused on the moral right for all workers to have earned sick time and the benefits of allowing people to stay home when they are sick.
"It was a bit deceptive by the proponents that that was a major objective of the writers and funders of the initiative," Hurst said.
Hurst said personal care attendants and childcare providers are like independent contractors, who are not eligible for paid sick time. He argues that the SEIU, which represents both groups of workers, should have bargained for the benefit.
"This is clearly a political, self-centered, contractual objective of the SEIU," Hurst said. "They did a vast upgrade of their taxpayer funded contract by essentially hiding it in a larger initiative that looked like it would be good public policy."
The SEIU – including its international headquarters, its Massachusetts council and local union branches - donated $902,000 to the ballot campaign for earned sick time, including in-kind contributions, which include things like staff time. Of that, $100,000 came from 1199SEIU, which represents the personal care attendants, and $75,000 came from Local 509, which represents the childcare providers, according to campaign finance records.
Spokesmen from both unions referred questions to Crawford. Crawford stressed the importance of the benefit for personal care workers and family childcare providers.
"They truly do God's work," Crawford said. "It's essential for the very fragile population that they care for that when they're sick, they're able to take time off without losing a day's pay, to protect the health of their client."
Crawford noted that these groups are a tiny percentage of the 910,000 workers who will be helped by the new law, which will primarily benefit people who work in restaurants and retail. Crawford argued that many of the personal care attendants and family childcare providers are paid exclusively by the state, so it makes sense for the state to give them benefits.
Supporters of earned sick time – labor, faith groups, community organizing groups and some individuals - spent around $800,000 on the ballot initiative, while opponents, mostly business groups, spent less than $50,000. (These numbers do not include in-kind contributions.)
Crawford said Hurst's concern about the way the provision was passed "is simply sour grapes by lobbyists for sectors of the business community that failed to mount really any campaign at all against the question."