What about the quality of care.

As the numbers of homemaker-home health aide services grow, it is clear that there is an urgent need to improve and maintain the quality of paraprofessional services. Because homemaker-home health aide services affect the public good, it is important that the federal government be involved in developing and enforcing quality assurance standards. The establishment of national standards must become a priority for the government as well as for national, state, and local associations.