“Many nurses and therapists are paid on a per-visit basis, rather than hourly, said William Dombi, vice president of law at National Association for Home Care and Hospice, a Washington-based trade group that advocates for home care and hospice workers.

The organization is trying to figure out  how the overtime rule might affect them.

“Some nurses make lots of visits per week and put in more than 40 hours, but get paid the same because it’s fee-based, he {Mr. Dombi} said,” Modern Healthcare reported.

It added:  “If an adjustment is made to increase pay but no changes are made to the reimbursement payment schedule set by the CMS, nursing homes could see their workforce shrink, said Jeffrey Wellman, chief operating officer of the National Association of Healthcare Assistants.