Las Vegas

Vegas Home Care Aides Say They Are Broke While Medicaid Pays More

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Published on March 10, 2026
Vegas Home Care Aides Say They Are Broke While Medicaid Pays MoreSource: Google Street View

In Las Vegas, caregivers for Vida Senior Service say contract talks with the agency have hit a wall while their paychecks barely stretch to the end of the month. Workers report they take home about $17 an hour even though state Medicaid funding for many home-care hours was raised to roughly $25 an hour. Union organizers say stalled bargaining and what they describe as anti-union tactics have pushed caregivers into public rallies and a formal NLRB complaint this month.

Caregivers Say Pay Barely Covers The Basics

Frontline workers describe a constant squeeze from rent, transportation and utility bills. Regina Brown-Ross, who has worked for Vida for eight years, told reporters that caregiving often leaves her with nothing left after paying rent and other essentials. Many caregivers say they are asking for straightforward workplace changes, including direct deposit, higher pay and accrued time off that can roll over from year to year. FOX5 reported on the rally and workers’ complaints.

Workers Describe The Daily Squeeze

Caregiver Debra Loving said she spent nearly a third of one week’s earnings on two Uber rides just to pick up a physical paycheck. "Management told workers they don't have direct deposit so management can \"look at us and make sure that we're not using drugs,\"" Loving told the Nevada Current. Those day-to-day frustrations, workers say, helped spur a rally outside Vida’s Las Vegas office last week.

Union Alleges Stalling And Anti-Union Moves

SEIU Local 1107 says it filed a complaint with the National Labor Relations Board on March 3 alleging that Vida and five agencies it operates under refused to bargain and used retaliation and discipline against workers for organizing. Workers told reporters that two Vida-linked agencies hired H. Sanford Rudnick & Associates, an anti-union consultant that has marketed itself as successful in employer campaigns. As detailed by the Nevada Current, union organizers also say Vida owner Edgar Jimenez repeatedly delayed meetings after the first contract expired on Dec. 31.

Legal Implications

Federal labor law makes it illegal to retaliate against employees for organizing or to refuse to bargain in good faith with a certified union. The NLRB enforces those protections and can order remedies such as cease-and-desist notices, reinstatement or back pay when violations are proven. The board also handles election objections and can seek court enforcement in high-stakes cases. For an overview of the process and possible remedies, see the NLRB's guidance on protecting legal rights.

Why It Matters In Las Vegas

Organizers point to the timing. Lawmakers recently increased Medicaid reimbursement rates for home-care services, lifting the per-hour payment to about $25 while many frontline caregivers still report making roughly $17 an hour. That gap is significant in a market where a single adult’s living-wage need in Clark County is estimated around $24.20 per hour, according to calculations used by local reporting and the MIT Living Wage Calculator. Local coverage tracing the legislative moves and reimbursement changes was reported by the Las Vegas Review-Journal.

SEIU says caregivers will keep pressing for direct deposit, higher wages and rollover accrued time off until bargaining resumes. Vida did not respond to requests for comment; FOX5 reported it had reached out to the company.