How states regulate home care insurance
Most states regulate home care through their Department of Health or a dedicated Home Care Bureau. Requirements typically include a minimum general liability limit, workers' compensation, and a bond. Medicare-certified agencies must additionally satisfy federal Conditions of Participation, which usually push limits higher.
California
California requires an HCO (Home Care Organization) bond for non-medical home care aides and a $1M GL minimum in most cases. Medi-Cal contracts push limits and named-insured requirements higher. See our state guide for details.
Texas
Texas HHSC (Health & Human Services Commission) licensure typically requires $300K–$500K GL, but hospital and HHSC contracts often push limits to $1M+. Texas is a workers' comp non-subscriber state — many home care agencies still elect coverage due to the liability tradeoffs.
Florida
Florida AHCA (Agency for Health Care Administration) sets home care license requirements. GL minimums range $500K–$1M depending on license type. Nurse Registry licenses have different requirements than Home Health Agency licenses.
New York
New York DOH licensure requires proof of all core coverages — GL, professional liability, workers' comp, and non-owned auto — with $1M/$2M aggregate minimums. LHCSA (Licensed Home Care Services Agency) has distinct requirements from CHHA (Certified Home Health Agency).
Illinois
Illinois IDPH requires $1M per occurrence and a current COI at every renewal. Community Care Program contracts often require the state as additional insured.
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