The $19 Million HR Mistake (And Why Arbitration is Your Flood Insurance) — Angelo Spinola

The $19 Million HR Mistake (And Why Arbitration is Your Flood Insurance) — Angelo Spinola

March 17, 2026 · 42 min · Episode 75

About this episode

Angelo Spinola discusses the legal challenges in the home care industry and the importance of arbitration agreements to mitigate risks.

Angelo Spinola, the "attorney for the home care industry" at Polsinelli, joins host David Knack for a candid conversation about the legal landmines buried in the home care business. A former caregiver himself, Angelo brings a unique, empathetic perspective to the complex web of regulations that providers face. He reveals why compliance isn't just about avoiding lawsuits, it's about protecting your enterprise value, your freedom, and the business you've worked so hard to build. Angelo breaks down the biggest blind spots he sees, from the explosion of city and state-specific laws (like domestic worker bills of rights) to the often-misunderstood reach of HIPAA and anti-kickback statutes in private pay settings. He shares a staggering story of a $19 million lawsuit triggered by a simple HR clerical error, underscoring the critical importance of having a properly implemented arbitration agreement. He also offers a realistic look at the current enforcement landscape, including aggressive DOJ investigations and what providers can expect from the shifting regulatory winds on AI and the companionship exemption. Lesson Takeaways: 1. The home care industry is a "flood zone" for litigation…

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