10/01/2026
Special Rules for Family Caregivers
Clients who are paid to take care of family members may have tax responsibilities. This depends on whether they are considered an employee or provide their services as their own business.
Caregivers who perform in-home services for elderly or disabled individuals are generally considered an employee and the person being cared for is considered the employer. This could make them responsible for employment taxes. Even if they don't owe employment taxes, they're still required to report the caregiver's compensation on Form W-2.
When caregivers aren't considered employees, they may still be required to report the compensation as income. They may also be required to pay self-employment tax depending on the facts and circumstances.
If the caregiver is engaged in a trade or business providing care services, they're required to pay self-employment tax.
See the recent IRS tax tip here: https://www.irs.gov/newsroom/caring-for-a-family-member-or-relative-understand-the-special-tax-rules for additional rules and examples.
Tax Tip 2026-70, Sept. 22, 2026 — Family members who are paid to take care of a loved one may have tax responsibilities. This depends on whether they are considered an employee or provide their services as their own business.