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Municipal Program in the Interior of São Paulo Provides Monthly Transfer Linked to the Minimum Wage to Fund Home Care, with Income, Residence, and Technical Assessment Criteria, and Establishes Rules for Granting, Monitoring, and Possible Suspension of the Benefit.
Aramina, in the interior of São Paulo, has a municipal law that establishes the Caring for Aramina program, known as the Caregiver Grant, with a provision for a monthly transfer equivalent to a national minimum wage to fund daily care work provided to bedridden elderly individuals and people in a state of dependence at home.
The measure aims to prevent institutionalization and promote the recipient’s stay in their own or family home, while maintaining family and community ties.
Who Can Be Assisted by the Program
The legal text defines the target audience as bedridden elderly people, people with degenerative and progressive diseases, or bedridden and dependent individuals, provided that they are in a situation of vulnerability and social risk and require daily assistance and care from a caregiver.
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The law also establishes that the interdisciplinary technical team from the municipal Secretariats of Social Assistance and Health must verify and certify the recipient’s classification within one of these conditions.
Additionally, the need for daily monitoring by a caregiver must be demonstrated.
Value of the Benefit and Payment Method
The benefit is described as a monthly payment equal to a national minimum wage, with transfer to the bank account of the care recipient.
The use of the funds must be exclusive for caregiver expenses, as provided in the legal text.
In situations where the recipient has a physical or mental incapacity that limits their abilities, the law provides for the possibility of drafting a power of attorney to a representative, preferably from the family unit, to facilitate administrative and banking proceedings, based on the assessment of the reference team.
Criteria for Residence and Family Income
As an eligibility rule, the law requires residence and domicile in the municipality for at least two uninterrupted years immediately prior to the application process.
This requirement applies to both the care recipient and the caregiver.
Another criterion stipulated is family income limited to up to two minimum wages per month, as described in the municipal law text.
Requirements for the Family Caregiver
The caregiver must be 18 years or older, be part of the family and/or community network of the recipient, and have training as a caregiver.
It is also necessary to demonstrate the capacity to perform the function and undergo assessment by the social assistance technical team.
Among the requirements, the law also states the necessity for the caregiver to be unable or have interrupted their employment activities to provide daily care to the recipient.
The text further mentions the obligation for the caregiver to have received technical guidance from the Municipal Health Secretariat.
Technical Assessment and Priority for BPC Beneficiaries
The granting of the benefit occurs through assessment by the interdisciplinary technical team of the social assistance and health secretariats.
The text also presents an explicit priority.
The benefit should be granted primarily when the recipient is a beneficiary of the Continuous Cash Benefit, identified in the law as BPC/LOAS.
Monitoring by CRAS and the Health Network
Once granted, the law provides for monitoring of the caregiver and the recipient by the reference team from the Social Assistance Secretariat, through the CRAS, in partnership with the reference team from the Municipal Health Secretariat.
The text mentions joint action with the UBS and ESF teams.
During this monitoring, guidance, referrals, and technical assistance related to the care of the recipient should be provided.
The law states that technical criteria and responsibilities of the reference team would be regulated in a specific normative document.
Substitution of the Caregiver and Continuity of Benefits
The regulation provides for the possibility of substituting the caregiver, provided that the eligibility criteria are met.
In these cases, the prescribed procedure must be repeated, with new evaluations and statements from the reference technical teams.
Situations for Suspension of Payment
In the case of non-compliance with requirements or changes in the situation, the law establishes scenarios for suspension of the benefit.
Among them are situations where the caregiver fails to provide the appropriate care for the recipient, according to the assessment of the reference teams from social assistance and/or health.
Suspension is also provided for when there is disinterest or inability to maintain the function, or when the caregiver no longer meets the eligibility requirements.
In these situations, the text provides for the immediate possibility of suspending payment so that the reference team from social assistance, in partnership with health, can assess and provide a written statement.
Cases Provided for Definitive Revocation
The revocation of benefits is linked to scenarios such as the caregiver returning to work activities with a disruption of care.
Also foreseen as causes are the death of the recipient, institutionalization, moving residence to another municipality, or loss of the need for daily assistance.
The loss of eligibility requirements, according to the assessment of the CRAS technical team, can also lead to revocation.
Minimum Wage as Legal Reference
The municipal text states that the national minimum wage is the reference for the purposes of the law.
Thus, the benefit amount follows the current federal floor in the country.
In 2025, the minimum wage was set at R$ 1,518, by federal decree, which becomes the basis for the monthly transfer provided for in the program.
Limits of Public Information on Implementation
Although the law details objectives, criteria, evaluation flows, and hypotheses for suspension and revocation, the public documents consulted in the official publication of the norm do not provide explicit information regarding the number of vacancies, estimated families served, or registration calendar.
Moreover, the legal text does not contain consolidated public data on payments already made.
This absence limits external verification of the practical implementation of the program solely based on the published legislation.
In your assessment, do municipal programs that link a minimum wage to home care manage to meet the needs of families caring for bedridden elderly individuals, or is the main demand still for expanding permanent public services for home monitoring?
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