State-by-State Elections Results

What impact did the election bring to your state? Below, see key election summaries in our major advocacy states: DE, GA, MD, NC, NJ, NY, PA, RI, and SC

  • Federal
    • Senator Tom Carper, former Governor of Delaware and frequent visitor to BAYADA’s Dover office was re-elected with 60% of the votes. Representative Lisa Blunt-Rochester secured 64.5% of votes and was reelected to a second term with an overwhelming victory over Republican opponent Scott Walker.
  • State
    • Despite considerable turnover, Democrats retained control of the House and gained one seat to secure a 26-15 majority.
    • Key race: The area of Rockland and Hockessin flipped from Republican to Democratic control with political newcomer Laura Sturgeon besting Representative Greg Lavelle.
    • One half of the State senate was up for election. The Democrats gained a seat in this chamber as well, increasing the partisan split to 12-9.
    • Key race: Democrat Krista Griffith edged out Republican Deborah Hudson in the House District 12 race.
  • KEY TAKEAWAY: Stronger majorities should mean that issues supported by the Democratic majority have a higher likelihood to pass both chambers. Delaware historically has remarkably low turnover rate, the reasoning as told by one legislator being, “If a person is doing a good job, it would be mean to run against them.” This year, however, about one quarter of the legislature will be new to the job following a slew of retirements and declinations to run for re-election. Education on Medicaid, home health care and other important issues relating to our work will be key to success in the coming session.
  • For information on your district’s winners and losers, check out this detailed New York Times article on the DE elections.


  • Federal
    • Key race: The sixth district—once held by Newt Gingrich—was the only seat that flipped to blue in GA, where Democrat Lucy McBath narrowly defeated Republican incumbent Karen Handel with 50.5% of the vote.
    • Key race: In one of the tightest US House races in the country, incumbent Rob Woodall currently leads with 50.2% of the votes in Georgia’s seventh district, which includes portions of the northeast Atlanta metropolitan area. Representative Woodall, the incumbent, currently leads opponent Carolyn Bourdeaux by less than 1000 votes. Bourdeaux intends to request a recount if the final tally leaves her within one percent of the four-term incumbent.
  • Statewide
    • After a very tight gubernatorial race between two former lawmakers, Republican Brian Kemp has declared victory over Democrat Stacey Abrams with 50.3% of the votes. However, on Monday November 12, a federal judge ordered a delay in the certification of the results due to concerns with the state’s voter registration system and handling of provisional ballots. Despite this judicial intervention, Abrams conceded on Friday, November 16 and Kemp is officially considered Governor-elect.
  • State House & Senate
    • 32 of the states 56 senatorial seats went uncontested. Republicans retain a 105-71 majority. Similarly, 111 of the 180 state house races were uncontested, and Republicans retain a 105-71 majority.
  • KEY TAKEAWAY: Voter access is still an issue in the US. Kemp served as Secretary of State—the position charged with overseeing elections—during this election, and the handling of provisional ballots has brought much scrutiny from voting rights groups. If neither candidate can win with 50 percent-plus-one-vote, the race will go into a runoff election on December 4. Additionally, though Republicans retain their majority across the board, the historical Republican stronghold appears to be loosening.
  • For information on your district’s winners and losers, check out this detailed New York Times article on the GA elections
  • Federal
    • Key race: In the state’s most expensive race, Democrat David Trone won MD’s open US House seat with 58% of the vote.
    • Federally, there were no flips from red to blue or vice-versa. The US House remains 7-1 in favor of Democrats, and Democrat Ben Cardin kept his Senate seat in his race against Republican challenger Tony Campbell.
  • Statewide
    • After what was predicted to be a close race, Republican incumbent Governor Larry Hogan won his re-election campaign against Democratic challenger Ben Jealous with more than 56% of the vote in a majority blue state.
  • State House & Senate
    • Unsurprisingly, both the state House and Senate remained a Democratic majority with the help of re-election of House Speaker Michael Busch and Senate President Thomas V. Miller. With a solid lead in both the House and Senate, state Democrats can rely on their votes to override the Governor’s veto power in the MD legislature.
  • KEY TAKEAWAY: While a “blue wave” hit the country, many were surprised that Republican Governor Hogan ended up with a solid 56% of the votes in an otherwise-Democratic state. This is only the second time in Maryland history that a Republican governor was reelected for a second term. Hogan has maintained one of the highest gubernatorial approval ratings in the country and his distanced himself from President Trump’s healthcare and immigration agenda, which may show that a satisfied constituent base can buck the national trend.
  • For information on your district’s winners and losers, check out this detailed New York Times article on the MD elections
  • Federal
    • Key race: Incumbent Democrat US Senator Bob Menendez defeated Republican challenger Bob Hugin to continue on to a third term.
    • Key race: In one of the tightest races in the country, Democratic challenger Andy Kim has officially been called the winner in his race against Republican Tom MacArthur with a nail-biting late count of 49.9% to 48.4%. With three other wins, four US House seats were flipped to blue by NJ democrats.
  • State House & Senate: NJ Special Elections Results
    • New Jersey’s state legislative and gubernatorial elections are held in odd-numbered years. However, there were eight special elections held to address ten seat vacancies created when Governor Phil Murphy tapped a number of lawmakers to his cabinet. All ten of the successful candidates are of the same party affiliation as their predecessors. Accordingly, Democrats continue to control the Senate and Assembly in the state.
  • KEY TAKEAWAY: The “Blue Wave” struck New Jersey. Four US House districts shifted from red to blue, contributing to Democrats’ successful seize of US House control. Predictably, there are no significant changes to the already solidly blue state Assembly and Senate.
  • For information on your district’s winners and losers, check out this detailed New York Times article on the NJ election.
  • Federal
    • New York’s Congressional races were fought primarily in Republican-held districts in New York City’s suburbs. Of the five most-watched races, Dems have officially won out in two, and will likely win a third, pending official result certification. Republicans have secured one seat and are predicted to pick up one more as votes are counted and election results certified. Thus, the New York delegation will likely sit comfortably at 21-6 in favor of democrats. Popular Senator Kirsten Gillibrand was easily reelected with over 66% of the vote.
  • Statewide
    • Unsurprisingly, Democratic incumbent Andrew Cuomo won a third term as Governor with an overwhelming 59% of votes.
  • State House & Senate
    • Democrats picked up eight seats and will enjoy a 40-23 majority, though five of those races remain slightly too close to call. In the house, Democrats will retain a 107-43 majority.
  • KEY TAKEAWAY: After a very strong showing from Democrats, they will now control all three branches of government. Andrew Cuomo was re-elected as Governor, and Democrats expanded their majorities in both the House and the Senate.
  • For information on your district’s winners and losers, check out this detailed New York Times article on the GA elections.
  • Federal
    • Despite several highly competitive Congressional races, NC did not see a change in the state’s Congressional make-up. In the US House, the NC delegation remains 10-3 in favor of Republicans.
  • Statewide
    • There were no statewide elections in NC. Democrat Roy Cooper remains at the helm in the state’s governor’s mansion.
  • State House & Senate
    • While the NC Republicans retained control in both chambers, the Democrats broke the Republican’s veto-proof super-majority. In the Senate, Democrats gained six additional seats bringing their total to 21. Senate Republicans retained 29 seats. In the House of Representatives, Democrats picked up nine additional seat for a total of 54. House Republicans retained 66. There are a few seats within margin triggering a recount.
  • Key Race: In a tight race, Wake County Republican Representative Nelson Dollar, who was Senior House Appropriations Chair and a fixture in the legislature for 14 years, lost. Dollar was an expert on the budget and its process and was recognized by both parties as a skilled negotiator in conferencing with the Senate. The House and Senate alternate beginning the budget process by biennium, and this coming session (2019-2020) the House will present their budget first.
  • KEY TAKEAWAY: Now that the legislature is balanced, legislators will be required to compromise and negotiate on important issues, which should result in less partisan and more thought-out public policies for our state. Of note, voter turnout was at an all-time high with 52% of registered voters casting a ballot—compared to 36% in 2016—making this election the highest turned-out midterm election since 1990.
  • For information on your district’s winners and losers, check out this detailed New York Times article on the NC elections.
  • Federal
    • In the state’s US Senate race, Democratic incumbent Bob Casey scored a third term, blocking Lou Barletta’s attempt to unseat him.
    • All 18 US House seats were up for re-election. Dems managed to flip three seats, evening out the state’s party representation in the lower federal house to 9 Democrats and 9 Republicans.
  • Statewide
    • Tom Wolf was handily re-elected to serve a second term as Governor, defeating Republican challenger Scott Wagner 57.7% to 40.8%.
  • State House & Senate
    • Despite some close races and some significant gains for Democrats in the state house, Republicans narrowly maintain the lead in both the state House and Senate. Of important note, Dems broke the veto-proof majority in the Senate.
    • Key race: Doylestown-area home care champion and Rep. Marguerite Quinn lost her bid for PA State Senate to Representative Steve Santarsiero. She did not run for her PA state Representative seat, so she will be out of the state house as of January. We are so grateful for her support and will miss her in the PA General Assembly. Read more.
  • KEY TAKEAWAY: Nationally, PA helped the democratic party by adding to the party’s overall US House gain. The state’s makeup stays about the same with a Republican-controlled legislature and a Democratic Governor. Rs and Ds will need to work together and compromise to achieve true changes.
  • For information on your district’s winners and losers, check out this detailed New York Times article on the PA election.
  • Federal
    • All three Democratic incumbents won in the US House and US Senate. Senator Whitehouse and Congressional members Cicilline and Langevin all enjoyed solid wins and will return to DC next term.
  • Statewide
    • Incumbent Governor and Democrat Gina Raimondo handily won against Republican challenger Allan Fung, capturing 57.1% of the votes.
    • Of note is the mayors’ races across the state. Please see the New York Times elections article for details on these races.
  • State House & Senate
    • As one of the bluest states in the nation, there is little to report. The Rhode Island House and Senate remain solidly democrat.
    • Key race: Representative Patricia Serpa, a home care champion who sponsored a private duty nursing (PDN) rate increase bill last year, was reelected. Home care supporters Speaker Mattiello and House Finance Committee chair Rep. Abney were also reelected.
  • KEY TAKEAWAY: While plenty of states held their breath to see which direction voters would take, Rhode Islanders remained steadfast with their support of Democratic candidates. The two US House incumbents from RI will enjoy new Democratic colleagues from states outside of the blue New England area.
  • For information on your district’s winners and losers, check out this detailed New York Times article on the RI elections.
  • Federal
    • Key race: Democrat Joe Cunningham narrowly defeated Republican Katie Arrington in South Carolina’s most watched race for the 1st Congressional District to replace Mark Stanford. Despite this Democratic victory, Republicans still hold five of the seven South Carolina congressional seats.
  • Statewide
    • Republican Governor Henry McMaster secured his first full four-year term since succeeding the Governorship in 2017 after then-Governor Nikki Haley resigned to become the US Ambassador to the United Nations. McMaster handedly defeated his opponent James Smith with 54% of the vote.
    • McMaster’s Lieutenant Governor will be Pam Evette, a businessowner from Spartanburg. This was the first election in which the governor and lieutenant governor were on the same ballot.
  • State House & Senate
    • The house remained consistent. 68 representatives ran uncontested, and the other 56 seats remained consistent, with the majority of current legislators retaining their seats.
    • The only state Senate race was a special election for the district 20, which covers portions of Lexington and Richland counties and which was vacated after former Republican Senator John Courson’s resignation. Dems managed to pick up the seat as Dick Harpootlian defeated Republican Benjamin Dunn with 52% of the vote.
  • KEY TAKEAWAY: Despite small Democratic gains, Republicans retain a majority in both chambers at the state level. Ds managed to flip the senate seat in a special election. We’ll see what happens when all the other state senate seats are up for grabs in 2020 At the federal level, the Democratic Party successfully added a US Congressional seat in District 1, shocking politicos across the country: The last time Democrats flipped a House seat in SC was 1986.
  • For information on your district’s winners and losers, check out this detailed New York Times article on the SC elections

GAO Attends an Annual Public Policy Summit

In September, The Government Affairs Office (GAO) attended the Council of State Home Care Associations Annual Public Policy Summit in Washington, DC. The annual summit was sponsored by the National Association of Home Care and Hospice (NAHC), of which BAYADA is a member.

The Summit included several keynote speakers from organizations that support Home Health Care and agencies such as CMS and Blue Cross Blue Shield that answered questions on issues that could affect our clients. Following the summit GAO met with three Senators and four Representatives from Maryland and Pennsylvania.

BAYADA Advocacy on the Federal Level

Often, when employees and clients think about how BAYADA’s Government Affairs Office (GAO) operates, direct lobbying and our extensive Federal PAC efforts come to mind first. But we cannot bring effective awareness and change to DC without our valued partners: Our grassroots advocates (you!), our partnerships with BAYADA’s various practices, and our national industry partners. When we act as one unified voice for the industry, we are better able to educate legislators and build support around the issues that mean the most to us and our clients. Below, please read about some of the additional “tools” we employ in order to effectively advocate at the federal level.

Engaging our Advocates through Action Alerts

Our Grassroots Advocacy team has been working diligently to engage our employees, clients, their families, and the home care community at-large under our Hearts for Home Care umbrella. Someone who is a Heart for Home Care is someone who cares enough about home care to advocate for it! Our grassroots program includes a myriad of events, campaigns, digital and print communications, and other such efforts that serve to keep the home care community engaged in advocacy. One of the most important tools in our grassroots toolbox is our Action Alert system.

As you know, Medicare and Medicaid are under constant threat of decreased funding, which can majorly affect how we function as home care staff and, most importantly, how our clients are cared for. When a threat comes about, the most important thing is that we mobilize quickly and act fast. Our action alert system allows us to do just that: When GAO sends out an action alert email to staff and clients, we simply ask that you click the link in the email to automatically send a pre-written message to the appropriate legislator or legislators. Because it is so easy and instant, this tool allows us to send hundreds to thousands of messages to key legislators to let them know how a bill would affect home care.

On October 3, we sent an action alert to all office employees to urge their legislators to support the EMPOWER Care Act, which would have extended the Money Follows the Person program. This program helps individuals with chronic conditions and disabilities transition back from institutions into their local communities. From that action alert, we were able to have 378 office employees deliver a total of 1120 messages to 126 key legislators. When you see an action alert email, be sure to take two minutes to voice your thoughts on behalf of our industry, and encourage your colleagues to act too!

Federal Home Visits

We have seen the impact that home visits have on our state efforts. Recently, a home visit hosted by SEL Associate Christine Detweiler led to legislation inspired by the client’s family. Because employees have been so engaged with state-level home visits, and because GAO and BAYADA recognize the impact that they have on educating state legislators on home care, our goal is to work with our employees and clients to host home visits with key federal legislators by the end of 2019!

These listed federal lawmakers serve on key committees and in prime positions. A home visit would serve to raise awareness to our services, the importance of in-home care in keeping families together, and would highlight the challenges and struggles that the home care community faces every day. If you are interested in hosting a home visit, please contact Lindsey Wright.



Working with BAYADA Practices to Craft Comments to CMS

The Centers for Medicare & Medicaid Services (CMS) allows for the public to submit comments on their proposed changes, which often affect home care. Once comments have been submitted, CMS will take into consideration the medical and scientific evidence given to determine their final rule. Because so many health care policies are presented through this route rather than through legislation, it is important for GAO to work with our internal practices to submit comments on these proposals and act as a voice for our staff and clients.

These comments are generally drafted in tandem with our industry partners, and in close coordination with affected practice leaders and teams. This year, BAYADA submitted comments on two major proposals: The Home Health Review Choice Demonstration and the Patient Driven Groupings Model. Thank you to our internal and external partners for always being valuable partners to us as we work together to ensure that any new proposal takes our view into account.

BAYADA has been working with other associations and our partnerships to ensure that the Home Health industry’s feedback is heard through submitting comments. Below are two comments sent this year.

One Industry, One Voice: Key National Partnerships

As a leader in the home health care industry, it is important that BAYADA participates as members and in key roles in national home care organizations. These organizations often have a powerful lobbying arm in DC, and they serve to unify home care providers’ voices to leverage our message to federal legislators. Our efforts would not be as impactful by themselves as they are with the help of the national associations we belong to, and without our federal lobbyists.

Federal PAC Update: How Far your US PAC Contributions Go






Thank you to all our BAYADA US PAC members and for your continued contributions. With your support we have been able to support the US Congressional and Senatorial campaigns of our Champions who advocate for our clients.

Each of our home care legislative Champions are part of several key movements in Congress such as sponsoring corrective legislation regarding Medicare and Medicaid. Above is the 2018 list of those who we have supported to and a graph that shows which candidates which were re-elected during the November 6 midterm elections. If there are House, Senate, or gubernatorial members you would like to represent, please reach out to the U.S. PAC Board for further approval (see below).

US PAC fundraisers made possible by your Contributions and support:

On October 11,  Mark Baiada, David Baiada, and the US PAC held a fundraiser for Congressman Frank Pallone (D-NJ). He serves as the ranking member of the Energy and Commerce Committee and is an avid advocate for affordable healthcare. Due to his powerful position, and now that his party has taken control of the house, Pallone will be in a key position to lead major discussions to strengthen the nation’s healthcare system.


“Being my first GAO function, the event was so interesting to me. I have always been a believer in supporting our PAC. Though I do not consider myself a very ‘politically active’ person, this event piqued my interest. I appreciate the opportunity to be able to join in person, and am excited to be more involved in the future.” —Keri Lamont, Area Sales Director (BLH) and BAYADA US PAC member shares her thoughts after attending Cong. Pallone’s fundraiser

On November 5, Chief Government Affairs Officer David Totaro and Senior Associate Lindsey Wright attended a fundraiser for Congressman Vern Buchanan (R-FL). He listened to everyone’s concern about the most recent CMS final rule and is ready to take action. Buchanan is a cosponsor of H.R. 6932, legislation introduced in the House, that would ensure Bipartisan Budget Act of 2018 reforms better align payment with patient characteristics and quality.


New US PAC Board Member Update

Recently the U.S. PAC Board called for nominations or self-nominations to take the recently open board member position. Our previous board member, Apple Blossom Division Director Jean Mullin, left BAYADA on her well-deserved retirement. Though we are sad to see her go, we have appreciated her contribution and dedication to the US PAC. With an empty seat on our three-member board, we opened an election to our US PAC members to vote on the three nominees who came forward. The ballot included PED Director Christine Rios, Camellia Division Director JoAnn Saxby, and Dogwood Group Regional Director Shannon McCarson.

After the election was closed, we are happy to announce Shannon McCarson has filled the seat. He is very qualified for this position with his interest in advocacy and knowledge on the local level with politics. He has been a wonderful addition and brings independent thoughts to the meetings. He joins Chief Government Affairs Officer David Totaro and Government Affairs Director Shannon Gahs as part of that three-member board for the Federal PAC at BAYADA. The US PAC raises over $100,000 annually to our in-person and grassroots efforts to establish BAYADA as a leader in home health care advocacy. We are able to contribute to candidates who are strong supporters for home health care, our clients, our employees, and our mission. Please join us in congratulating Shannon on joining the US PAC Board.

Election 2018 PAC Roundup

BAYADA Chief Government Affairs Officer Dave Totaro meets with Senator Debbie Stabenow (D-MI)

Following the election of Donald Trump two years ago, all eyes are on the mid-term elections this November to see whether there will be a “blue wave” as voters swing in the opposite direction or if the election of further conservative representatives will indicate a true shift in national ideology.

Thirty-three of 100 Senate seats and all 435 seats in the House of Representatives are on the ballot in November. A near-record number of current members of Congress are retiring or otherwise not running for re-election- as of June, 60 members of the House and several key Senators. This all adds up to a lot of excitement and potential change.  Luckily, most of BAYADA’s key Champions are interested in returning to Congress.

The US BAYADA PAC Board, together with BAYADA’s federal lobbyist, have developed the strategy of making large contributions to a small number of candidates. US BAYADA PAC, on the federal stage, is on the smaller side. Building a strong relationship with legislators in positions of authority on the few committees that directly impact our clients, our employees, and our mission is the most important thing we can do to be good stewards of BAYADA employees’ contributions and trust.

US BAYADA PAC is a nonpartisan group, supporting candidates based on their understanding of and support for BAYADA’s clients, our employees and our mission. We aim to support members of varied political party affiliations but base decisions primarily on each individual’s actions and support of home health care.

So far this year, BAYADA PAC has supported:

  • Senator Susan Collins (R-ME), a national leader on healthcare issues and key swing vote on multiple attempts to gut Medicaid last year.
  • Senator Bob Casey (D-PA), who represents more than 14,000 BAYADA clients and is a stalwart champion of home health care.
  • Senator Debbie Stabenow (D-MI), a national leader on healthcare issues including the multiple attempts to gut Medicaid last year and the Ranking Member on the Senate Committee on Finance, Subcommittee on Health Care. She has met with BAYADA and has spoken with multiple home health care industry groups this year.
  • Representative Tom MacArthur (R-NJ 3), who represents BAYADA HQ and has a long relationship with BAYADA.
  • Representative Vern Buchanan (R-FL 16), who has a deep affection for hospice care and is influential behind the scenes in the House Committee on Ways and Means.
  • Representative Joe Kennedy (D-MA 4), a rising leader in the House, a key member of the Energy and Commerce Committee, Health Subcommittee, which debates our issues, and a strong supporter of healthcare.

In addition to our work directly with individual candidates, we have contributed US BAYADA PAC funds as part of our work with and leadership of two national home health care partnerships: the Partnership for Quality Home Health, which deals with Medicare issues, and the Partnership for Medicaid Home-based Care. These two partnerships pull together home health care providers, trade association leaders and insurance companies to advocate with one voice for the good of our clients and for good policy to keep home health care a sustainable, growing industry.

Chief Government Affairs Officer Dave Totaro (left) poses with Senator Bob Casey (D-PA)

The State of the US BAYADA PAC

BAYADA Chief Government Affairs Officer Dave Totaro (left) and Director of Government Affairs for Delaware and Maryland Shannon Gahs (right) pose with Senator Susan Collins (R-ME) (center)

Election years present a time of challenge for the healthcare industry. Luckily, our federal PAC remains strong. Year to date, we collectively have contributed $35,152 to US BAYADA PAC. The PAC has made $38,900 in contributions to federal candidates and committees.  Carrying over some funds raised in previous years, we are entering Election 2018 with $59,620 in our war chest and a plan for how to use it most intelligently to help key legislators who have proven to be Champions of Home Health Care.

10 people, or 100% of company leaders are members of the US BAYADA PAC.

78 people, or 45% of Regional, Division and Area Directors are members of the US BAYADA PAC.

145 people, or 31% of Directors are members of the US BAYADA PAC.

157 people, or 6% of eligible Managers and employees below the Director level are members of the US BAYADA PAC.

We met a person at a home health care conference who told us that PACs are only about the (derogatorily) “special interests.” A teachable moment! We were happy to let her know that PACs are formed by all sorts of groups of individuals who share at least one common value. By her being at that conference, she was showing that home health care mattered to her. PACs are another way to show what you value, and to come together as a group of citizens to help legislators who share that value be re-elected.  It is expensive to run for office. PAC funds are most commonly used by candidate campaigns to purchase yard signs, to print and mail postcards, and to buy ads.

How big is our PAC?  By comparison, in our most recent six-quarter reports (which cover January 2017-June 2018):

  • Johnson & Johnson PAC raised $908,803.
  • Walgreen Co PAC raised $334,162.
  • Blue Cross and Blue Shield of North Carolina PAC raised $215,223.
  • US BAYADA PAC raised $100,223.
  • Maxim Healthcare PAC raised $72,473.
  • LHC Group PAC raised $64,108.
  • Almost Family PAC raised $25,809.

CMS Removes HHGM Proposal from Final 2018 Rule

Submitted by David Totaro, Chief Government Affairs Officer (GAO)

Our voices were heard. Thank you and high five to all of our BAYADA office and field employees who recently took action to voice concern about the federal Home Health Groupings Model (HHGM) proposal, which would have resulted in revenue reductions between 4.3% and 17% for BAYADA’s Home Health Specialty Practice. Such significant reductions would have impacted not only Home Health, but BAYADA as a whole.

Yesterday afternoon, the Centers for Medicare and Medicaid Services (CMS) formally indicated that 2018’s Payment Rule does not include the HHGM proposal. CMS indicated that it could not finalize the HHGM proposal at this time based on the comments received on the issue.

BAYADA employees sent more than 3,000 messages to members of Congress urging representatives and senators to take a stand against HHGM. BAYADA joined industry-wide action led by an unprecedented coordinated effort by the Partnership for Quality Home Health Care, Elevating Home and the National Association for Home Care and Hospice (NAHC). This effort spurred 50 US senators and 179 US representatives to reach out to CMS and the US Department of Health and Human Services (HHS) to caution against finalizing HHGM. Through BAYADA’s action on this issue and previous calls to action, BAYADA has shown itself to be one of the strongest advocacy teams in our industry.

While delaying the HHGM proposal does not indicate a permanent withdrawal, it is a clear victory for the home health and home care communities that took immediate action to stop the rule from becoming final. BAYADA and other industry stakeholders will continue to work with CMS to improve the payment model, including participating in discussions with the Congressional Committee on Ways and Means to finalize a potential legislative proposal.

Thank you for your reliability and your dedication to advocating on behalf of our staff and clients.


Busy Week for the Government Affairs Office in Washington D.C.

Submitted by Dave Totaro, Chief Government Affairs Officer (GAO)

Last week, I was elected to the Board of the Partnership for Quality Home Health (PQHH) replacing Chairman and Founder, Mark Baiada, who stepped down upon his retirement.  PQHH is an alliance of major home health providers dedicated to the development of policy to improve the quality of life and care of all home health patients.  I am also a board member and Chairman of the Partnership for Medicaid Home-based Care (PMHC), an alliance of major Medicaid providers, managed care organizations, state and national home care associations and interested business affiliates dedicated to the development of policy to enhance Medicaid reform.

Also, following each Board meeting, the Partnerships held events to honor the support for Medicaid and Medicare shown by home health care champions U.S. Senator Bob Casey (D-PA) and U.S. Senator John Cornyn (R-TX).

And, last week, the Government Affairs Office supported the PQHH Action Alert to urge the Centers for Medicare and Medicaid Services (CMS) to withdraw their Home Health Groupings Model (HHGM), a proposed new payment model for home health services that would significantly cut home health revenues by more than 15%.  As of September 14,  759 BAYADA colleagues have sent 2334 messages to 156 legislators.  Thank you to everyone who took action and who participated in this very important and necessary alert.

Photo: Dave Totaro and Senator Bob Casey at the Partnership for Home-based Care Board Meeting in Washington, DC.

Great News….United States Senate Calls Off Their Healthcare Vote

Submitted by Dave Totaro, Chief Gov’t Affairs Officer, Lotus Division (LOT)

Earlier this week, Senate Majority Leader Mitch McConnell announced the Senate would not proceed with a vote on their Better Care Reconciliation Act (BCRA) and that is great news!  The proposed bill, as written, would have severely cut Medicaid and would have cut services to medically fragile children with cancer, parents with Alzheimer’s, and persons who rely on mental health services, just to name a few. 

The Government Affairs Office (GAO) and our Hearts for Home Care Ambassadors and advocates stood at the ready.  We were prepared to replicate our outreach effort from a couple of weeks ago, under our #NoHearingNoVote campaign, which resulted in 125,000 emails and over 600 phone calls to Senators in a mere 72 hours.  Regardless, whether you are a Democrat, a Republican or an Independent, the issue was simple – save the programs and the services that we know are crucial to the health and well-being of so many of our clients and caregivers. 
GAO will continue to follow developments in Washington closely and keep you posted.  Thank you, as always, for your support of our advocacy programs.

BAYADA to US Senate: No hearing. No vote.

Submitted by Dave Totaro, Chief Government Affairs Officer (GAO)


This is the most important “Call to Action” in BAYADA’s history. The US Senate in Washington is pushing through a bill that would drastically cut services and access to care by trying to vote on a bill without any hearings or any debate.

As Hearts for Home Care, you will undoubtedly be a driving force to preventing this potentially damaging action. In fact, more than 2,400 of our champions have already sent more than 120,000 letters to senators and our #NoHearingNoVote hashtag has been posted more than 700 times with a reach of 2 MILLION users on Twitter! Continue to have conversations with your colleagues and encourage advocacy. We have complete and total confidence that your efforts will be paramount to our success!

Take action three different ways!


  1. Email US Senators: If you haven’t already, please visit to take action now. Note: You will be asked to enter your work e-mail and home zip code to take action.After you take action, forward the link to three friends and share it on your social media pages!
  2. Facebook profile frame: Use these instructions to add a #NoHearingNoVote frame to your profile picture.
  3. #NoHearingNoVote social media post: Post a photo of yourself, your fellow Hearts for Home Care, or your loved ones holding up a sign showing that we’re standing up for our clients and caregivers. When you share, be sure to include the hashtag #nohearingnovote in the caption.

Where are we now?

On Thursday, June 22, the Senate released the Better Care Reconciliation Act, a “discussion draft” of its version of the American Health Care Act. Four Republican senators have stated publicly they do not support the bill in its current form, meaning it cannot pass the Senate without changes being made to it. The Congressional Budget Office (CBO) is not expected to release a cost estimate of the legislation until early next week. A vote in the Senate could occur prior to the July 4 recess.

This version of the legislation would make broad changes to federal spending in these five areas:

  1.    Medicaid: Reduces federal matching rate for adults covered by the Medicaid expansion; caps the growth in per-enrollee payments for most Medicaid beneficiaries
  2.    Tax credits and related coverage provisions: Eliminates subsidies to purchase plans from the individual market in 2020; revises ACA tax credits
  3.    Patient and state stability fund grants: Provides $112 billion to states and insurers to reduce premiums for insurance purchased in the individual market
  4.    Penalty payments: Eliminates the employer mandate and individual mandate penalties
  5.    Noncoverage provisions: Repeals multiple taxes not relating to coverage, including the tax on high-income people and the medical device tax