Monroe, NC Offices Visit With Representative Dean Arp

Submitted by Lee Dobson, Area Director, NC Government Affairs (GAO)

As a new Hearts for Home Care ambassador, MON Clinical Service Manager Rachel Cauble was a bit nervous about organizing a home visit until she realized who she was inviting.  “As my Sunday school teacher, it was easy to get him to agree,” said Rachel.  “And it goes to show that lawmakers are regular people.”  Representative Dean Arp visited with MON and MP staff on February 17 and toured the skills labs before heading to the home visit.  Prior to his stroke, our client, Mr. Jones was a HVAC mechanic.  Rep. Arp, as an engineer, connected quickly with our client as they shared stories of challenging service calls that Mr. Jones was able to fix.  This was a great opportunity for Rep. Arp to learn of home health care and the challenges we face due to the low reimbursement aide rate.  He indicated that the House of Representatives is looking at ways to stretch the Medicaid dollar and to find a way to help.  Click here to read the press release and view more pictures.

 

Photo: MON staff with Rep. Arp
Photo2: MP staff with Rep. Arp

More Than 500 Volunteers For Hansen For Special Election in Delaware

Submitted by Shannon Gahs, Associate Director, DE Government Affairs (GAO)

In a special election, widely considered an indicator of the political climate following the presidential inauguration, Democrat Stephanie Hansen won in Senate District 10, 58%-42%, with a surprisingly large voter and volunteer turnout.  The seat was vacated by now Lieutenant Governor Bethany Hall-Long.  This victory keeps the chamber under a Democratic majority.  I met Senator-elect Hansen at an event in January.  While healthcare was not one of her core campaign issues, we have seen indicators that she could be a champion for home health care.

Monroe, NC Offices Visit With Representative Dean Arp

Submitted by Lee Dobson, Area Director, NC Government Affairs (GAO)

As a new Hearts for Home Care ambassador, MON Clinical Service Manager Rachel Cauble was a bit nervous about organizing a home visit until she realized who she was inviting.  “As my Sunday school teacher, it was easy to get him to agree,” said Rachel.  “And it goes to show that lawmakers are regular people.”  Representative Dean Arp visited with MON and MP staff on February 17 and toured the skills labs before heading to the home visit.  Prior to his stroke, our client, Mr. Jones was a HVAC mechanic.  Rep. Arp, as an engineer, connected quickly with our client as they shared stories of challenging service calls that Mr. Jones was able to fix.  This was a great opportunity for Rep. Arp to learn of home health care and the challenges we face due to the low reimbursement aide rate.  He indicated that the House of Representatives is looking at ways to stretch the Medicaid dollar and to find a way to help.  Click here to read the press release and view more pictures.

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MP staff with Rep. Arp
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MON staff with Rep. Arp

NJ PAC Members Support Legislators Who Support Home Care

Submitted by Louise Lindenmeier, Director, NJ Government Affairs (GAO)

February was a busy Political Action Committee (PAC) month, as the NJ PAC supported 6 legislative events.  PEDs Director Christine Rios and PCP Director Megan Seyler attended Senator Robert Gordon’s event.  Senator Gordon is one of the co-sponsors of bill A320, which sets a floor for managed Medicaid reimbursement.

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PEDs Director Christine Rios, Senator Gordon and PCP Director Megan Seyler

BAYADA Client and Family Advocacy Director Rick Hynick attended Assembly Majority Leader Louis Greenwald’s Flyers game event.  Rick spent time thanking the Majority leader for all his support.  Other legislators supported include Assemblywoman Annette Quijano, Assemblymen Paul Moriarty, Craig Coughlin and Arthur Barclay.  Home visits were offered to the legislators who are interested in learning more about home health care.

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Client Advocacy Director Rick Hynick and Assembly Majority Leader Louis Greenwald

BAYADA Sponsors Second Lobby Day in Massachusetts

Submitted by Laura Ness, Director, Government Affairs (GAO)

The Government Affairs Office (GAO) organized a second lobby day for continuous skilled nursing providers and parents to discuss our Patient Bill of Rights.  With over 27 meetings scheduled, we focused on meeting with our legislators that sit on important committees and introduced our need to file a budget amendment to support the increased reimbursement rate needed to compete for a median of nurses.  The day was successful, as we lined up House and Senate budget amendment sponsors and additional co-sponsors for the bill.  As stated by the lobbyists from the Home Care Alliance of Massachusetts, we “have set a solid foundation to build upon.” Next, we wait to see where the House will assign the bill and wait for a budget hearing.

PA Governor Tom Wolf Announces Plan to Consolidate Departments Crucial to Home Care

Submitted by Laura Ness, Director, PA Government Affairs (GAO)

During Governor Tom Wolf’s budget address, he proposed consolidating the Department of Human Services (formerly known as the Department of Public Welfare) the Department of Aging, the Department of Health, and the Department of Drug & Alcohol Programs.  If the consolidation goes through it will be called the PA Department of Health & Human Services.  It will also be one of the largest state agencies in the United States.  There are concerns by many advocacy groups that this could lead to additional bureaucracy and more items getting “lost in the shuffle”.  Wolf claims the consolidation will lead to seniors and disabled individuals having greater support and coordination of benefits.  BAYADA’s Government Affairs Office (GAO) will continue to track this proposal and evaluate the impact.  To read the full announcement click here.

North Carolina State Budget Surplus Projected

Submitted by Lee Dobson, Area Director, NC Government Affairs (GAO)

NC Senate President Pro Tempore Phil Berger indicated that the state will have a budget surplus of over $500 million on a budget of $22.5 billion.  While this projection is encouraging, our legislative asks remains high.  Our increase request will take the aide rate from $13.88 to $17.00 over two years, which is nearly a fifty million dollar appropriation.  To put things into perspective, last year there was a $425 budget surplus and our legislative ask was $3.6 million for nursing.  We continue to garner support for this much needed increase.  Watch for ways to get involved.

Debates Heating Up In Baltimore City, MD

Submitted by Shannon Gahs, Associate Director, MD Government Affairs (GAO)

Debate over mandating employer-paid sick leave statewide and an increased minimum wage for Baltimore City is heating up this week.  Both are expected to pass.  By the end of last week, the Maryland Senate and the House both reached their thousandth bill introduced since the 2017 session opened in mid-January.  Bills must be fully approved by both chambers before the last day of session, which is April 10 this year, or start anew in the following year in the state’s condensed legislative calendar.

Delaware: Moving Forward In 2017

Submitted by Shannon Gahs, Associate Director, DE Government Affairs (GAO)

Governor John Carney took office in January, inheriting a budget deficit of $350 million.  As a result, the General Assembly is reviewing all planned expenditures for 2017.  I attended public hearings on all parts of the budget affecting the Department of Health and Social Services and testified on the need for a rate floor in Medicaid-contracted services.

Meet the DE, MD, NC, and PA Hearts for Home Care Ambassador of the Year Award Finalists

Submitted by Shannon Gahs, Associate Director, DE and MD Government Affairs, Lee Dobson, Area Director, NC Government Affairs and Laura Ness, Director, PA Government Affairs (GAO)

Last week we introduced you to BAYADA’s New Jersey Hearts for Home Care Ambassador of the Year finalists. This week we profile the Hearts for Home Care Ambassadors from Delaware, Maryland, North Carolina, and Pennsylvania who have been selected as finalists for their state Ambassador of the Year Awards. Their advocacy over the past year has shown their dedication to being a constant and powerful advocate for our staff and clients.

Now that you have met all of our finalists, next week we will announce the Hearts for Home Care Ambassadors of the Year from each state. These hard-working Ambassadors will receive a trip to Washington, DC for a special awards dinner where they will be honored and the National Ambassador of the Year will be named.

Delaware and Maryland

Baltimore West Visits (BWV) Area Director David Pareja volunteered to be an Ambassador at the beginning of December 2015. Despite his short tenure, he has been very effective. He learned the role, contacted Senator Gail Bates, and completed a very successful home visit at the beginning of January.

Senator Bates was elected in 2002 to the House where she served until elected to the Senate in 2015. She sits on the Senate Education, Health and Environmental Affairs Committee and is a CPA by profession. This gives her credibility in tax and appropriations issues, as well as a vote on health-related matters. In addition to hosting this visit successfully, David involved his team in the effort and spread excitement about advocacy. In his role as area director, he has the ability to encourage others to follow his lead.

Delaware Pediatric North (DPN) Director Ali Knott has been a consistent supporter and advocate in Delaware public life. She and her son, Christopher, attended a meet-and-greet with Senator (now Lt. Governor) Bethany Hall-Long and Senator Nicole Poore after working hours in September where they both made a strong impression on both legislators. The event was hosted by leaders in the disability community, with whom Ali also maintains a good relationship.

In addition, Ali supported coordination and prepared to host a clinical roundtable in her office in December with the Lt. Governor-elect. Although the meeting had to rescheduled at the last minute, that does not diminish Ali’s willingness and effort in preparing for this meeting.

Delaware Pediatrics (DP) Clinical Manager Tiffany Willis and her three children spent most of a Sunday in August volunteering for Representative Paul Baumbach at a community fair. Representative Baumbach is known to be a coalition-builder, bringing together legislators with differing motivations to pass legislation that makes sense. He and Tiffany had a good conversation about the need for increased funding for home and community based services.

Following Tiffany’s efforts, Representative Baumbach has offered to sponsor legislation on our behalf. Tiffany has also been great at keeping in touch when she has received communications from her federal representatives and candidates for state elections that have reached out to her.

North Carolina

Lake Norman Adults (LNA) Director Chad Shore has been an Ambassador since 2015 and is a member of the North Carolina political action committee (PAC). In his first year as an Ambassador, he was named the 2015 North Carolina Ambassador Rookie of the Year.

In 2016, Chad hosted two home visits where local legislators visited with BAYADA clients. He responded to 100% of the online calls to action, represented BAYADA at numerous political receptions, and attended NC Legislative Day, where he served as a team leader. Thanks to his hard work and diligence, the LNA office is at 100% for Hearts for Home Care registration.

An Ambassador since 2015, Asheville Pediatrics (AP) Client Services Manager Jennifer Parham arranged to hold a roundtable in her office with a local legislator and coordinated two home visits with legislators and BAYADA clients.

She also served as a team leader during NC Legislative Day. In addition to being a NC PAC member, Jennifer has responded to 100% of the online calls to action and has achieved a 100% for Hearts for Home Care registration in the AP office.

Conover Adults (CON) Director Melissa Zuzolo is a repeat finalist. Last year, she was named the 2015 North Carolina Ambassador of the Year. In 2016, Melissa coordinated a home visit for a local legislator and served as a team leader for North Carolina Legislative Day.

She also represents BAYADA on the Chamber of Commerce Government Affairs Committee, where she helped organize a large fundraiser for the organization. She is not only a PAC member, but was elected to serve a two-year term on the NC PAC Board. As an Ambassador since 2011, Melissa responds to 100% of the online calls to action and attends numerous political receptions on behalf of BAYADA. Thanks to her efforts, the CON office is at 100% for Hearts for Home Care registration.

Pennsylvania

Sellersville Pediatrics (SEL) Associate Christine Detweiler has been a Hearts for Home Care Ambassador for several years and her office has a 100% Hearts for Home Care registration rate. Chris has taken to building key relationships, and this year she focused in on Representative Craig Staats (R) through district office visits and home visits. Through her relationship building, Representative Staats began to see the importance of pediatric home care, especially after his visit with their client Gabe.

Chris was an integral part of Lobby Day where she encouraged Gabe and his mom to attend the event and worked with Representative Staat’s office to arrange parking and other needs. Representative Staats cleared a good amount of time to give Gabe and his family a tour of the Capitol and even arranged for Speaker Turzai to recognize Gabe and BAYADA on the House floor.

Because of their relationship, Rep. Staats wants to ensure that home care is known as the solution and that the state invests in it. He is a supporter and has asked for an active role in helping us achieve our goal of allowing presumptive eligibility for home care.

Berks County Visits (BRK) Nurse Trisha Lasher, an Ambassador since 2016, is our first field employee Hearts for Home Care Ambassador. While she was nervous about her first meeting with a legislator, she decided she’d do it on her own and hasn’t stopped since. Trisha started by visiting Representative Jim Cox (R) in his district, and followed up with him later that year in Harrisburg at Lobby Day. She wrote up her experience in the BAYADA Bulletin, which prompted a joint home visit with Representative Cox and the Reading Adult (RAD) assistive care office. Because of the relationship she had built with Representative Cox, when he went to visit an adult client he took immediate action to help the client. The client had been trying to get a chair glide installed in her house for five years. After the visit, Representative Cox made several calls to service coordinators, found systemic fraud and flaws in the system, and was able to get the client the chair glide within six weeks of the home visit. Building on their relationship, Representative Cox agreed to write letters of support for our pediatric rate increase, and the Medicaid spend-down issue.

As election time rolled around and GAO hosted the Bring the Vote Home Campaign, Trisha enlisted the help of all the office staff to call all clients. They educated clients on voting, the PHA voter guide, and let them know about absentee ballots. Trisha then organized field employees to visit those home and deliver the absentee ballots. From building relationships to advocating for clients’ needs, Trisha has shown her dedication to being an excellent Hearts for Home Care Ambassador.

Wilkes-Barre/Scranton (WBS) Community Liaison Michael Sokoloski is another repeat finalist on our list. Last year he was selected as the PA Hearts for Home Care Ambassador of the Year as well as the National Ambassador of the Year. A Hearts for Home Care Ambassador since the program began six years ago, he has developed strong ties with every legislator in the northeast portion of the state and makes countless district office and home visits every year.

He also created a niche role for himself as an Ambassador mentor. He has helped others get into the program, helps them make their first visits, and answers questions. As he has started to help with field employee recruitment efforts, he has also hosted Hearts for Home Care Tables, which help introduce our advocacy program to field employees and get them registered on the advocacy center. Mike serves as a member of the PA BAYADA political action committee and planned four legislative roundtables this year to bring about a greater awareness of home care and our issues to key legislators.

Mike is so well known in the northeast that the local Area Agencies on Aging rely on him for information about the state. In fact, he even drove several of them to Harrisburg to participate in a hearing on the issues associated with the independent enrollment broker. Because of the very strong relationships Mike has developed with legislators, he was nominated by Representative Sid Michaels Kavulich to serve on the newly established Long-Term Care Council, and he was appointed to the council by then-Governor Tom Wolf. This council has one official home care representative and because of Mike’s relationships, he ensured BAYADA will be that voice.