Representative Debra Heffernan, Vice Chair of the House Health and Human Development Committee, has offered to sponsor and draft a bill that would set a reimbursement rate floor for skilled nursing care for all payers under the state’s Medicaid equal to what Medicaid pays directly. This bill would go a long way in helping home health care providers have consistency in their plans. Rep. Heffernan represents an area north of Wilmington along the Delaware River, east of Fairfax. Two other representatives have offered to sponsor the bill as well, and an additional representative has offered to co-sponsor the bill.
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.
Submitted by Dave Totaro, Chief Government Affairs Officer (GAO)
Over the past few weeks, BAYADA’s Government Affairs Office (GAO) has announced the Hearts for Home Care Ambassador of the Year finalists for each state. It is with great pleasure that we now congratulate the Hearts for Home Care State Ambassador of the Year winners:
Delaware and Maryland: Ali Knott, director, Delaware Pediatric North (DPN) office
New Jersey: Ida Rodriguez, client services manager, Hudson County (HUD) assistive care state programs office
North Carolina: Melissa Zuzolo, director, Conover (CON) assistive care state programs office
Pennsylvania: Mike Sokoloski, community liaison, Wilkes-Barre/Scranton (WBS) assistive care state programs office
We also congratulate our national Rookie Ambassador of the Year Trisha Lasher, a nurse in the Berks County Visits (BRK) office.
Each of these individuals has shown an outstanding commitment to advocacy on behalf of our clients and fellow employees, which directly benefits the entire company. For example, in 3Q’16, 24% of all of the growth in the company’s revenue came from reimbursement rate increases generated by GAO over the previous year. Without the support of these Ambassadors, it would be very difficult to attain the achievements that generated such remarkable growth throughout our company and we are proud to honor these valued advocates as our 2016 Hearts for Home Care State Ambassadors of the Year.
On March 15, these awardees and their guests will spend time with GAO leadership in Washington DC, enjoying a dinner in their honor and discussing their advocacy efforts. At that dinner, they will officially receive their respective Ambassador of the Year Awards, and one of the four state Ambassadors will receive the prestigious Hearts for Home Care National Ambassador of the Year recognition. The trip also includes an overnight stay at the Marriott Marquis and the opportunity to take in the sights of Washington on a private guided tour.
The Hearts for Home Care Ambassador Program
Since 2011, the Ambassador program has promoted advocacy by calling on staff to take leadership roles within their offices as Ambassadors. The Ambassador’s role is to act as a liaison for GAO in communicating the importance of our advocacy initiatives to their colleagues and spearheading visits with legislators at clients’ homes, in legislators’ district offices, and with staff at our support and service offices.
Our Hearts for Home Care Ambassadors of the Year have gone well above and beyond the ambassador call of duty.
In Delaware, Ali and her son, Christopher, attended a meet-and-greet with Senator (now Lt. Governor) Bethany Hall-Long and Senator Nicole Poore where they made a strong impression on the legislators as Ali shared the challenges of the disability community.
In New Jersey, Ida developed and strengthened a relationship with Assemblywoman Angelica Jimenez, which included a home visit with a HUD client. As a result, Assemblywoman Jimenez signed on as a co-sponsor to a vital piece of legislation that BAYADA supports – A320.
In North Carolina, in addition to coordinating a home visit, Melissa served on the board of the BAYADA NC political action committee and represented BAYADA on the Chamber of Commerce Government Affairs Committee.
In Pennsylvania, in addition to serving as a board member of the BAYADA PA political action committee, Mike organized four legislative round tables in 2016 and was appointed by then-Governor Tom Wolf as the sole home care representative to the Governor’s Long-Term Care Council.
Also in Pennsylvania, our Rookie Trisha has the distinction of being our first field employee to serve as an Ambassador. She built a relationship with Representative Jim Cox that was instrumental in helping a client who had been hitting roadblocks for five years to finally get a chair glide installed in her home.
We appreciate all 192 Hearts for Home Care Ambassadors who advocate for our clients and colleagues while still performing their full-time job responsibilities. We also thank the division directors and directors who either serve as Ambassadors or support the Ambassadors in their areas. Everyone’s volunteer advocacy efforts truly embody living The BAYADA Way.
Stay tuned for the announcement of our BAYADA Hearts for Home Care Ambassador of the Year!
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.
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.
Lake Norman Adults (LNA) Director Chad Shore has been an Ambassador since 2015. 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, Jennifer has also 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. As an Ambassador since 2011, Melissa responds to 100% of the online calls to action and attends numerous legislative events on behalf of BAYADA. Thanks to her efforts, the CON office is at 100% for Hearts for Home Care registration.
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 has 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.
Submitted by Shannon Gahs, Associate Director, DE Government Affairs (GAO)
The 2017 legislative session opened January 10 and a newly-elected governor and lieutenant governor were sworn in on January 17. Governor John Carney and Lieutenant Governor Bethany Hall-Long are expected to focus on the state’s financial situation and a large budget shortfall this year. Director of Delaware Pediatric Visits (DP) Mandy Brady and I attended Carney and Hall-Long’s inauguration celebration on Tuesday evening.