NC: Together We Get Results

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

Legislative successes, like the Medicaid rate increase for nursing last year and the home health aide increase this year, don’t magically happen.  Legislative successes start with an identified need — low Medicaid rates made it impossible to pay people what they are worth — and end with legislators supporting jobs in the community and keeping families together by investing in home health care.  Every step along the way, our Hearts for Home Care ambassadors carried our unified message to decision-makers.  Our cumulative actions over the years, including home and district visits, legislative round tables with lawmakers, responding to calls to action, attending lobby days, etc., made all the difference.  Individually and collectively our shared voices got results.  Join us to be a Heart for Home Care ambassador.

Aides Cried Tears of Joy for Much-deserved Raises throughout North Carolina’s Assistive Care State Programs Offices

Submitted by Lee Dobson, Area Director, NC Government Affairs (GAO) and Shannon McCarson, Regional Director, Dogwood Group (DOG)

We worked together and made it possible. After many years of advocating for higher reimbursement rates within the state Medicaid programs, we finally received an increase in the hourly rate for personal care services (PCS). This achievement was made possible through the persistent advocacy efforts of our employees, clients, families, and government affairs team. Our Hearts for Home Care Advocates participated in email campaigns, home visits, legislative roundtables, home care lobby days in Raleigh, and professional lobbying efforts.

As a result of working together, this week assistive care state programs directors throughout the state were thrilled to pass along an increase to our deserving CNAs and HHAs who care for our Medicaid clients and have stuck with us through thick and thin.

Directors have been personally speaking to staff to share the great news. “One by one, as I spoke to our aides, I heard the same thing – gratitude, appreciation, tears of joy, and, yes relief, too,” said Mimosa (MIM) Division Director Joe Seidel. “The low Medicaid reimbursement rate made it impossible to pay more. I am glad to do it now.” This rate increase is a good place to start, and more needs to be done.

Let’s keep the momentum going by joining to be a Hearts for Home Care Advocate. We believe our aides deserve even more for the important work they do in keeping our clients safe at home. If you are not already part of our advocacy group, join today at heartsforhomecare.com to receive alerts that could influence future efforts to increase pay rates.

 

Personal Care Assistant Fee-for-Service Rate Increased in NJ State Budget

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

On July 3, Governor Christie signed the NJ budget which contains a budget resolution to increase the Personal Care Assistant rate under fee-for-service. I am happy to inform you the NJ PCA fee-for-service rate is now $19.00 per hour. The new rate is effective as of July 1, 2017.
This is largely due to the support of BAYADA leadership, the directors and their office staff, and our wonderful Hearts for Home Care Ambassadors who made legislative office visits, held legislative roundtables, and offered home visits advocating for our clients and families. Great advocacy efforts by all!

NC Long Legislative Session Gaveled Out

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

Last week Speaker Tim Moore and President Pro Tempore Phil Berger ended the long legislative session after passing, along party lines, North Carolina’s 23 billion dollar budget. The budget contained a few provisions we asked for, but not everything. The budget was sent to Governor Roy Cooper for signature. As expected, the budget was vetoed and must be sent back to the General Assembly. Lawmakers plan to return in August where the Republican-majority has sufficient votes to override the veto. It is reported the General Assembly will reconvene for as many as three Special Sessions this year – on August 3rd to address any bills vetoed by Governor Cooper, and on September 6th and November 15th to address redistricting, as the US Supreme Court ruled that our current NC House and Senate maps unconstitutionally disenfranchised African American voters.

While members are back in their districts our Hearts for Home Care Ambassadors will be reaching out to schedule home visits and hosts legislative round table with their offices.   Watch for ways to get involved.

Advocacy over the Summer in NJ

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

Once the legislature finishes with the budget, the summer recess will begin. This is a good opportunity to reach out to your district legislators and offer legislative roundtables, or to just stop by their offices to say hello. Many of our pediatric clients have a more limited school schedule, making this is a great opportunity for home visits. If you would like assistance with home visits, roundtables, or district office visits, please let me know so I can help to get them scheduled. By early fall, the entire legislature will be busy running for re-election, so now is the time to put home health care on their agenda for discussion.

 

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.

 

Legislative Roundtable and Ambassador Relationship Leads to Action in PA

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

Recently, Community Liaison and 2016 BAYADA Ambassador of the Year Mike Sokoloski hosted a roundtable with PA Representative Aaron Kaufer.  BAYADA started building a relationship with Representative Kaufer before he was elected to the General Assembly.  As a result of our relationship, Representative Kaufer took an interest in our issues early on and learned more about the state’s human services programs.

During the roundtable, we spoke about our need for increased reimbursement rates for personal assistant services under the Office of Long-Term Living and the need to equalize access to home and community based service by allowing presumptive eligibility*.  Equalizing access was an issue of great interest to Representative Kaufer, and since the roundtable, the Government Affairs Office (GAO) has been in touch with the Representative multiple times to determine next steps in the process.

GAO looks forward to working with Representative Kaufer and others to ensure presumptive eligibility is allowed for home health care in the state.

*Presumptive eligibility: Individuals can be presumed eligible for Medicaid services while their full application is being processed.  Presumptive eligibility grants greater access to care and allows the individual to receive medically necessary treatment.