Legislature is in Session!

Both Delaware and Maryland have opened their 2018 legislative sessions and our advocacy work is in full swing. Delaware’s legislature will be open until June 30 in the second year of its two-year legislative session. The Maryland General Assembly is already nearly 20% over—as of today, there are 74 days left in the 90-day session.

Both sessions have been very busy already. Delaware and Maryland Hearts for Home Care Ambassadors and I have been working hard to reach legislators to educate and inform them about what home care means to our clients and families, and about what can be done to address the issues our industry faces every day.

If you’d like to learn about what you can do to take part in our advocacy efforts, sign up to be a Heart for Home Care!

NJ GAO 2017 Year in Review

As I reflect on 2017 and what we have accomplished, the first thing that comes to mind is Thank You. Thank you for your support, your engagement and your advocacy efforts — all of which made a difference in the lives of our clients, families and employees.

2017 was the “Year of Client Advocacy and Engagement.” Clients and families engaged lawmakers and the community at-large through home visits, family support group meetings, and phone calls and meetings with lawmakers in Trenton. These efforts ensured that our aides, nurses, and the importance of home care remained top of mind to New Jersey representatives and senators.

2017 was successful in many ways and set us up for even bigger wins in 2018. Below, please find a summary of 2017’s priorities and accomplishments:

• The Managed Medicaid Rate Floor bill was signed into law, effective July 1, 2018. The new law mandates a 100% pass-through of increased reimbursement to aides. In 2018 we will introduce a new bill which will be more reflective of a competitive wage environment and will mirror the original bill with no mandated pass-through.

• The Personal Care Assistant (PCA) fee-for-service rate was raised from $18.00 per hour to $19.00 per hour through a budget resolution, effective July 1, 2017.

• We successfully lobbied against Governor Christie’s intent to end the NJ/PA Reciprocity Tax agreement. This accomplishment saved our employees and BAYADA thousands of dollars in taxes.

• In July, the Private Duty Nursing (PDN) bill was introduced. This bill’s aim is to raise the PDN reimbursement rate by $10 per hour for RNs and LPNs. While the bill did not ultimately pass the state legislature in 2017, it brought awareness to the need for higher reimbursement rates within the program. We will continue to pursue this bill’s passage as a major goal for 2018.

• In conjunction with NJ’s Home Care Association, we successfully lobbied for legislation that permits physical therapy aides to practice in clients’ homes as long as the aides are supervised by a licensed physical therapist every two weeks.

• The BAYADA Champion Awards were held in December. This year we honored Lieutenant Governor-elect Sheila Oliver, Assemblywoman Nancy Munoz, Assemblyman Paul Moriarty and Senator-elect Declan O’Scanlon for their unwavering support of home care.

• BAYADA hosted a fundraiser for Senator-elect Troy Singleton, raising over $13,000 for his election fund.

• BAYADA reviewed and submitted comments to the state regarding the new 10:60 home care regulations.

Looking ahead to 2018, we will be working with Governor-elect Murphy and NJ legislators new and old to continue to advance home care and community-based services for our state’s neediest populations. GAO seeks to push for new laws to improve reimbursement rates within the PDN program, introduce legislation to provide technical changes to the current PCA managed care law, pursue minimum wage law changes, address parking challenges for our nurses and, of course, continue to advocate on behalf of our employees, clients and their families.

Cheers to an exciting year ahead! If you would like to get more involved in New Jersey’s advocacy program, sign up to become a Heart for Home Care Advocate.

Summer Legislative Home Visits were a Success!

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

Client and Family Advocacy in NJ are picking up speed. In the third quarter of 2017, we participated in four home visits with local legislators. This brings our totals for 2017 to nine home visits, one legislative round table, and one client district visit.

 

Hearts for Home Care Ambassador, Allison Nulton invited NJ state legislator Senator Thompson to a home visit for one of her clients from the TRP office. 

 

District 6 Assemblywoman Pamela Lampitt visited with 14 year old Mt. Laurel Pediatrics client Juan M and his mother, Carmen. 

 

 

Assemblyman Michael Patrick Carroll from District 25 visited the home of 20 year old PED client Lily Kaplan in Morristown. 

 

Dawn Moeller, mom to PED clients Zak and Tyler, invited Senator Cardinale into their home to share what it’s like to have not one, but two children who are medically fragile and require nursing care.

 

 

We have two visits already scheduled during the upcoming fourth quarter and a couple more pending.

 

If you’re interested in setting up a home visit for one of your clients, please contact Louise Lindenmeier or Tara Montague and we will be happy to assist you.

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.

When “Talking Back” Informs Future Direction in North Carolina

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

Over the last month, our BAYADA ad hock regulatory and legislative review teams, comprised technical experts from our various practices, have been busy reviewing proposed Medicaid clinical policies and a managed care model to craft recommendations.  A formal comment is BAYADA’s opportunity to provide substantive feedback to inform changes in regulatory oversight and payment reform.  Click to read BAYADA’s comments:

 

[Call out box]

Special thanks to our review BAYADA teams for sharing their insight and operational experience.

Medicaid Transformation Workgroup
  • Joe Seidel, ACSP
  • Rup Kelly, NEM
  • Nick Bellomo, HAB
  • Jessica Bogdanoff, HAB
  • Allison Swisher, Ped
  • Suzanne Cook, AN
  • Ali Genthner, AN

 

  • Shannon McCarson, ACSP
  • Kerry Meabon, ASP
  • Paul Seugling, CMO
  • Diane Turner, CMO
  • Jen Vranick
  • Kelly Lawson, ICO
  • Louise Lindenmeier, GAO-NJ
  • Lee Dobson, GAO-NC
   
Private Duty Nursing (PDN) Clinical Policy Workgroup
  • Robin McCarson, Ped
  • Allison Swisher, Ped
  • Kathryn Hawley, Ped
  • Virginia Steelman, Ped
  • Rup Kelly, NEM
  • Suzanne Cook, AN
  • Ali Genthner, AN
  • Lee Dobson, GAO