Quotes from our Advocates: Legislative Day in South Carolina

On April 4, the South Carolina Home Care and Hospice Association hosted its second annual Legislative and Advocacy Day. This year, a record-breaking total of nearly 50 advocates gathered in South Carolina’s state capitol for a day of meaningful and heartfelt advocacy. Advocates, which included two home care clients, walked the halls with a clear message: Investing in the state’s Medicaid Waiver programs will save the state money and keep medically fragile children, disabled adults, and seniors home with their loved ones and out of higher cost facilities.

With their passionate message in hand, advocates spoke with over 50 legislators about the importance of home care. The highlight of the day was the recognition the home care advocates received on the house floor by Speaker Pro Tempore Representative Tommy Pope!

Advocates were inspired by the impact they made that day. Below, please find several quotes and pictures submitted by our advocates.


Brandon Keisler, Haley Keisler, Rep. Jimmy Bales, Stephanie Black, and home care clients Max and Matthew K.
“It was an honor to participate in this year’s Advocacy and Legislative Day, to be a part of such an impactful team, and especially to bring my two boys with special needs to the event. It was a wonderful to be able show the representatives firsthand why we need higher Medicaid reimbursement rates in South Carolina.” 
 -Haley Keisler

Dan Noel, Jen Collier, Rep. Bruce Bryant, and Amy Ramey.

“Speaking with legislators about the need for higher Medicaid reimbursement rates in South Carolina was an amazing experience. We had a great turnout and I was especially pleased with all the love our fellow advocates gave us; their support was energizing– what a great group of people!”   -Amy Ramey

“It was overwhelming to see so many people come together for a common goal. We advocated for something so important and I am so proud to have been a part of that!”   -Jennifer Collier


Alisa Borovik, Nicole Lugo, Rep. Sam Rivers, Tara Montague, and Jaime Bennett.

“This was my first Legislative Day and it certainly will not be my last. It was truly remarkable for all of us to come together from different BAYADA backgrounds to make this day a success. I look forward to advocating for my company and my state in the future!”

-Jaime Bennett


Nicole Lugo, Nancy Mace, and Lee Dobson.


“It was encouraging to see the growth of our advocacy group over one year and it is clear that Hearts for Home Care has the opportunity to be the biggest voice for home care in South Carolina.”

-Nicole Lugo

 


Louise Lindenmeier, Rep. Leon Howard, and Tim Peterkin.


“It was truly a pleasure to connect with our South Carolina legislators to explain how our services can keep their constituents at home, explain the cost savings of home care versus hospitals and facilities, and connect legislators with our purpose and mission.”

-Tim Peterkin


Pictured: Ryan Burnaugh, Rep. G. Murrell Smith, Melissa Allman, and Dave Totaro.

 

“We believe Home Care is important to our communities, and I support the good work you do. Please let me know how I can help you.” 

-SC House Ways and Means Health and Human Services Subcommittee Chairman Rep. G. Murrell Smith

 


Karen Noblett, Foster Krebs, Speaker Pro Tempore Tommy Pope, Maggie Tracey, and Melissa Allman.

 

“The South Carolina Legislative Day was a great opportunity to meet with legislators and talk to them about the importance of investing in home care… I can’t wait to see the impact that we have on laws affecting home care!”   -Foster Krebs


Nicole Lugo, Rep. Neal Collins, Tara Montague, Jaime Bennett, and Dominic Molin.

“Over the course of the day I felt a strong sense of comradery, pride, and support when—no matter where I looked—I saw a colleague dressed in their finest red! It was great to be a part of something bigger than myself by advocating for those who need it most.”

-Dominic Molin


Dave Totaro, Rep. Katherine Arrington, and Laura Jaycox.

 

“Legislative Day made it possible to get involved and support home care even though I had no prior experience. I enjoyed meeting everyone and learned so much. Thank you so much to my fellow advocates for all of your knowledge and support!”

-Laura Jaycox


THANK YOU to all of our advocates that participated in 2018’s Legislative and Advocacy Day!

Hearts for Home Care advocates in South Carolina Capitol for Lobby Day

States Struggle to Recruit and Retain In-Home Nurses Due to Low Reimbursement Rates… But Advocacy Can Help

Home health care companies around the country struggle to recruit and retain enough qualified workers to support the growing number of children, adults and seniors that want to be cared for in their own homes. Recruitment and retention issues stem from a number of reasons, including the nationwide nursing shortage, low US unemployment rates, and inadequate Medicaid reimbursement rates that leave home care providers in a position where their wages cannot compete with those of other settings and industries.

BAYADA Home Health Care was recently featured in a Wall Street Journal article for the company’s efforts in solving for this by recruiting nurses from Puerto Rico to fill open nursing positions in Minneapolis. The island’s unemployment rate, currently at 10.8% is much higher than that of Minneapolis, which is currently listed at 2.4%.

A 2.4% unemployment rate is low even compared to the US rate, which is currently at a 17-year low of 4.1%. This low unemployment rate is compounded by the fact that in many states, Medicaid reimbursement rates are too low for home care providers to be able to recruit and retain workers, who can be paid a higher wage in other settings, like hospitals, and industries, like fast food and retail.

And it doesn’t end with a lack of workers for home care providers. This lack of caregivers can lead to an access to care issue in which individuals who can be cared for at home are left with no option but to receive care in a hospital or institution. Finding qualified caregivers is often cited as home care providers’ top challenge, and future estimates show that demand for in-home care will continue to grow due to the aging of baby boomers at alarming speeds.

What can you do to help? Share your voice. Reimbursement rate review and adjustment decisions are generally made in state capitols when legislators determine that such a need exists. This need must be communicated to legislators so that they understand the pressing nature of the issue and what could happen to the state’s Medicaid population if the issue is not addressed.

We can help you reach your legislators to let them know what increased reimbursement rates mean for you and your community. And if you would like to make an even bigger impact, consider meeting your lawmakers in-person at our Lobby Day. We take care of the scheduling and preparations- all you need to do is show up and share your voice. Upcoming Lobby Days are as follows:

Minneapolis, Minnesota: 3/6/18
Dover, Delaware: 3/14/18
Columbus, South Carolina: 4/4/18
Harrisburg, Pennsylvania: 5/22/18
Raleigh, North Carolina: 5/30/18
New Jersey: District office visits 4/20-5/4/18
Maryland: TBD

Contact Rick Hynick to find out what you can do to advocate, whether it be sharing your personal story, contacting your legislators, or participating in an upcoming state Lobby Day!

Save the Date: PHA Lobby Day is May 22nd!

BAYADA will again be supporting the Pennsylvania Homecare Association’s (PHA) Lobby Day in Harrisburg on May 22nd!

BAYADA office staff, field employees and clients will be joining industry colleagues to show state legislators just how large and impactful the home care industry is and, as in years past, we are committed to maintaining BAYADA’s historically large “sea of red” presence throughout the day.

Whether or not you’ve participated in a lobby day before, this is your chance to share your voice about issues that affect home care and let legislators know what can be done to alleviate some of the pressures that industry staff, clients families face daily. If you have any questions about what the day entails or how you can play a role, email lness@bayada.com.

Thank you to all PA staff, clients and families for your commitment to advocacy and for your participation in lobby days past and future.

Save the Date–May 22 is PHA Lobby Day in Harrisburg!

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.

Saying Goodbye to a Champion

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

Republican Sen. Tommy Tucker of Union County announced that he won’t seek a fifth term in 2018.  Sen. Tucker co-chairs the influential Senate Finance Committee. “I have long believed in term limits for judges and politicians,” he said in a statement to the Charlotte Observer. “After serving four terms in the N.C. Senate, the time has come for me to allow others to step in and serve Union County and our state.”

Our relationship with Sen. Tucker started back in 2011 when Hearts for Home Care Ambassador John Morris and I visited with him in his district office to introduce him to BAYADA and home care.  That visit led to a home visit where he was able to see first-hand the impact home care has on his constituent.  Over the years and as he rose through the ranks, we met with Sen. Tucker numerous times, attended legislative receptions for him, as well as, visited with him at Lobby Days.  His door is always open for BAYADA.  He was instrumental in ensuring the CAP-C rate increase for nursing was put in the Senate’s budget and that it was ultimately passed.  Sen. Tucker was BAYADA’s Legislator of the Year 2016. We thank Sen. Tucker for his commitment and support of our staff and clients.  His vision and leadership will be missed.

LaToya, Jackie, Tanner, and Melissa at Legislative Day with Sen. Tucker receiving the BAYADA Legislator of the Year Award

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.

 

Government Affairs Office Completes Harrisburg, PA Office Blitz

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

This week, Chief Government Affairs Officer Dave Totaro and I met with more than 15 different legislators and staff in Harrisburg. The intent was to follow up from our lobby day to answer any additional questions and concerns they may have regarding the personal assistant services (PAS) increase and the pending presumptive eligibility language. Although it is a tough budget year, legislators understood our need to increase the PAS rate and pass presumptive eligibility. In the coming weeks, the Government Affairs Office (GAO) plans to follow up with all legislators as they begin budget negotiations.

NJ Client Advocates for Our Aides

Submitted by Tara Montague, Manager, Client and Family Advocacy, NJ (GAO)

On May 26, as part of the Home Care Association’s Advocacy Day, our client, Victor Muniz, spoke during a press conference held by Senate Majority Leader Loretta Weinberg. Victor, who receives personal care assistance through the Jersey City (JC) office, shared the importance of home health aides in his rehabilitation and his ability to live independently. In addition, William Chambers, father to Perth Amboy (PER) client Billy Chambers, spoke about how home health aides enable him to continue to care for his son at home, but there is a strong need for increases in reimbursement rates. He stressed that aides are simply not paid enough money for what they do.

Mr. Muniz was also interviewed by a reporter from NJ Spotlight about this issue.

Successful Storytelling at the North Carolina Legislative Day

Submitted by Mike Sokoloski, Grassroots Advocacy Manager, GAO

​On Wednesday, May 17, more than 60 BAYADA employees and one client arrived in their red attire to advocate to the North Carolina legislature, effectively communicating the importance of home care through storytelling to more than 110 legislators! We gathered on the red carpeted steps of the General Assembly to honor our Legislator of the Year, Senator Tommy Tucker. He has been a steadfast supporter of home care. Last year, he inserted language to increase the nursing rate by 10% for medically fragile children.

Click here to access our Hearts for Home Care Advocacy photo album on Facebook. >>
“While the medical condition of your clients puts them at high risk for hospitalization and placement in nursing homes, they deserve to stay at home, and they can with support of home nursing,” said Sen. Tucker. “The work that you do helps North Carolinians have a better quality of life, and saves the state tremendous amounts of money. We absolutely need to invest in these services.”

Speaking to the vital importance of advocacy, Chief Government Affairs Officer Dave Totaro said, “We must continue to recruit new voices to create the movement necessary to protect and retain benefits critical to the care of our clients. BAYADA has always led the way and we will continue to do so.”

I had the privilege of being joined by a new BAYADA employee, Gastonia, NC Pediatrics (GP) Client Services Manager Foster Krebs. He made an immediate connection with Sen. John Alexander with a story about a client family’s struggle, noting that we cannot retain field staff on one of his pediatric cases.

 

“After the first visit with Representative Hurley,” said Foster, “I was less anxious and felt more comfortable. In fact, once I realized my story resonated with lawmakers, I was able to enjoy myself.”

Keeping this engagement with legislators throughout the year is vital as well. Legislative Day is just a start to the numerous district visits, town halls, and home visits to come in 2017.

“I’m so proud of our staff,” said Area Director of Government Affairs Lee Dobson. “It was clear they had powerful stories to tell and were telling them. Their enthusiasm was contagious and in true BAYADA fashion, our smiles were seen and felt.”

We were there to seek an increase to the Medicaid aide rate from $13.88 to $17.00, over two years, and to communicate how one-on-one in-home aide services can help reduce health care expenditures by minimizing costs associated with falls, ER visits, and re-hospitalizations, and prevent or delay institutionalization while preserving quality of life. Home care also creates jobs in the community and allows families to continue to work, while being a cost-savings to the state.

This was understood by Senator Andrew Brock, who said, “I understand why you are asking for the increase. You won’t find the people to do the work at what you’re able to pay. This is a worthwhile allocation.”

A special thanks to Raleigh, NC Adult Nursing (RAN) Transitional Care Manager Paulette Troy for being the Legislative Nurse of the Day. For her volunteerism, she was recognized in both the House and Senate chambers, who said, “It was a privilege to represent BAYADA.”

Advocacy is an important role in the political process. We appreciate our advocates for making the time to be the voice for our staff and clients by sharing our stories. The General Assembly was a sea of BAYADA red. Thank you!

NJ GAO Advocacy Week Ambassador Experience

Submitted by Allison Nulton, Associate (TRP)

​During BAYADA’s Government Affairs Office (GAO) NJ Advocacy Week, I was excited to embark on my first experience as a BAYADA Ambassador.

On Tuesday, May 2, GAO Community Liaison Tara Montague, Toms River, NJ (TR) assistive care state programs Client Services Manager Rebecca Capuano, and I met with Senator Connors and Assemblywoman Gove from District 9. We had the opportunity to advocate for the clients we serve and ask the legislators to support raising the rate floor for NJ’s personal care assistant program in Managed Medicaid to the state’s fee-for-service rate.

We also asked them to support a $10-an-hour fee-for-service increase in private duty nursing. Both Senator Connors and Assemblywoman Gove were very receptive to the stories we shared about our clients and the challenges they face daily, and were open to having a round-table discussion in the future.

I also met with Senator Thompson from District 12 on Friday, May 5 to discuss the issues we face in the home care setting.  Senator Thompson, GAO Director Louise Lindenmeier, and I discussed a variety of issues that impact home care. We invited Senator Thompson for a home visit in the near future. We hope to schedule one soon!

I am excited for future visits to advocate for our clients, families, and field staff and to raise awareness about the support that is needed to continue providing excellent home care The BAYADA Way.