Maryland Primary Day Sees a Big Shakeup

The Maryland primary election at the end of June resulted in several big surprises. Longtime senator and well-respected chairman of the Senate Finance Committee, Mac Middleton, was ousted by a political unknown, shaking up the establishment and opening the question of who will lead this key committee. The primary defeat of Senator Steve Waugh, a moderate Republican known for thinking logically and building consensus made national news after Governor Larry Hogan came out against him for voting too often with Senate Democrats. When the dust settled, only one of the four major committee chairs in the Senate remained, and only two of the vice chairs. In the House, Delegate Joseph Vallario, a Maryland legend, lost his primary bid, creating a vacancy that had a chain reaction through the leadership as members took on new roles. These changes leave voids in institutional knowledge on the complicated issues that come before legislative committees.

In the Gubernatorial race, Governor Larry Hogan won the Republican primary and former NAACP Chair Ben Jealous was chosen for the Democratic nomination. Jealous has been vocal about bringing a single-payer healthcare system to Maryland, a move that the nonpartisan Department of Legislative Services has measured would add $24 billion to state expenses, but would eliminate the $51 billion Marylanders paid in healthcare costs in 2014 (an estimated $65 billion this year). Governor Hogan has been a supporter of stabilizing the ACA insurance market and keeping private coverage premiums down. For a state where healthcare is both a point of pride and a major economic generator, this is sure to be discussed often in the run-up to the election.

Across the state, primary elections re-affirmed the mantra that every vote counts. Results remained too close to call for days after the Baltimore County executive primary showed a win for former state Delegate Johnny Olszewski over state Senator Jim Brochin and County Councilwoman Vicki Almond by only nine votes. After a manual recount, the win was confirmed by a margin of 17 votes (of 84,601 total cast in the race).  Legislative primaries across the state had similar results but garnered less attention. See Maryland’s elections website for the full results. If you have any questions about our legislative priorities for Maryland, don’t hesitate to reach out to me.

Maryland’s Home Care Association Welcomes New Executive Director

During session, Maryland-National Capital Homecare Association selected a new Executive Director.  Dawn Seek, LPN, a longtime board member with a career in many aspects of home health care and durable medical equipment, was hired as the association’s sole full-time employee.  She met with Dave Totaro and Shannon Gahs from the BAYADA Government Affairs Office (GAO) team last week to discuss her vision for the association and plans to work together in the coming year.  Her plans include adding Maryland’s voice to the national conversation of the future of home health care, partnering with other organizations that serve our clients and employees in Maryland, building more substantive committees and planning meetings that have more immediately-actionable information for members.

Election Season in Maryland

Election season is officially upon us!  The governorship and every seat in the legislature is on the ballot in 2018.  Primary Day is on June 26 and the General Election will be November 6.    Gov. Hogan, a popular Republican in a traditionally heavily Democratic state, faces an uphill battle.  The field for the Democratic nomination currently has eight active candidates.  Across the country, a blue wave is expected in November, with many Republicans expected to be unseated by Democrats.  Maryland’s legislature currently stands at 123 Democrats to 64 Republicans.  But no matter how the votes fall across party lines, the legislature is sure to include a lot of new faces in 2019–nearly 20% of senators have announced they will not run for re-election.

Maryland Wrap-Up: Home Care Access Bill and Others

BAYADA’s primary goal this session was to pass legislation requiring the state to evaluate disabled children’s and adults’ access to home health care.  We built a coalition, developed a persuasive body of research, and educated key legislators about low Medicaid rates and the desperate need for more LPNs in home care.  In the final hour of the year’s legislative session, the bill passed unanimously.  We know that disabled children and adults in Maryland are routinely going without the care they need.  The task force this bill establishes, and the report that they will publish, will allow us to advocate for greatly increased Medicaid rates in the coming months.  This is an important step forward to bring reliable, high quality home healthcare to more Marylanders.

Thank you Delegate Kirill Reznik and Senator Steve Waugh for supporting home care by sponsoring this bill!

In other news:

  • MINIMUM WAGE- A proposal to increase the state minimum wage to $15 failed. The issue will likely be back for consideration in 2019. A previously-scheduled increase to $10.10 this summer will still occur.
  • SICK LEAVE- A statewide sick leave mandate passed last session, which Gov. Hogan vetoed. This session, the legislature overrode the veto and put the mandate into effect as of February 11. BAYADA’s LS and POL groups have made sure that BAYADA is in compliance.
  • HEALTH INSURANCE- In reaction to federal elimination of the individual mandate and some health insurance market funding, the state took steps to stabilize individual marketplace health insurance premium rates and will evaluate proposals to encourage younger, healthier people to buy health insurance.
  • PRESCRIPTION DRUGS- An effort to prevent price-gouging for prescription drugs failed. A separate bill that allows pharmacists to tell consumers about lower-cost drug options passed.

Increasing Maryland’s LPN Rate

This session, our major legislative goal in Maryland is to increase the Medicaid LPN rate across all programs and client groups from $34.16 to $42.81. It is an ambitious goal—initial budget estimates place the cost to the state at $26 million per year. With neighboring states reimbursing LPN care at $45, $46.14 and $50 per hour, it is easy to see why there is such a problem of access to care across Maryland. The low reimbursement simply does not support a sufficient wage to be able to consistently recruit and retain the skilled nurses that we need to be able to commit to serving a larger number of clients.

Problems within the Maryland Department of Health and a general lack of transparency have hindered this effort in past months. There have been a few targeted data points essential to such a large budget ask that BAYADA and Maryland-National Capital Homecare Association (MNCHA) through our best efforts, have been unable to obtain.

We started this session asking key legislative champions to help us get this information, using their political pressure to get information from the Department of Health or to introduce legislation that would establish an oversight working group to investigate the issue. Several legislators have been deeply troubled by the idea of children and adults with disabilities being unable to access the skilled nursing care they need to remain at home safely and have stepped up to help. This information, and the support we are gaining from those in key positions to move this effort through to becoming law, is a key step in increasing this LPN rate.

Thank you to Ambassadors Dan Guidebeck, Nikita Mutter, and Matt Paske for joining in legislative meetings and sharing the stories of how this issue impacts our clients and employees. Your commitment to advocacy reminds me of why we do what we do every day.

If you’d like to learn about how you can get more involved in our advocacy efforts, sign up to be a Heart for Home Care!

Sick Leave Becomes Law in Override of Maryland Governor Hogan Veto

At the end of the 2017 session, the Maryland General Assembly voted in favor of a statewide sick leave law. It was the sixth consecutive year that the bill was introduced.

The measure was fiercely debated and amended several times. The final version mandates that employees who work more than 12 hours in an average week earn paid sick leave at a rate of one hour per 30 hours worked, up to 64 hours per year. The sick leave may be used for the employee’s own sickness or that of a family member, to obtain preventative health care or to prevent domestic violence or stalking.

Following the 2017 session, Governor Larry Hogan vetoed the legislation, calling it bad for Maryland businesses. The legislature overrode the veto on the second day of session this year, January 11. It will go into effect 30 days after the override vote, pending a new bill introduced this week that would delay implementation. POL has been notified of the change and will issue guidance on how this will impact BAYADA offices.

If you have any questions about what’s going on in Maryland’s state capitol, let’s chat! Email me at sgahs@bayada.com.

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!

Federal Legislators from Maryland Hear from Community Leaders and Constituents on Medicaid

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

On November 16, I met with Congressman “Dutch” Ruppersberger (D-MD2) and Senator Chris Van Hollen (D-MD) at a community event about access to Medicaid, which was the same day that the U.S. House of Representatives passed the Tax Cuts and Jobs Act, which includes major provisions affecting Medicaid eligibility and tax issues that will impact our employees.  It is important that our federal legislators see home health care for the good work we do in their districts, as they make decisions that impact how we are able to practice.  The Senate will debate this bill in coming weeks.

 

Sharing Education with Legislators Prepares them for Session in Maryland

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

 This week, Harford County Visits (HFV) Marketing Manager Nicole Matricciani and I met with Delegate Andrew Cassilly (R-35B), who represents many of our clients and employees in the county.  I also met with Delegate Antonio Hayes (D-40) who is a member of the House Health & Government Operations Committee and represents parts of Western Baltimore City.  The Government Affairs Office (GAO) is building these important relationships to help our legislators understand the complex and important work we do in their communities, and the benefit home health care brings to the state.

Photo: Delegate Antonio Hayes and Shannon Gahs
Photo: Delegate Antonio Hayes and Shannon Gahs

Building Foundations for Advocacy is a Team Exercise in Maryland

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

The “Interim” or time between the end of one legislative session and the beginning of the next, is a key time to develop relationships with partners and legislators.  Much of this work is behind the scenes, but you can get involved!  We need ambassadors and other office or field employee volunteers to step up to organize district office visits, where you and I will visit key legislators in the communities they represent.  These visits are key to helping educate our legislators about the people we care for and the people we employ in their districts and build a foundation for future advocacy.  Call or email me if you’d like to get involved.