Meeting a Constituent was a Treat for NC Representative John Fraley

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

On August 16, Representative John Fraley visited with staff from our Lake Norman adult office before heading to meet with his constituent, our client, Mr. Bachner.  Associate Lauren Keys, the Hearts for Home Care Ambassador who organized the home visits, commented “Rep. Fraley came prepared with good questions about home care and Medicaid reform.  While he doesn’t sit on a health committee, he wanted to learn about our issues.”  Clinical Manager Mary Hope Milligan and Client Services Manager Lucas Reives both described our recruiting challenges.

Mr. Bachner, a 90-year old WWII, Korean, and Vietnam vet, was a delight.  He shared many stories of his life, his children, and his service to our country.  It was especially heartwarming to hear how he met his wife, Cora, and after a week proposed marriage – a marriage that lasted 60-year.

Photo (left to right): Lauren Keys, Mr. Bachner, Rep. Fraley, and Tim Bachner

While Mr. Bachner is satisfied with his Veterans Administration (VA) benefits, we took this opportunity to share with Rep. Fraley the disparity between VA and Medicaid and how difficult it is to staff under Medicaid because the rates are so low.  As a retired businessman, Rep. Fraley understood and said, “Thank you for opportunity to meet with BAYADA staff and Mr. Bachner.  This was a good learning experience for me, as well as, a treat!“  As our meeting concluded, he commented that all he needed to remember was that we’re looking to get to $17.00 per hour next session.

Photo 2: Rep. Fraley with BAYADA staff

Government Affairs Office Provides Regulatory Support in North Carolina

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


While lawmakers are out of session, work continues on the regulatory front with two initiatives: Medicaid Reform and Licensure Rules Rewrites.  First, Secretary Mandy Cohen has been hosting stakeholder meetings and making the rounds with lawmakers garnering support for her Medicaid Reform Bill.  The Department is attempting to align physical health and behavioral health services by creating Special Needs Plans.  BAYADA has been invited to work with Medicaid and other stakeholders on this matter.  We will ensure level of services and provider adequacy remains central in the program design and waiver application.  Second, the Division of Health Service Regulations (DHSR) has published for public comment their proposed changes to the Home Care Licensure Rules.  The Government Affairs Office (GAO) has convened a review team of BAYADA experts to draft our formal comments, due August 15.

On the advocacy front, our Hearts for Home Care Ambassadors will commence their summer outreach efforts with lawmakers.

GAO Meets with NC Governor Roy Cooper

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

On July 10, Dave Totaro and I met with Governor Roy Cooper. We discussed state and federal issues related to health care delivery in NC. He recognized and applauded our recent federal call to action and indicated that type of outreach makes a difference. We also discussed Medicaid Reform, the LME/MCO system, CON, and Medicaid rates. It was a great conversation with a supporter of home care.