Setting A Rate Floor Gains Traction in Delaware

Representative Debra Heffernan, Vice Chair of the House Health and Human Development Committee, has offered to sponsor and draft a bill that would set a reimbursement rate floor for skilled nursing care for all payers under the state’s Medicaid equal to what Medicaid pays directly.  This bill would go a long way in helping home health care providers have consistency in their plans.  Rep. Heffernan represents an area north of Wilmington along the Delaware River, east of Fairfax.   Two other representatives have offered to sponsor the bill as well, and an additional representative has offered to co-sponsor the bill.

BAYADA Sponsors Second Lobby Day in Massachusetts

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

The Government Affairs Office (GAO) organized a second lobby day for continuous skilled nursing providers and parents to discuss our Patient Bill of Rights.  With over 27 meetings scheduled, we focused on meeting with our legislators that sit on important committees and introduced our need to file a budget amendment to support the increased reimbursement rate needed to compete for a median of nurses.  The day was successful, as we lined up House and Senate budget amendment sponsors and additional co-sponsors for the bill.  As stated by the lobbyists from the Home Care Alliance of Massachusetts, we “have set a solid foundation to build upon.” Next, we wait to see where the House will assign the bill and wait for a budget hearing.

Making The Rounds in North Carolina

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

BAYADA Chief Government Affairs Officer Dave Totaro and I met with key lawmakers this past week, seeking their support for a rate increase for aide services under three Medicaid programs – Personal Care Services, Community Alternatives Program for Disabled Adults (CAP-DA), and CAP for Children (CAP-C)- in two different settings: in-home care and adult care homes.  While the lift is heavy, $47.8 million to bring the rate from $13.88 to $17.00 over two years, our conversations were positive.  We also met with the newly appointed but not yet confirmed Secretary of Health & Human Services, Dr. Mandy Cohen.  A good round of meetings!

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Dave Totaro, Lee and Dobson Rep. Carla Cunningham, who is a nurse

Community Home Care Support Group Meeting A Success In Hazleton, PA

Submitted by Rick Hynick, Director, Client and Family Advocacy

Photo: Attendees of the support group meeting

On February 23, BAYADA sponsored a community client and family home care support group meeting at a hotel in West Hazleton, PA.  Parents, grandparents, home care staff and healthcare advocacy groups from different sectors of the community were all in attendance.  State Representative Tarah Toohil was the special guest speaker and was involved in an interactive discussion with everyone in attendance.   Families caring for loved ones with special medical needs had the opportunity to network and talk with other advocates and family members and learn of new ideas.  One of the main topics of discussion revolved around the need for more nurses in home health care.  The group is going to stay in contact through an email platform and share ideas, new events and information and reconvene in the spring at the next meeting.

Community Home Care Support Group Meeting A Success In Hazleton, PA

Submitted by Rick Hynick, Director, Client and Family Advocacy

On February 23, BAYADA sponsored a community client and family home care support group meeting at a hotel in West Hazleton, PA.  Parents, grandparents, home care staff and health care advocacy groups from different sectors of the community were all in attendance.  State Representative Tarah Toohil was the special guest speaker and was involved in an interactive discussion with everyone in attendance.   Families caring for loved ones with special medical needs had the opportunity to network and talk with other advocates and family members and learn of new ideas.  One of the main topics of discussion revolved around the need for more nurses in home health care.  The group is going to stay in contact through an email platform and share ideas, new events and information and reconvene in the spring at the next meeting.

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Attendees of the support group meeting

BAYADA Sponsors Second Lobby Day in Massachusetts

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

The Government Affairs Office (GAO) organized a second lobby day for continuous skilled nursing providers and parents to discuss our Patient Bill of Rights.  With over 27 meetings scheduled, we focused on meeting with our legislators that sit on important committees and introduced our need to file a budget amendment to support the increased reimbursement rate needed to compete for a median of nurses.  The day was successful, as we lined up House and Senate budget amendment sponsors and additional co-sponsors for the bill.  As stated by the lobbyists from the Home Care Alliance of Massachusetts, we “have set a solid foundation to build upon.” Next, we wait to see where the House will assign the bill and wait for a budget hearing.

Buzz Builds About Continuous Skilled Nursing Program in MA

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

On January 10, BAYADA hosted a lobby day in Boston with members of the Continuous Skilled Nursing (CSN) provider coalition, the Home Care Alliance of Massachusetts, and the Pediatric Home Nursing Care Campaign (a coalition of parents and grandparents).  During the lobby day, we introduced a Patient Bill of Rights that will allow for adequate reimbursement rates and other protections for those receiving services under the CSN program.  Since then, BAYADA testified along with other providers and parents about the need to increase the rate.  We have also obtained over 50 sponsors to our bill, and sent over 400 emails to legislators about the bill.  Most recently, one of the parents was featured on the CBS local affiliate WBZ Boston.  The video could not have made our point more clear.  See the full video here. The campaign was also featured in the Boston Globe the day after our lobby day. Click here to read more.

Landmark Legislation Introduced in Massachusetts

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

Last week, BAYADA’s Government Affairs Office (GAO) along with the Boston Pediatrics office, helped host a lobby day for providers, support organizations, and family coalition members.  The purpose of the legislation was to introduce a patient bill of rights for the medically complex population receiving continuous skilled nursing services and to obtain co-sponsors.  The event was well attended by over 100 individuals and many legislators and staff.  During the lobby day, we had meetings with over 50 legislators and visited every office in the legislature to drop off our packet about the bill. We were also fortunate to have the Boston Globe cover our Lobby Day!  To date, we have over a dozen legislators that have signed onto the bill. Parents and supporters who were unable to be at the lobby day in person sent over 400 emails to legislators.  Click here for the full text and to see what your colleagues have said about the article:

Join the conversation: #mychildcantwait

Photo: Those in attendance at the lobby day.

Breakfast With A Purpose in North Carolina

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

To commemorate the start of the 2017-2018 regular session, our staff attended an annual breakfast in Raleigh on January 11.  As hosts of the event, staff had a 30 minute private mingle with members.  We were able to thank lawmakers for the nursing increase last year, and to discuss the less-than-adequate aide rate and the overly burdensome and varying administrative requirements of Local Management Entity/Managed Care Organizations.  Further, Senator Shirley Randleman, a home care supporter, thanked us for keeping her in the loop on a constituent issue where a medically fragile child is in jeopardy of losing his private duty nursing.  To which Randleman said, “For the insurance company to say this baby is stable and doesn’t need home health care is unbelievable.”  She is willing to help in any way possible.  Events like this allow us to continue to build relationship with lawmakers.  Click here for photos.   Special thanks to the following staff members who represented BAYADA:

  • Chad Shore
  • Dena Hinkle
  • Donna Heatherly
  • Elizabeth Goad
  • Trip Smithdeal
Photo: BAYADA advocates at the Women in Politics breakfast on January 11.

New Delaware Governor and Lieutenant Governor Sworn In

Submitted by Shannon Gahs, Associate Director, DE Government Affairs (GAO)

The 2017 legislative session opened January 10 and a newly-elected governor and lieutenant governor were sworn in on January 17.  Governor John Carney and Lieutenant Governor Bethany Hall-Long are expected to focus on the state’s financial situation and a large budget shortfall this year.  Director of Delaware Pediatric Visits (DP) Mandy Brady and I attended Carney and Hall-Long’s inauguration celebration on Tuesday evening.

Photo: Mandy Brandy and Shannon Gahs at Tuesday’s inauguration