Strategically Utilizing Media to Advocate for Nursing Rate Increases Proves Effective in Rhode Island

Mitzi Page and her son, Kyle, both of East Providence, are one of the several families that were covered in the media in an effort to increase Rhode Island’s reimbursement rates for in-home skilled nursing services.

BAYADA’s Government Affairs Office (GAO) always seeks new ways to accomplish BAYADA’s legislative goals. In the past two years, GAO solidified a grassroots advocacy team to engage staff, clients, and families in advocating for better home care rates and policies. Even more recently, GAO has begun to see how much media attention on home care issues can further our message and help us reach our legislative goals.

Earlier this year, BAYADA contracted with Regan Communications to bring attention to the need for a state Medicaid reimbursement rate increase. Regan helped BAYADA gain the media coverage necessary to reveal Rhode Island families’ access to care issues and the bleed-out of in-home nurses, who are better paid to do similar work in other settings and neighboring states. Regan was able to assist BAYADA in gaining the momentum necessary to successfully bring the increase across the finish line! 

GAO is pleased to announce that BAYADA has extended our contract with Regan through the end of the year. Additionally, GAO is exploring a more extensive contract with Regan across our major media markets, and has expanded our in-house public affairs program with Public Affairs Manager Alisa Borovik.

Below, please find the media coverage that Regan Communications helped BAYADA earn throughout our campaign for increased reimbursement rates for in-home skilled nursing services

4/11/18 – Channel 10, NBC 10 I-Team, Home care pay gap hurting vulnerable families.

5/2/18 – Channel 12, Bill aims to increase pay for RI’s home care nurses.

5/16/18 – Cranston Herald, Cranston family lobbies for in-home nurses’ pay increases.

5/22/18 – The Valley Breeze, Lack of home nurses spells trouble for families.

6/12/18 – Newport Daily News, Rhode Island dealing with shortage of home health-care nurses.

Successful Rate Increase in Rhode Island!

GAO Director Ashley Sadlier and home care staff and clients advocate in support of a bill before a hearing in the Rhode Island state house

GAO is excited to announce its first legislative accomplishment in Rhode Island: A Medicaid rate increase for personal care and skilled care services! The 10 percent increase to CNA services and 20 percent increase to nursing services are effective as of July 1, 2018. The State of Rhode Island intends to implement these rates by October 2018 and payments to services will be made retroactive. This increase will allow for BAYADA’s Rhode Island service offices to recruit and retain more quality caregivers and care for more Rhode Islanders that want to remain independent and healthy at home with their families.

We couldn’t have done it without you. BAYADA staff, clients, and families were instrumental in this win. Advocates submitted nearly 25 testimonies to legislators, spoke at hearings, and participated in online action alerts. While BAYADA’s Government Affairs Office (GAO) and our state partners supplemented your messages media coverage and direct lobbying to ensure continued pressure on legislators and governor, the quick and efficient mobilization of our office staff, field staff, was our secret sauce! It was inspiring to watch our advocates take initiative and transform their passion into action.

In addition to this monumental increase, the legislation included a Cost of Living adjustment (COLa), which is unprecedented. A COLa ensures that the governor and legislature must include yearly increases for these home care services in each budget going forward. The COLa will be dictated by a national database, specific to health care costs.

But our work isn’t done yet. Rhode Island’s reimbursement rates remain approximately 20-30 percent less than Massachusetts’s rates. Without additional increases, we will continue to face challenges with recruiting, training, and retaining high quality caregivers because they can make a higher wage in other settings.

This legislative session, we are continuing to educate our elected officials about why it is imperative that the state support and invest in home care services to keep our medically fragile Rhode Islanders at home. GAO has scheduled meetings with legislators, coordinated home visits and roundtable discussions with elected officials and regulators, and have developed the tools and resources necessary for our in-office and client advocates to take action.

Thank you to all our advocates – the progress Rhode Island has made is a direct reflection of your engagement and your willingness to share your stories! To learn about how you can get involved in advocacy, email

Supporting Home Care at the Rhode Island State House

Submitted by Rick Hynick, Director of Client and Family Advocacy

On Tuesday, April 11, a crowd of people gathered at the state room in the Rhode Island State House to thank those in our state government who support the many children, adults, and their families who rely on home care. The gathering was part of an event planned on behalf of BAYADA and the Rhode Island Partnership for Home Care.

“We’re here today to thank those legislators who have listened to your conversations and heard your challenges, and have become steadfast supporters to make your lives and the lives of your children better,” said BAYADA Chief Government Affairs Officer Dave Totaro. Dave and other representatives from GAO partnered with Rhode Island Skilled (RIS) pediatrics Director Ashley Sadlier and her staff to make the event a success.

State Representative Gregg Amore was presented with a 2017 Legislative Advocacy Award for his tireless work to back the needs of his constituents and the many other residents of the state who use home care services on a daily basis. Senator Hannah Gallo was also recognized but could not be present. Additionally, Lieutenant Governor Daniel Mckee spoke about the important role home care plays in the lives of many Rhode Island residents.

Mr. Mckee and Rep. Amore continued to discuss the positive impact of home care, to the great interest of our clients and their families who were present in the audience. These families—the very people who rely on having nurses to provide clinical care to their loved ones—can offer firsthand testimony as to why home care is so vital.

Eric Olson—the father of client Liam and a long-time home care advocate—explained that the nurses who work with his son have such a connection with him. They understand that many of Liam’s movements are actually the way he communicates what kind of care he needs from moment to moment. He went on to explain that, without the close connection that the nurses have with his son, Liam would not be where he is today. With their help, he has thrived, despite his dependence on many mechanical devices. Eric went on to underscore how important it is that the families work with the elected officials, as they have the ability to make positive change.

“Our goal today was to bring enough of these voices together so we can start to make a difference.  Not just for families in this room, but for all families who want to keep their loved ones at home,” Dave said.  Side by side, BAYADA and the Rhode Island Partnership for Home Care provide significant support to the goals of legislators and families who depend on home care. We are working together for a better tomorrow for all home care services in Rhode Island.