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In the various roles he has undertaken through the years, Val J. Halamandaris has been a singular driving force behind the policy and program initiatives resulting in the recognition of home health care as a viable alternative to institutionalization. His dedication to consumer advocacy, which enhances the quality of life and dignity of those receiving home health care, merits VNA HealthCare Group’s highest recognition and deepest respect. 

VNA HealthCare Group

I have the highest respect for them, especially for the nurses, aides and therapists, who devote their lives to caring for people with disabilities, the infirm and dying Americans.  There are few more noble professions.

President Barack Obama

Home health care agencies do such a wonderful job in this country helping people to be able to remain at home and allowing them to receive services

U.S. Senator Debbie Stabenow (D-MI) Chair, Democratic Steering and Outreach Committee

Home care is a combination of compassion and efficiency.  It is less expensive than institutional care...but at the same time it is a more caring, human, intimate experience, and therefore it has a greater human’s a big mistake not to try to maximize it and find ways to give people the home care option over either nursing homes, hospitals or other institutions

Former Speaker of the U.S. House of Representatives Newt Gingrich (R-GA)

Medicaid covers long-term care, but only for low-income families.  And Medicare only pays for care that is connected to a hospital discharge....our health care system must cover these vital services...[and] we should promote home-based care, which most people prefer, instead of the institutional care that we emphasize now.

Former U.S. Senator Majority Leader Tom Daschle (D-CD)

We need incentives to...keep people in home health care settings...It’s dramatically less expensive than long term care.

U.S. Senator John McCain (R-AZ)


Home care is clearly the wave of the future. It’s clearly where patients want to be cared for. I come from an ethnic family and when a member of our family is severely ill, we would never consider taking them to get institutional care. That’s true of many families for both cultural and financial reasons. If patients have a choice of where they want to be cared for, where it’s done the right way, they choose home.

Donna Shalala, former Secretary of Health and Human Services

A couple of years ago, I spent a little bit of time with the National Association for Home Care & Hospice and its president, Val J. Halamandaris, and I was just blown away. What impressed me so much was that they talked about what they do as opposed to just the strategies of how to deal with Washington or Sacramento or Albany or whatever the case may be. Val is a fanatic about care, and it comes through in every way known to mankind. It comes through in the speakers he invites to their events; it comes through in all the stuff he shares.

Tom Peters, author of In Search of Excellence

Val’s home care organization brings thousands of caregivers together into a dynamic organization that provides them with valuable resources and tools to be even better in their important work. He helps them build self-esteem, which leads to self-motivation.

Mike Vance, former Dean of Disney and author of Think Out of the Box

Val is one of the greatest advocates for seniors in America. He goes beyond the call of duty every time.

Arthur S. Flemming, former Secretary of Health, Education, and Welfare

Val has brought the problems, the challenges, and the opportunities out in the open for everyone to look at. He is a visionary pointing the direction for us. 

Margaret (Peg) Cushman, Professor of Nursing and former President of the Visiting Nurses Association

Although Val has chosen to stay in the background, he deserves much of the credit for what was accomplished both at the U.S. Senate Special Committee on Aging, where he was closely associated with me and at the House Select Committee on Aging, where he was Congressman Claude Pepper’s senior counsel and closest advisor. He put together more hearings on the subject of aging, wrote more reports, drafted more bills, and had more influence on the direction of events than anyone before him or since.

Frank E. Moss, former U.S. Senator

Val’s most important contribution is pulling together all elements of home health care and being able to organize and energize the people involved in the industry.

Frank E. Moss, former U.S. Senator

Anyone working on health care issues in Congress knows the name Val J. Halamandaris.

Kathleen Gardner Cravedi, former Staff Director of the House Select Committee on Aging

Without your untiring support and active participation, the voices of people advocating meaningful and compassionate health care reform may not have been heard by national leaders.

Michael Sullivan, Former Executive Director, Indiana Association for Home Care

All of us have been members of many organizations and NAHC is simply the best there is. NAHC aspires to excellence in every respect; its staff has been repeatedly honored as the best in Washington; the organization lives by the highest values and has demonstrated a passionate interest in the well-being of patients and providers.

Elaine Stephens, Director of Home Care of Steward Home Care/Steward Health Systems and former NAHC C

Home care increasingly is one of the basic building blocks in the developing system of long-term care.  On both economic and recuperative bases, home health care will continue to grow as an essential service for individuals, for families and for the community as a whole.

Former U.S. Senator Olympia Snowe (R-ME)

NCOA is excited to be part of this great event and honored to have such influential award winners in the field of aging.

National Council of Aging

Health care at home…is something we need more of, not less of.  Let us make a commitment to preventive and long-term care.  Let us encourage home care as an alternative to nursing homes and give folks a little help to have their parents there.

Former President Bill Clinton

Resources for Effective Lobbying and Capitol Hill Visits by Home Care & Hospice Advocates

October 22, 2013 11:44 AM

The National Association for Home Care & Hospice (NAHC) has developed a number of legislative priority “hotsheets” that home care & hospice advocates can use during their meetings with elected officials and staff during NAHC's Annual Meeting Lobby Day on October 31, 2013. There are separate hotsheets for Medicare, Medicaid, Hospice, Private Pay, and Technology issues.  

To access the Medicare Hotsheet, please click here.

To access the Medicaid Hotsheet, please click here.

To access the Private Pay Home Care Hotsheet, please click here.

To access the Technology Hotsheet, please click here.

The Hospice Hotsheet is still in development.

This year's Lobby Day is well timed, as Congress will be deeply engaged in budget negotiations during NAHC's Annual Meeting.  There will also be efforts underway by Congress to find offsets for the cost of fixing the flawed Medicare physician payment formula before physician payment cuts are scheduled to kick in January 1 of next year.

Below are some of the resources that are available for home care & hospice advocates for effective Capitol Hill visits.  In addition to the resources below, there are many other items on the Legislative Action Network that may also be helpful.

There are numerous handouts regarding the rebasing issue. The two to start with would be: Talking Points and HHPPS Proposed Rule Impact Overview.  Keep in mind that all of our advocacy around the rebasing rule will help lay the groundwork for the next fight NAHC expects over proposals to make further cuts in home health payments.  MedPAC has recommended additional home health payment cuts and the President’s budget included a proposal to cut 1.1 percentage point off the inflation updates for all post acute providers, including home health.

With respect to proposals to reintroduce copays into Medicare for home health services, the President proposed a home health copay of $100 on episodes not preceded by a hospital or nursing home stay, applied to new Medicare beneficiaries beginning in 2017.   Talk of renewed efforts to achieve a “grand bargain” along the lines of the Simpson-Bowles proposal raises concerns, as Simpson Bowles proposed a uniform 20 percent copay on all Medicare services, including home health and hospice.  Below you will find an issue brief on copays and copay talking points, as well as two items on the Face-to-Face issue. 


Talking Points

Home Health Rebasing White Paper

House Home Health Rebasing Letter

Senate Home Health Rebasing Letter

Impact Projections Congressional District-2014-2017

Impact Projections State and National 2014-2017

HHPPS Proposed Rule_Issue Overview

HHPPS Proposed Rule_Infographic: Home Health Cuts Don't Add Up

HHPPS Proposed Rule_Impact Overview

HHPPS Proposed Rule_Impact on Jobs and Small Business

HHPPS Proposed Rule_Impact on Medically Underserved Communities

HH Cuts_State-by-State Dollar Impact (Avalere Health)

HHPPS Proposed Rule State Rebasing Impact One Pagers


Home Health Copay Issue Brief

Home Health Copay Talking Points


House Face to Face Letter to CMS

Talking Points/Issue Brief





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