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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

NAHC’s Year in Review: Legislative

NAHC Report is running a series of articles that highlight 2014 in review for different areas of focus. Today’s is legislative. The articles were compiled by NAHC’s legislative staff and NAHC Report’s editorial team
January 4, 2015 11:03 AM

2014 was a busy year for legislation that pertains to home care and hospice, with some success in both the House and the Senate. Below are the most significant NAHC Report articles covering legislative issues from 2014.

Aside from highlighting the challenges, successes, and emerging issues that developed in 2014, the following list also serves as a quick-reference guide for home care and hospice advocates that want to review the pertinent legislative developments from the last year.

The articles below are listed in chronological order by category.


Dear Colleague Letter Seeks Additional Support for Rebasing Bill

NAHC Submits Formal Comments to CMS on the 2015 Prospective Payment System Rate Update

NAHC Shares its Outline of Draft Comments on the Medicare Proposed Home Health Rule

Another Bill Introduced to Offer Relief from CMS' Misguided Rebasing Rule

An Update on H.R. 4625 Rebasing Legislation

Rebasing Relief Bill Introduced in the House

NAHC Submits Additional Comments on Rebasing to MedPAC

March on Washington Attendees Hear from Some of Home Care and Hospice's Biggest Congressional Supporters

Bipartisan Letter Seeking Postponement and Re-evaluation of Home Health Rebasing Rule Sent to House Leadership

MedPAC Expected to Again Recommend Home Health Payment Rate Freeze, Copays and Accelerated Rebasing: New Recommendation on Rehospitalization Penalties



Congress Issues Report to CMS Asking it to Justify its Face-to-Face Policy

NAHC Urges it's Members to Contact CMS Administrator Tavenner and their Lawmakers Asking to Phase-in the New F2F Regulations

NAHC’s Forum of State Associations Sends Letter to CMS Supporting a Phase-in Approach to Face-to-Face Enforcement

NAHC Sends Letter to CMS Proposing a Phase-in Approach to the Face-to-Face Requirement

New England Senators Send a Letter on Face-to-Face Issue to CMS Administrator Tavenner

An Analysis of CMS’ Final Rule and its Modifications to the Face-to-Face Requirement

NAHC President Responds to CMS’ Final Rule on Home Health Payment Rate

CMS Issues Final Rule on Home Health Prospective Payment System Rates

Face-to-Face Letter Receives 62 Signatures

An Update on the Face-to-Face Dear Colleague Letter

Reps. Reed and Tonko Invite Colleagues to Sign Onto a Letter Urging CMS to Suspend Home Health Claim Denials Arising from F2F Physician Narrative Requirement

CMS Will Not Require Medicare Advantage Plans to Apply the Medicare Face-to-Face Requirement for Home Health Services

Effort Launched to Eliminate Onerous Face-to-Face Documentation Requirements through the Appropriations Process

NAHC Meets with CMS to Discuss Face-to-Face Requirement

Face-to-Face Rule Advocacy: An Update


Cuts and Copays

Countdown to the Midterm Elections: Less than a Week Until Nov. 4

Home Care and Hospice Community Urged to Engage Congressional Candidates in Final Month Before the Midterm Election

Leadership Council of Aging Organizations Urges Senators to Support the Medicare Protection Act

Senior Groups Send Letter Opposing President’s Home Health Copay Proposal

Senate Passes One-Year SGR Patch; President Obama Signs Legislation to Avoid Physician Payment Cuts for One Year

NAHC Strongly Opposes Any Proposal to Use Home Health and Hospice Payment Cuts and Copays to Offset the Cost of Fixing the Flawed Medicare Physician Payment Formula

House and Senate Committees Reach Agreement on SGR Bill


Nurse Practitioners

51 Organizations Send Letter in Support of the Home Health Care Planning Improvement Act

NAHC Urges its Members to Contact their Representatives During the Thanksgiving Day Holiday

NAHC Partners with Phone2Action to Provide Enhanced Digital Grassroots Advocacy Tools for NAHC Members

More Cosponsors Support Home Health Care Planning Improvement Act

Governor Susana Martinez Calls on Federal Government to Pass Legislation Allowing Nursing Professionals to Certify Home Health Care and Hospice Services


Rural Add-on

NAHC Encourages its Members to Ask Lawmakers to Preserve Access to Rural Home Health Services

Proposed Medicare Home Health Payment Rule: Impact on Rural Providers

 NAHC Empowers Home Care Rural Advocacy Alliance (HCRAA)


Surety Bonds

Brady Anti-fraud Bill Addresses Drug Prescribing Issues for Hospices; Audit and Education Reform and DME F2F Modifications

Chairman and Ranking Member of the House Ways and Means Committee Introduce Legislation that would Affect Home Health Care Providers


40 Hours a Week is Full-time

NAHC Hosts Holiday Reception

What the 2014 Midterm Elections Mean for Home Care & Hospice

House Passes Bill Defining Full Time as Forty Hours a Week for Purposes of the ACA Employer Mandate

House to Vote on Legislation that would Define “Full-Time” as 40 Hours Under the ACA

House Panel Backs Changes to Health Care Overhaul


Employer Mandate

ACA Employer Mandate Survey Closed: Preliminary Results

Action Needed on Senate and House Bills to Delay Implementation of Employer Mandate

Employer Mandate Bill gets Several More Cosponsors

Employer Mandate Bill Gets Powerful Cosponsor

Bill to Delay the Employer Mandate for Certain Medicare and Medicaid Providers Introduced in the House

Senator Baldwin and Representative Kind Send Letter to HHS Secretary on the ACA's Employer Mandate

Recent Developments Surrounding the ACA Employer Mandate, Home Care and NAHC

National Council on Medicaid Home Care Sends Letter to State Medicaid Directors on the Potential Effects that the Employer Mandate May Have on Home Care Paid for by Medicaid

NAHC’s Efforts to Postpone the Employer Mandate Results in More Progress

Additional Year in Review articles have focused on the key issues that affected the, Regulatory, Technology and Innovation, and hospice activities of NAHC, its affiliates and its members. The final article in this series will focus on NAHC’s busy legal year in review.




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