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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

House and Senate Committees Pass Budget Plans

Proposals Would Repeal Affordable Care Act, Reform Medicare and Medicaid
March 20, 2015 12:05 PM

Both chambers of Congress this week passed out of committee budget proposals for fiscal year 2016. The proposals include provisions to repeal the Affordable Care Act, as well as reforms to Medicare and Medicaid.

The custom is for Congress to pass a “budget resolution” each year in response to the President’s budget proposal. The purpose of the budget resolution is to establish the level of discretionary spending for the coming fiscal year. It also provides an unbinding budget framework for the future decade. While the resolution binds Congress to the level of discretionary spending for the approaching fiscal year, its policy proposals do not have the force of law. As a result, many view the budget resolution as a means for Congress to voice its budgetary goals and priorities.

On Thursday, the House passed out the Budget Committee its budget proposal, “A Balanced Budget for a Stronger America.” The proposal would fully repeal the Affordable Care Act and make significant changes to Medicare and Medicaid.

“None of the reforms proposed in this budget will be able to solve the underlying challenges in our health care system so long as Obamacare remains on the books,” the House budget plan states. “Our budget fully repeals Obamacare. This will save over $2 trillion, end the Obamacare raid on Medicare and rescind all of the tax increases on job creators and health care innovation.”

The reforms to Medicare include a permanent repeal of the sustainable growth rate. In addition, the plan would reform Medicare to provide premium support for recipients to choose from a “selection of guaranteed health coverage options.” The premium support reform would start in 2024 so there would be “no changes for those near retirement.”

With regards to Medicaid, the plan would merge Medicaid and the State Children’s Health Insurance Program into a single grant program. The new program, “State Flexibility Funds,” would “give states greater freedom” and “empower state policymakers to tailor their Medicaid programs” rather than the current “one-size-fits-all approach.”

The Senate plan would also repeal the Affordable Care Act, but it does not include the premium support reform to Medicare. Instead, the Senate plan expresses support for the President’s budget “as a target” for the total amount of Medicare savings without endorsing the President’s specific policy proposals or suggesting specific policies to achieve those savings. The President’s budget called for over $400 billion in Medicare reductions over 10 years.

Both the House and Senate proposals call for repealing the Independent Payment Advisory Board, an unelected board of presidential appointees to make decisions on reducing Medicare payments.  For more information about the effort to repeal the board, please see this previous NAHC Report story.

These budget plans are broadly stated documents for members of Congress to coalesce around and initiate specific legislative measures. NAHC will continue engaging with Congress to address the priorities of home care and hospice providers throughout the budgetary process. For more information about the President’s budget proposal, please see this previous NAHC Report story.

NAHC will continue to provide updates as Congress moves forward with its budgetary process.




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