Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest


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

Heath 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

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

Congressional Support Builds for Allowing NPs and PAs to Certify Home Health Services

Help Keep Up the Momentum by Contacting Your Senators and Representatives Today
June 29, 2015 09:00 AM

Four members of the U.S. House of Representatives—Greg Walden (R-OR), Ron Kind (D-WI), Lynn Jenkins (R-KS), and Jan Schakowsky (D-IL)—sent a letter this week to their House colleagues encouraging them to cosponsor the House version of the Home Health Care Planning Improvement Act of 2015, following a similar letter by U.S. senators last month to recruit support for the Senate version of the legislation, as reported by the National Association for Home Care & Hospice (NAHC).

“The Home Health Care Planning Improvement Act of 2015 would ensure that our Medicare beneficiaries get the home health care they need in a timely manner by allowing NPs [nurse practitioners], CNSs [clinical nurse specialists], CNMs [certified nurse midwives], and PAs [physician assistants], to order home health services, if their state allows it,” Representatives Walden, Kind, Jenkins, and Schakowsky wrote in the letter.

So far, the House bill has 112 cosponsors including an impressive 15 bipartisan original cosponsors from key committees with jurisdiction over the legislation. The Senate bill now has 33 bipartisan cosponsors. Most recently, Sen. Baldwin (D-WI), Sen. Schatz (D-HI), and Sen. Kirk (R-IL) joined as cosponsors. 

NAHC in coordination with other organizations supporting the bill has set the goal of achieving 40 cosponsors for the Senate bill and as many as possible for the House bill. NAHC is working with key champions in Congress to receive a Congressional Budget Office score of the legislation and technical assistance from the Centers for Medicare & Medicaid Services so that the bill can move forward in the Committee process. More Congressional cosponsors would increase the likelihood of the bill being included in a future Committee markup.

Please click here to see if your senators have cosponsored the bill and click here to see if your Representative has done so. If not, please use the Legislative Action Center to contact them to cosponsor the bill right away.

Nurse practitioners and physician assistants are currently authorized to either work in states independently or in coordination with physicians to treat, diagnose and prescribe medicine.  However, they are unable to order home health care services.

The fact that non-physician health professionals are unable to certify home health services is increasingly a problem because more and more people are receiving home-based care from non-physician health professionals. As a result, patients face the burden of visiting an unknown physician first in order to receive home health care. 

NAHC strongly supports this legislation, which will reduce expensive hospitalizations and nursing home stays. NAHC Report will continue to provide updates regarding the status of the bill.




©  National Association for Home Care & Hospice. All Rights Reserved.