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

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 Meets with CBO on Care Planning Improvement Act

September 1, 2015 08:09 AM

The National Association for Home Care & Hospice (NAHC) met with officials from the Congressional Budget Office (CBO) to discuss the potential cost and savings implications of the Home Health Care Planning Improvement Act of 2015 (HR 1342/S578). That bill would permit non-physician practitioners (NPP) including Nurse Practitioners, Physician Assistants, Clinical Nurse Specialists, and Nurse Midwives to certify Medicare home health services comparable to physicians. This change has been a high priority for the home care community as more and more patients have NPPs as their primary care source.

The meeting was arranged by Congressman Greg Walden, the original sponsor of the bill in the House of Representatives. On the surface, such a meeting may seem a small matter. However, the progress of federal legislation is often hindered and, on occasion, blocked because CBO “scores” a bill as having a cost that is not offset by other savings or revenue. In many situations, legislation is blocked simply because CBO has not scored the bill due to other priorities. HR 1342/S578 is one such bill as a number of congressional offices and committees have pushed to have it scored to no avail in past years. The fact that the bill is now under review at CBO is positive progress for sure.

The CBO officials showed great interest in learning everything they could about what the bill does and what potential changes in care patterns and Medicare spending might be triggered by the legislation if it were enacted. NAHC, along with representatives from Congressman Walden, the House Energy and Commerce Committee, and associations representing Nurse Practitioners thoroughly explained the role played by NPPS in home care with a special emphasis on how the bill would remove an impediment to direct clinical integration and communications between home health care and the patient’s primary medical practitioner. 

In addition, it was explained that Medicare could achieve savings through the legislation as it would shift physician billings to NPP billings that are reimbursed at 85% of the physician payment rates for such items as certification, recertification, and care plan oversight. At the same time, participants in the meeting conveyed that home health utilization would be made more efficient through the legislative changes rather than triggering increased utilization as NPPS currently secure physicians to certify care for their patient. It is very important that CBO see the bill as providing authorization for NPPs to substitute for physicians since adding to utilization means CBO would score the bill as having an increased cost to Medicare. 

When and how CBO will actually score the bill is unknown. Meeting participants were encouraged by the open-mindedness and the serious level of the curiosity of CBO officials in getting a greater understanding of home health care and the role of NPPs. It is hoped that it can be reviewed in time for the legislation to have a chance to be included in an upcoming Medicare bill on “noncontroversial” changes.

NAHC encourages everyone to connect with their congressional delegation with a request that they all cosponsor the pending bills in the House and Senate. At this point, there is strong bipartisan support in both chambers, but we want to get that at a level that guarantees the bills will be passed this year.  The easiest route to those communications is through the NAHC Legislative  Action Center. See “Support the Home Health Care Planning Improvement Act of2015.” For more detailed information about the legislation such as the talking points on the bills, click here.




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