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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

Overtime Lawsuit: Emerging Questions and Options for Consideration

November 10, 2015 02:26 PM

As the National Association for Home Care and Hospice (NAHC) lawsuit challenging the U.S. Department of Labor’s rules affecting overtime compensation to personal care aides and live-in caregivers moves on to the U.S. Supreme Court, home care companies are taking steps to adjust their business practices to comply with the new rules. As NAHC has earlier indicated, with the Application for a Stay of the Court of Appeals ruling rejected by Chief Justice Roberts, the new rules came into effect on October 13, 2015. The rules will be in effect throughout the Supreme Court appeal.

Home care companies have taken a wide variety of actions to address the new requirements that create overtime compensation obligations. Some companies have limited the work hours of staff to avoid or minimize any overtime hours. Others have raised charges to cover the new cost. Some have implemented new compensation systems that accommodate the overtime obligation while providing some controls on the total cost of overtime.

One such model is a flat salary that is paid without regard to the number of hours worked. Overtime remains an obligation under such a model. However, the model contains and controls to a degree the total compensation paid. If done properly, the model complies with the federal Fair Labor Standards Act under 29 CFR 778.114, a rule that sets the standards for compliant compensation using a fixed salary for fluctuating workweek hours.

Fixed salary to nonexempt employees with fluctuating hours works like this:

  • The employee is guaranteed a fixed salary amount regardless of how many hours are worked in a workweek
  • The salary amount is equal to or greater than the applicable minimum wage rate for the total hours worked in any workweek
  • An overtime premium is added to the salary based on the number of hours worked above 40 in any particular workweek
  • The overtime premium is calculated by taking the fixed salary amount, dividing it by the number of hours worked, and multiplying the product by 0.5 for each hour over 40.
  • The employee must clearly understand that the fixed salary is paid without regard to the number of hours worked in a week

The rule provides an illustration of the model:

The fixed salary is $600 weekly. During the course of 4 weeks an employee works 40, 37.5, 50, and 48 hours, the regular hourly rate of pay in each of these weeks is $15.00, $16.00, $12.00, and $12.50, respectively. [$600 divided by the number of hours worked]. Since the employee has already received straight-time compensation on a salary basis for all hours worked, only additional half-time pay is due. For the first week the employee is entitled to be paid $600 [no overtime hours worked]; for the second week $600 [no overtime hours, same fixed salary regardless of number of hours worked, including less than 40]; for the third week $660 ($600 plus 10 hours at $6.00 [overtime premium] or 40 hours at $12.00 plus 10 hours at $18.00); for the fourth week $650 ($600 plus 8 hours at $6.25 [overtime premium], or 40 hours at $12.50 plus 8 hours at $18.75).

With this model, the average hourly compensation will fluctuate each workweek as the number of hours worked varies. A key is that the hourly compensation must never fall below minimum wage in any given workweek. If in the example above, the employee worked 90 hours in a week, the hourly average ($6.67) would fall below minimum wage and the model would not comply with the FLSA.

The cost benefit of the model is that as work hours go up, the overtime premium on an hourly basis goes down. In the above example, the per hour overtime cost at 50 hours is $6 while it is $6.25 at 48 hours.

This model will not fit for all companies or all employees. However, it may be a model to consider for employees who normally work 40 or more hours in a week.

This article is not intended to convey legal advice. NAHC strongly recommends that home care companies obtain competent legal advice to determine whether the company’s compensation practices comply with federal and state law. 




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