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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

Governor Kasich and Secretary Clinton Offer Best Records on Home Care

January 27, 2016 03:30 PM

Which U.S. presidential candidates have the best records relative to home care and hospice? The answer: Governor John Kasich of Ohio, a Republican, and Democrat, former Secretary of State and U.S. Senator, Hillary Clinton.

Six months ago some 20 candidates from both parties were approached by the National Association for Home Care and Hospice (NAHC) to share their views and their records on matters related to long-term care. One week before the voting begins in Iowa two frontrunners in home care have appeared.

Governor Kasich’s Move to Expand Access to Home Care

Governor Kasich in his closing remarks in the most recent presidential debate listed as one of his most important achievements reversing the longstanding institutional bias which channeled aged, infirm and disabled Ohioans into nursing homes and other institutions instead of providing care which allowed them to remain independent in their own homes.

The Governor summarized this in his remarks saying: “You know, in our country, there are a lot of people who feel as though they just don’t have the power. You know, they feel like if they don’t have a lobbyist, if they’re not wealthy, that somehow they don’t get to play,” Kasich said.

“You see, all of my career, I’ve fought about giving voice to the people that I grew up with and voice to the people that elected me… [For example] taking on the special interests in the nursing home industry in Ohio, so that mom and dad can have the ability to stay in their own home, rather than being forced into a nursing home.”

A literature search validated the Governor’s actions which were an extension of his record as a member of the U.S. Congress and Chairman of the House Budget Committee. They assert that his leadership and advocacy resulted to moving seniors in greater numbers into a variety of in-home care programs. For example, the Columbus Dispatch on November 19, 2015, wrote as follows:

“Ohio has made rapid progress in shifting its aging population from costly nursing homes to appropriate home-based care. This is a win for seniors and taxpayers: It stretches Medicaid dollars to serve more people in need, and it provides the elderly, along with the disabled and mentally ill, the dignity and comfort of remaining in their homes.”

The Columbus Dispatch further wrote: “Ohio long put too much of its money for long-term care of the elderly into the nursing home-industry, which has a strong Statehouse lobby… In the 1970s, about 90 percent of Medicaid beneficiaries receiving long-term care were institutionalized, said Robert A. Applebaum, director of the Ohio long-term-care research project at Miami University. This percentage has dropped by more than half. This isn’t just compassionate, it’s fiscally vital as more Baby Boomers age and start needing elder care in one form or another.”

Secretary Clinton Advances Home Care

When she was a member of the U.S. Senate, Hillary Clinton was a strong advocate for home care and hospice. She worked to increase access to in-home care programs such as Medicare and Medicaid. She has a record of fighting the imposition of copayments which require seniors to pay a “sick tax” before they could access home care services in 1997 and 2003.

Secretary Clinton has included frequent references to home care during the presidential campaign. For example, on November 22, 2015, she introduced a proposal that would allow families to deduct up to $6,000 per year that they had spent to provide home care to their parents from Federal income taxes (see the November 26, 2015, edition of NAHC Report here). Under present law the care paid for by adult children on behalf of their parents cannot be deducted unless the parents qualify as deductions--meaning that the adult children provide substantially all of their income and support.

“We need to recognize the value of the work that caregivers give to all of us, both those who are paid and the great number who are unpaid,” Clinton said. “The lost wages and the work that is sometimes given up are costing families—especially women—who make up the majority of both paid and unpaid caregivers.”

Supporting Candidates from Both Parties

NAHC has the policy to support candidates from both parties who support home care and hospice. This article is presented with enthusiasm for the benefit of NAHC’s members. The candidates should be applauded for their records but printing this story should not be taken as an endorsement. It may be that other candidates have a positive record they have not shared or that NAHC researchers missed something. Candidates are being asked one more time to share their views and their records. If it makes an endorsement, NAHC typically waits until the two parties made their selection of candidates for the general election.

For more information, please contact Cory L. Turner, editor of NAHC Report (

To access a printable version of this article, please click here.




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