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

Where Trump and Clinton Stand on Health Care Issues

October 17, 2016 03:08 PM

Last week NAHC Report covered the positions the two major presidential candidates, Republican Donald Trump and Democrat Hillary Clinton, have taken on long-term care issues. Today, we will cover health care generally, by looking at how Clinton and Trump promise to maintain or alter America’s gigantic health care system.

Before we begin, it should be noted that the Clinton health care manifesto is considerably larger and more detailed than what the Trump campaign has made available. Where we can find no comment on a particular health care issue from the Trump campaign, we will simply note that.

As before, this article is not meant to serve as any form of voting or political advocacy; it is intended solely for the purpose of providing information to our readers.

Affordable Care Act

A long-time believer in government action to expand health care access, Clinton promises to maintain the ACA and even expand it. Clinton supports fixing the problems that have clearly arisen in the ACA – such as insurers fleeing the exchanges – without dismantling the basic structure of the law.

On the other side, Trump vows to completely repeal the ACA. He promises to replace it with something excellent, but has given few specifics.


"What we are going to do is we're going to save Medicare, we're going to save Social Security, we are not going to raise the age, and we're not going to do all the things that everyone else is talking about doing, said Donald Trump at a campaign rally in 2015. “They are all talking about doing it and you don't have to." Trump’s plan is to maintain Medicare through increased economic growth and elimination of waste, fraud and abuse. Trump would also allow Medicare to negotiate prescription drug prices, a measure that would save a considerable amount of money, though perhaps not the $300 billion Trump is promising.

Clinton would also allow Medicare to negotiate prescription drug prices, but she would also demand higher rebates for low-income recipients. The Clinton campaign estimates this would save more than $100 billion in Medicare costs.

In addition, Clinton would allow people age 55-64 to buy in to Medicare. She would also expand the value-based delivery system reform in Medicare and Medicaid.

Prescription Drugs

Clinton would allow Americans to import drugs from countries with safety standards as robust as those in the United States. She would also require health insurance plans to place a $250 monthly limit on covered out of pocket prescription drug costs for individuals. Finally, Clinton would increase the availability of generic drugs by prohibiting “pay-for-delay” deals and lowering the biologic exclusivity period from 12 to seven years. The FDA would be directed to give priority and expedited reviews to drugs with only one or two competitors in the marketplace.

Trump’s prescription drug plan is not as detailed, but he would allow consumers to purchase imported drugs if those drugs were demonstrated to be safe.


Trump promises to follow through on a long-held belief of the Republican party to transform Medicaid into a block grant to states.

By contrast, Clinton would maintain Medicaid financing as it is, but would also encourage states to adopt the Medicaid expansion by allowing any state that expands Medicaid to receive a 100 percent federal match for the adult population for the first three years.

Health Insurance

Clinton would cooperate with state governments to establish public option plans, repeal the “Cadillac tax,” fix the “family glitch,” and allow the Department of Health and Human Services to modify or block unreasonable health insurance rate increases in states lacking such authority. Finally, Clinton would increase premium tax credits so individuals and families pay a maximum of 8.5 percent of their income on health insurance premiums.

Clinton promises to require plans to provide three sick visits per year that do not count towards deductibles. She would ensure that people do not have to pay more than in-network cost-sharing for care received in a hospital that is in their plan’s network.

Clinton would require employers, insurers and providers to make public more information about out-of-pocket costs, drug costs, doctor networks and more. She would also allow all families, regardless of their immigration status, to buy insurance through the Health Insurance Marketplaces.

Trump would allow people to buy insurance across state lines, allow tax deductible health care premium payments and establish high-risk pools for people in the states who have not maintained their coverage. He would also allow people to enroll in tax-free Health Savings Accounts to pay out-of-pocket costs and require price transparency from all health care providers.

Family Planning

The Trump campaign promises to defund Planned Parenthood, make the Hyde Amendment permanent and oppose all abortions except those to save the life of the woman or in cases of rape or incest.

Clinton would repeal the Hyde Amendment; oppose any defunding of Planned Parenthood and efforts to restrict access to abortion or contraception.




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