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National Association for Home Care & Hospice
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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



Care Planning Act

The Care Planning Act (S. 1549) would provide much needed assistance to individuals with serious health conditions by giving them access to more information about potential treatment options and ensuring that the course of treatment they arrive at is consistent with their personal goals, values and preferences. 

The bill would create a new benefit under Medicare that embodies key elements that have proven tremendously effective in empowering individuals to make deliberate and thoughtful decisions on the course of care that is right for them.  The elements include the use of an interdisciplinary team and allowing for a series of discussions with a variety of experts.  The Care Planning Act would remove some of the overwhelming confusion and anxiety that so often accompany health care decision making, and assure that an individual’s chosen treatment plan is communicated among care providers.

Care Planning Act One-Pager  
Care Planning Act Section by Section  


Hospice CARE Act Seeks to Refine Hospice Face-to-Face Requirements

Representatives Tom Reed (R-NY) and Mike Thompson (D-CA) introduced legislation (HR 2208, The Hospice Commitment to Accurate and Relevant Encounters Act -- Hospice CARE) to address key issues related to the requirement that hospice providers conduct a face-to-face encounter with patients entering their third or subsequent benefit period to gather information that helps support documentation of continuing eligibility for hospice care.

Hospice CARE Act Issue Brief  
NAHC's Hospice CARE Act Letter of Support  


Oppose Medicare Home Health Copays and Payment Cuts

NAHC urges all home care advocates to ask their members of Congress to "Reject proposals that would  impose home health copays and payment cuts to offset the cost of fixing the Medicare physician payment formula, to reduce the deficit, or for other purposes."

Home Health Copay Issue Brief  
Home Health Copay Talking Points  
Home Health Payments Issue Brief/Talking Points  
Co-payment White Paper  
A Home Health Co-Payment: Affected Beneficiaries and Potential Impacts  
Potential Impact of a Home Health Co-Payment on Other Medicare Spending  
NAHC Statement to E&C Subcommittee on Health  
Contact Your Legislators!  


Preserve Access to Home Health Care

Ensure that the Centers for Medicare and Medicaid Services (CMS) preserves adequate and appropriate payment for Medicare home health services and does not impose unreasonable regulatory burdens that would restrict access to care.

1) Urge Lawmakers to Require CMS to Reconsider Home Health PPS Rebasing Rule

Home Health Rebasing Overview  
Rebasing Reform Proposal Talking Points  
2014-2017 Projections State  National 3-13-14  
2014-2017 Projections Congressional District 3-13-14  
House Home Health Rebasing Dear Colleague Letter 9-17-14  
Home Health Rebasing Relief Letter to House Leadership  
House Home Health Rebasing Dear Colleague Letter 3-6-2014  
House Home Health Rebasing Letter  
Senate Home Health Rebasing Letter  
Senate Small Business Committee Chair Rebasing Letter  
Senate Minority Leader Rebasing Letter  
Contact Your Legislators!  

2) Urge that CMS take the following actions to resolve serious issues arising from implementation of the face-to-face physician encounter requirement (F2F) for home health services:

a) Phase-in the new F2F documentation requirements by issuing comprehensive guidance on compliance and education of physicians and home health agencies before instituting full enforcement
NAHC F2F Phase-In Letter to CMS  
Contact Your Legislators!  
b) Reverse past F2F claim denials and stop future audits related to the physician narrative requirement  
Senate Face-to-Face Letter to CMS  
House Face-to-Face Letter to CMS 2013  
House Face-to-Face Letter to CMS 2014  
Talking Points/Issue Brief  
Home Care Face-to-Face Mandate: A Major Problem, a Simple Fix  
Face-to-Face Documentation Survey Results  
Contact Your Legislators!  



Hospice: Protect the Medicare Hospice Benefit

NAHC urges hospice advocates  to tell Congress to "Protect the Medicare Hospice Benefit."

Issue Background/Talking Points  
Contact Your Legislators!  




Allow NP/PAs to Order Home Health Services

Ask your Senators and Representative to co-sponsor the Home Health Care Planning Improvement Act (S 578/HR 1342), which would allow Nurse Practitioners, Advanced Practice Nurses, and Physician Assistants to sign Medicare home health care plans.

Issue Brief/Talking Points  
House Dear Colleague Letter  
Senate Dear Colleague Letter  
New Report Projects Substantial Medicare Savings from Allowing NPs/PAs to Sign Home Health Plans of Care.  
Contact Your Legislators!  


Extend the Home Health Rural Add-On

Urge your Members of Congress to support efforts to extend the Medicare home health rural add-on.

Issue Brief/Talking Points  
Contact Your Legislators!  


Oppose Proposals to Cut Federal Funding for Medicaid

NAHC urges home care and hospice advocates to ask their Members of Congress to protect access to home care and hospice for low income Medicaid beneficiaries by opposing proposals that would reduce federal Medicaid funding.

Issue Brief/Talking Points  
Contact Your Legislators!  



Modify Employer Responsibilities in the ACA to Address Home Care-Specific Needs

1) Ask your Members of Congress to modify the employer responsibilities in the Affordable Care Act (ACA) to protect access to home care.

Issue Brief/Talking Points  
2) Urge your Legislators to support legislation that would define full time for purposes of the ACA as 40 hours a week (S.1188; H.R. 2575; H.R. 2988)
Statement on the Introduction of the Forty Hours Is Full Time Act  
40 Hours Is Full Time endorsement letter  
Contact Your Legislators!  


Expand the Home Health Caucus

Congressmen Jim McGovern (D-MA) and Walter Jones (R-NC) are again asking their colleagues in the House of Representatives to join the Congressional Home Health Caucus. NAHC urges all home care advocates to reach out to their representatives and remind them to join the caucus today.

Dear Colleague Letter from Congressmen McGovern and Jones  


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