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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

National Association for Home Care & Hospice Creates Important New Medicaid Affiliate

February 1, 2012 03:14 PM


For additional information:

Barbara D. Woolley
National Association for Home Care & Hospice
(202) 547-7424

WASHINGTON, D.C. (February 1, 2012) – Andrea Devoti, Chairman of the Board of the National Association for Home Care and Hospice (NAHC) today announced the creation of a new NAHC affiliate specifically focused on Medicaid home care and hospice issues.

“We are delighted to announce the creation of a new entity which has been created under the NAHC umbrella,” said Ms. Devoti. “We are pleased to note that the Medicaid home care and hospice programs which are several times as large as the comparable Medicare programs will now receive increased legislative and regulatory support and attention from NAHC that these vital programs deserve.”

Ms. Devoti added that the new affiliate was the result of encouragement from the grass roots membership and NAHC’s affiliated State Associations. She noted that State governments are under great pressure trying to come up with the funds to pay for their share of Medicaid. The Chairman said that she will appoint Mr. David J. Totaro, Chief Marketing and Government Affairs Officer, BAYADA Home Health Care chair of the group. “Mr. Totaro is a highly qualified professional who will serve until the NAHC Bylaws can be amended to allow this position to be elected just like each of the other affiliates. The NAHC membership will be given the opportunity to join and participate in this new section,” said Ms. Devoti. 

“We are asking States to cover millions more people under Medicaid, but not providing them with the financial help that they need to help carry this burden,” said Mr. Totaro.  “In many States, we see the continuation of the ‘institutional bias’ which results in thousands of persons being placed into institutional settings rather than cared for in the less expensive and preferred comfort of their own homes. We intend to change this.  We shall make sure that aged and infirm seniors and people with disabilities  enjoy their constitutionally protected right to enjoy their freedoms, including being cared for at home.”

Val J. Halamandaris, President of NAHC who will direct the activities of this, as well as other affiliates, has designated Bill Dombi, NAHC’s Vice President for Law to help carry out the responsibilities of this new affiliate, the National Council for Medicaid Home Care until a permanent director can be hired. “We cannot wait any longer.  Medicaid is a very explosive issue.  We need to take action and to do so now,” said Halamandaris.

In addition to David Totaro, Ms. Devoti thanked Mark Heaney, CEO of Addus Healthcare, Ken Lovan, Senior Vice President of ResCare, Tim Rogers, CEO of the Association for Home and Hospice Care for North Carolina and the South Carolina Home Care and Hospice Association, Bob Creamer, CEO of Loving Care Agency, and W. John Langley, M.D., Vice President and Chief Medical Officer of Maxim Healthcare Services for their role in encouraging the creation of the new affiliate and for agreeing to serve as founding Board members.  She said that she was determined to press for changes in the Bylaws which would invest this affiliate with a seat on the NAHC Board. 

Medicaid is a federal health care grant-in-aid program for indigents. It was created in 1965 as a companion to the Medicare program which is a federal health insurance program.  Where Medicare is all federal money, Medicaid is a program where states pay a share from a high of 50 percent to a low of about 20 percent depending on their size and per capita income in order to support the health care initiative. 

About NAHC

The National Association for Home Care & Hospice (NAHC) is a nonprofit organization that represents the nation’s 33,000 home care and hospice organizations. NAHC also advocates for the more than two million nurses, therapists, aides and other caregivers employed by such organizations to provide in-home services each year to some 12 million Americans who are infirm, chronically ill, disabled and dying. Along with its advocacy, NAHC is committed to excellence in every respect and provides information to help its members maintain the highest quality of care. To learn more about NAHC, visit and




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