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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

New Poll Shows Overwhelming, Bipartisan Opposition to Home Health Care Budget Cuts

By Wide Margin, Public Tells Debt Ceiling Negotiators to Reject Medicare Cuts, Instead Focus on Program Integrity Reform
July 1, 2011 05:28 PM


For additional information:

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

WASHINGTON, D.C. (July 1, 2011) – As policymakers negotiate a debt ceiling agreement that could include up to $50 billion in home health funding cuts, [i] including changes that will increase out-of-pocket costs for some of America's lowest-income seniors, a new poll out today shows that nearly three of every four Americans oppose such measures and favor alternative proposals centered around better care coordination and strong efforts to eliminate fraud and abuse.

The survey, conducted jointly by Greenberg Quinlan Rosner Research and Fabrizio-Ward, and released today by the National Association for Home Care & Hospice (NAHC), found that overwhelming opposition to proposed home health care budget cuts and new beneficiary cost-sharing extends throughout the electorate -- regardless of age, gender, geographic region, ethnicity or political affiliation.

“There is a definitive and bipartisan passion on this issue. Even though we’re more than a year away from the 2012 election, likely voters are willing to make this a criterion for how they cast their vote. The results spell political trouble for anyone who tries to reduce spending through benefit cuts instead of program improvements,” said Anna Greenberg, senior vice president at Greenberg Quinlan Rosner.

A recent Avalere Health study found that more than half of all Medicare home health beneficiaries do not have coverage to help them afford new cost-sharing requirements, and more than half of those have annual incomes below $22,000.  As a result, the proposed cuts and cost-sharing would directly impact some of the lowest-income seniors in the Medicare program.

“Placing a burden on seniors, persons with disabilities and the chronically ill will force many Medicare patients into costly hospitals and nursing homes,” said Val Halamandaris, president of NAHC.  “Every piece of research we’ve seen shows that seniors wish to remain in their own homes, live independently and have their health protected.  Policymakers should respect their wishes and, in so doing, take the fiscally responsible route by preserving accessible home health care and pursuing options such as a targeted approach to fraud and abuse that will achieve greater savings for Medicare.”

“Even when presented with balanced arguments both for and against funding cuts and co-pays, voters did not weaken their opposition to these proposals,” said Bob Ward, partner at Fabrizio-Ward. “The message this sends is clear. Americans understand the direct ramifications these proposals will have on Medicare patients’ health and well-being and expect alternative strategies for cutting costs while preserving quality health care.”

Key findings of the Greenberg/Fabrizio poll include:

Opposition to funding cuts and co-pays is not only broad, but also intense.  Of the 73 percent of voters who oppose home health budget cuts, more than two of every three expressed strong opposition.  On the issue of imposing out-of-pocket costs for in-home health care, 81 percent of seniors oppose the new fees with 58 percent strongly opposing.
Arguments in favor of the home health cuts do not weaken opposition.  When presented with balanced arguments for and against the proposed budget cuts, 67 percent of voters remain opposed with most feeling strongly against the reductions.  Voter opposition on the co-pay proposal actually increased after hearing arguments on both sides, with strong opposition jumping from 55 to 59 percent.
Party affiliation is not a factor in support of home health care.  Eighty six percent of Democrats oppose the cuts, along with 70 percent of Republicans and 62 percent of independent voters.
This issue has significant political ramifications for officeholders.  Majorities of voters said they would be less likely to vote for their member of Congress if he or she supports the proposed funding cuts or the proposed co-pays for home health care.  Sixty-four percent of seniors said they would be less likely to vote for their incumbent lawmaker if he or she supports the two proposals.
There is strong public support for alternatives to contain Medicare costs. More than 80 percent of voters support a number of alternative proposals to cut costs by eliminating fraud and abuse within the health care system and by increasing efficiencies in the delivery of care.

Survey Methodology

These findings are based on a national telephone survey of 750 likely November 2012 voters, conducted by Greenberg Quinlan Rosner Research and Fabrizio-Ward from June 21 to June 26, 2011.  The sample was supplemented with an oversampling of 100 seniors and has a margin of error of +/- 3.4 percentage points at a 95 percent confidence level.

About the National Association for Home Care & Hospice

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 10 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

[i] Estimate based on CBO and National Commission on Fiscal Responsibility and Reform recommendations:
and TheMomentofTruth12_1_2010.pdf




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