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:: NAHC Report
NAHC Report: Issue# 2402, 3/28/2014
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House Passes One-Year SGR Patch; Senate to Consider SGR Legislation on Monday
House to Vote on Legislation that would Define “Full-Time” as 40 Hours Under the ACA
For Your Information: NAHC and HHNA Seek 2014 Nominations for America’s Top Nurses in Home Care & Hospice
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House Passes One-Year SGR Patch; Senate to Consider SGR Legislation on Monday

The House of Representatives earlier this week passed a one-year extension of a fix to the flawed Medicare physician payment formula known as the  “Sustainable Growth Rate” (SGR) by voice vote. The measure that passed not only provides a temporary fix or “patch” to the SGR but also delays ICD-10 implementation until October 2015. This is the 16th such “doc fix” patch since the SGR formula was implemented.

NAHC is pleased that the House-passed SGR patch does not include any offsets in the form of cuts or copayments from the home health or hospice Medicare benefits. The President’s budget, the Medicare Payment Advisory Commission, and the Simpson-Bowles Commission have put forth home health and hospice payment cuts and copays as potential offsets for the SGR fix. Home care and hospice advocates at NAHC’s March on Washington this week urged their Members of Congress to reject any proposal to impose home health and hospice payment cuts and copays to offset the cost of the SGR fix.  

While the bill rejects such proposals, it also did not include a NAHC-drafted amendment that would have provided relief from CMS’ misguided home health rebasing Final Rule.

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House to Vote on Legislation that would Define “Full-Time” as 40 Hours Under the ACA
NAHC urges all its members to contact their Representatives and ask them to support this measure

Next week the House of Representatives is scheduled to vote on legislation that would amend the Affordable Care Act (ACA) to define full-time employment for purposes of the ACA employer obligations as 40 hours a week, rather than 30 hours a week as it is currently written.  This bipartisan legislation was first introduced by Senators Susan Collins (R-ME) and Joe Donnelly (D-IN).  NAHC has been advised that this legislation would be very helpful – particularly to private pay and Medicaid home health providers. 

There are two bills in the House that are identical to Senator Collins’ bill, H.R. 2575 (titled “Save American Workers Act”) and H.R. 2988 (titled “Forty Hours Is Full Time Act”).  H.R. 2575 is the one that will be voted on.  It is likely to pass the House as it has solid Republican support as well as some Democratic cosponsors.  NAHC would like to see as many Democrats support and vote for this bill possible in the House, as this would increase its chances of passing the Senate.      

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CMS Announces the OASIS C1 Webinar

On, April 30, 2014, the CMS Survey and Certification Group is sponsoring a webinar on “OASIS-C1”. The topics of this hour and a half-long webinar include:

  • The new OASIS-C1 data set and its implementation, scheduled for October 1, 2014;
  • Types of changes made to the data set;
  • OASIS-C1 Guidance Manual changes; and
  • OASIS Q&As update.

There will not be a live Q&A session at the end of the presentation. Questions related to OASIS-C1 and its guidance should be submitted prior to and following the webinar to the OASIS mailbox at:

Following the webinar, a Q&A document will be posted addressing questions previously submitted.

A total of 1,000 lines for this webinar have been reserved. All participants will be in the same queue, so participants are encouraged to call in up to 30 minutes ahead of start time. The webinar will be archived within 3-4 weeks after the live presentation.

The intention of the webinar is to provide important guidance related to the implementation of the OASIS-C1 data set scheduled for implementation on October 1, 2014, therefore providers are encouraged to attend this webinar. Webinar materials will be forthcoming prior to the webinar and posted here.

Webinar Instructions for HHAs and other participants:

  1. On the day of the webinar go directly to
  2. From the Adobe Connect Meeting window, type your name in the “Guest Box.”
  3. Press “Enter Room” to access the webinar.
  4. Dial into audio bridge number, (877) 251-0301 (Conference ID: 9431125) to hear the audio portion of the Webinar.

For webinar technical questions contact Etolia Biggs at, 410-786-8664.

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