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NAHC Report: Issue# 2405, 4/3/2014
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House Passes “Forty Hours is Full Time Act”
The Ryan Budget Outlines Medicaid Reform
For Your Information: NAHC and HHNA Seek 2014 Nominations for America’s Top Nurses in Home Care & Hospice
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House Passes “Forty Hours is Full Time Act”
Measure modifies ACA language that considers a full-time employee someone who works thirty hours a week rather than the traditional forty; NAHC members urged to contact their Senators to build support

The House of Representatives recently voted 248-179 to define full-time employment for purposes of the Affordable Care Act employer obligations as forty hours a week.  Seven Democrats joined with all voting House Republicans who supported the measure. The ACA as it was written defined a full-time employee as someone who works only thirty hours a week.

The legislation will now go to the Senate, where its fate is uncertain. Although the companion bill in the Senate does have some bipartisan support, many Senate Democrats are reticent to support or vote for any legislation that modifies President Obama’s signature domestic legislation during an election year.

Despite the measure’s unknown status in the Senate, NAHC is continuing its campaign to build support by encouraging Senators to cosponsor the bipartisan Collins/Donnelly Senate bill, the “Forty Hours Is Full Time Act” (S.1188). 

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The Ryan Budget Outlines Medicaid Reform

Representative Paul Ryan (R-WI) recently released The Path to Prosperity: A Responsible Balanced Budget - The House Republican Fiscal Year 2015 Budget Resolution (The Budget). Rep. Ryan’s budget does not provide a concrete policy on Medicaid, stating instead that, “the exact contours of a Medicaid reform…will be determined by the committees of jurisdiction.”  The Budget does, however, highlight two broad reform goals.

State Flexibility

The Budget calls for greater state flexibility on Medicaid in the form of a “block-granted program like SCHIP.”  It also calls on the federal government to support Medicaid waivers, which it praises as producing “innovative reforms” that brought about “cost savings, quality improvements, and beneficiary satisfaction.”  The Budget estimates that pursuing these broad agenda items will bring $732 billion in savings to the federal budget over 10 years.

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NAHC and HHNA Seek 2014 Nominations for America’s Top Nurses in Home Care & Hospice

The National Association for Home Care & Hospice (NAHC) and the Home Healthcare Nurses Association (HHNA) are launching their third annual Nurse Recognition Program. They are now accepting nominations to honor and recognize home care and hospice nurses from across the country.

To nominate a nurse for the 2014 recognition program, please visit or

One nurse will be recognized from each state and one of those 50 nurses will be chosen as Home Care & Hospice Nurse of the Year. Home care and hospice agencies that are NAHC members may nominate any registered nurse to represent their state for 2014. Nominations will be reviewed by the Nurse Recognition Program Selection Committee.

“Our focus is highlighting the impact that nurses make day in and day out in homes across the country,” said Andrea L. Devoti, MSN, MBA, CHCE, and NAHC chairman of the board. “We have a unique opportunity to put a face on the industry.”

“We intend for these top nurses to serve as role models who will inspire their peers to become leaders in enhancing the quality of health care, preserving the standards of nursing, and expanding opportunities in the profession,” said Elaine Stephens, RN, MPH, FHHC, and chairman of HHNA.

The ongoing recognition program will collect stories of special home care and hospice nurses who have served their agencies by providing exceptional care, reducing hospital readmissions, and making a difference in patients’ lives. The selection committee will review all the nominees to choose those who best represent the ideals that are honored during National Nurses Week each May. The nurses will be highlighted in the May issue of CARING and have their registration fee waived at the NAHC Annual Meeting in October.

To nominate a nurse for the 2014 recognition program, visit or
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