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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

Senators Collins, Thune, Cardin and Wyden address hundreds of home care and hospice providers

March 29, 2011 12:09 PM


For additional information:

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

Senator Ben Cardin (D-MD) and Val J. Halamandaris, President, National Association for Home Care & Hospice

WASHINGTON D.C. (March 29, 2011) - Four Senators addressed the hundreds of home care and hospice providers today that have come to our nation's capitol to keep the fight alive for the critical, high-value, high-quality care that is offered to millions of vulnerable citizens in this country.

Some of the leading voices in Congress that have advocated for home care and hospice in recent years spoke including Senators Susan Collins (R-ME), John Thune (R-SD), Ben Cardin (D-MD) and Ron Wyden (D-OR).

Senator Susan Collins (R-ME) with Maine Home & Hospice Providers

Senator Collins spoke about the unfair cuts made in home health care over the next ten years, $40 billion through the health care reform bill and an additional $25 billion in cuts imposed by the Centers for Medicare and Medicaid Services (CMS). "The unfounded allegation of "case mix creep" is based on what CMS contends to be an increase in the average clinical assessment score of home health patients over the last few years, when in fact, there are very real clinical and policy explanations why the score might have increased," said Senator Collins. "Those include the incentives built into the hospital DRG payment system which leads to faster discharge of sicker patients and advances in technology which have enabled home health agencies to treat more complicated medical conditions than before."

"Later today, I will be joining my colleague Senator Maria Cantwell in introducing the Home Health Care Access Protection Act of 2011, to establish reliable and transparent process for determining whether Medicare payment rate cuts are needed to account for improper changes in 'case mix scoring.' The legislation will also prevent the imposition of future payment rate cuts until the Secretary of HHS is able justify those cuts through the improved process set forth in the bill," said Senator Collins.

Val Halamandaris, president of NAHC remarked how crucial it is to have these 'home care heroes' that serve in Congress. "Home care and hospice provides people with dignified, cutting edge care, in the comfort of their homes and saves Medicare and Medicaid billions of dollars each year. We thank the elected officials that have stood with us on this important issue."

Senator Thune (R-SD) has been a proponent of cutting edge technology in home health care and explained about his recent bill.

"It was a pleasure to speak to NAHC regarding my recently reintroduced bipartisan telehealth bill, the Fostering Independence Through Technology Act," said Senator Thune. "Innovative telehealth technology stands to bridge the distance gap between patients and high quality health care, and lower Medicare costs. I look forward to working with my colleagues on both sides of the aisle to move this legislation through Congress."

The annual March on Washington & Law Symposium Conference & Exposition brings together hundreds of home care and hospice providers and will address current hot topics in health care legislation, regulatory matters, technology and hospice. The march comes at a time when $12 billion in Medicare cuts to the industry are already planned over the next few years even though home care and hospice is more cost effective, saving billions in Medicare expenditures. In 2009, the average home care visit cost $135.00 per day versus the average hospital visit that cost $1500 a day. Preventive home health care saves Medicare and Medicaid billions of dollars per year.

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 to some 10 million Americans each year who are infirm, chronically ill, disabled and dying. Along with its advocacy, NAHC provides information to help its members provide the highest quality of care and is committed to excellence in every respect. To learn more about NAHC, visit and




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