Private Duty Advocacy in Action

Washington D.C continues to buzz with activity as Congress debates the reconciliation package. One element slated for possible inclusion in the package is the Better Care Better Jobs Act, formally known as S. 2210/ H.R. 4131. In literally seconds and with just a few clicks, you can advocate in support of this legislation at the NAHC Legislative Action Network.

Better Care Better Jobs Act

The Better Care Better Jobs Act (S.2210/ H.R.4131) led by Chairman Bob Casey (D-PA), Chairman Ron Wyden (D-OR), and Leader Charles Schumer (D-NY), with Chair Patty Murray (WA), and Senators Tammy Duckworth (D-WI), Maggie Hassan (D-NH), and Sherrod Brown (D-OH) aims to carry forth President Joe Biden’s vision for investment into Medicaid home and community-based services.

This legislation takes several steps to improve Medicaid HCBS, first through providing funding to state Medicaid programs to ready themselves for the enhanced investment, then through a 10 percent increase to the Federal Medicaid Assistance Percentage (FMAP), specifically for Medicaid HCBS.

To qualify for the enhanced 10 percent FMAP states would be required to

  • provide coverage for personal care services;
  • expand supports for family caregivers;
  • adopt programs that help people navigate enrollment and eligibility;
  • expand access to behavioral health care;
  • improve coordination with housing, transportation, and employment supports; and
  • develop or improve programs to allow working people with disabilities to access HCBS.

In addition, the bill aims to strengthen and expand the HCBS workforce by

  • addressing payment rates to promote recruitment and retention of direct care workers;
  • regularly updating HCBS payment rates with public input;
  • passing rate increases through to direct care workers to increase wages; and
  • updating and developing training opportunities for this workforce as well as family caregivers.

Lastly, the legislation would permanently authorize protections against impoverishment for individuals whose spouses are receiving Medicaid HCBS and make the Money Follows the Person Rebalancing Demonstration permanent

Senator Casey, Chair of the Senate Aging Committee and sponsor of the Better Care Better Jobs Act, has compiled factsheets for every state on the impact of the BCBJ. You can access the fact sheets at the following link:

The full House reconciliation language can be found at the link below with the Better Care Better Jobs Act beginning on page 584:

Become a Private Duty Home Care Advocate

The nation’s private duty home care and nursing community fulfills a unique and essential purpose in modern life. Private duty home care provides critical, quality, home-based care, and living support services for individuals young and old, helping them live full, independent, and connected lives in the comfort of wherever they call home.

NAHC is proud to be the leading and unifying voice for the home care and hospice industries helping to ensure access to the highest quality health care and services at home for all Americans. Advocacy, on behalf of the private duty home care community, is an important part of our commitment to you as our members, but also something you can play an active an integral role in by simply signing up!

Why be a NAHC Private Duty Home Care Advocate?

By signing up to be a NAHC Private Duty Home Care Advocate, you are helping to amplify our voice, strengthen and unify our efforts to help bring access to quality home care and services to center stage and get the support and attention they need to meet the exponentially growing demand.

We encourage you to sign up as an advocate today by visiting the NAHC Advocacy Center

Every Voice, Every Heart, Every Action

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