NAHC to White House: FY2024 Needs Big Investment in Medicaid HCBS

The National Association for Home Care & Hospice (NAHC) has written to the Biden administration to recommend that the President’s FY 2024 budget request include at least $300 billion to support Medicaid Home and Community-Based Services (HCBS). This budget request reflects the CBO’s preliminary estimate associated with the Better Care Better Jobs Act (S. 2210/H.R.…

Our Veterans Deserve the Highest Quality Care in the Home

Tomorrow, on November 11, the United States honors its veterans with Veterans Day, a national holiday. However, making sure our veterans receive the care and recognition they have earned should involve a lot more than a federal holiday in the second week of November. Those who have made great sacrifices deserve proper care when they…

Our Veterans Deserve the Highest Quality Hospice

On November 11 the United States honors its veterans with Veterans Day, a national holiday. However, making sure our veterans receive the care and recognition they have earned should involve a lot more than a federal holiday in the second week of November. Those who have made great sacrifices deserve proper care when they come home, particularly if they suffer from debilitating health issues, whether in their senior years or earlier in their lives

Among the common maladies afflicting our veterans are:

  • Post-traumatic stress disorder
  • Depression and other mental health issues
  • Traumatic brain injury
  • Musculoskeletal injuries and pain
  • Infectious disease;
  • Chemical exposure;
  • Noise and vibration exposure/sensitivity.

Tragically, an estimated 18 to 22 American vets commit suicide daily. No American should find that statistic tolerable. Our veterans deserve the highest quality health care and that includes care in the home.

The Veterans Administration’s long-term care services include:

  • 24/7 nursing and medical care;
  • Physical therapy;
  • Help with daily tasks (like bathing, dressing, making meals, and taking medicine);
  • Comfort care and help with managing pain;
  • Support for caregivers who may need skilled help or a break so they can work, travel, or run errands.

Veterans can get this care in many different settings — some run by VA and others run by state or community organizations that the VA inspect and approve.

There are three pieces of important legislation before Congress right now that would benefit millions of Americans, including our veterans. They are:

  • Credit for Caring Act – For anyone caring for an elderly or disabled veteran, this legislation would provide a tax credit of up to $5,000 for expenses such as respite care, home modifications, hiring home care aides and other caregiving professionals to provide care and services, and assistive technology.
  • Choose Home Act – This legislation supports patients, such as our veterans, to leave the hospital and recover at home with a mix of expanded skilled nursing, therapy, personal care, telehealth services and more. In this way, eligible patients can choose to recover at home in a safe home environment with appropriate and sufficient care tailored to meet their individual needs.
  • Better Care Better Jobs Act – This legislation would expand access to home care for our elderly and disabled veterans and all Americans by making a significant investment into the Medicaid Home and Community Based Services Program with the goals of improving access to care in the home and addressing workforce challenges.

We hope you will follow the links above to our Advocacy Center and send a quick and easy message to your elected representatives about supporting these bills. It takes literally seconds and just a few clicks of your time.

Quality care in the home is the best health care and we owe our veterans the very best. Let’s all do our part to make it happen.

Private Duty Leaders Fighting for Home Care

  • GO HERE to support the Better Care Better Jobs Act

On Wednesday, September 14, industry leaders from around the country joined NAHC staff in Washington, D.C. to urge Congress to support legislation that would, among other things, permanently increase the Federal Medical Assistance Percentage (FMAP) by 10% for Home-and Community-Based Services (HCBS) through Medicaid programs. The Better Care Better Jobs Act (S. 2210 / HR 4131) would further address patient and caregiver challenges by:

  • Expanding HCBS services to include personal care, family supports, and respite;
  • Annually address and update payment rates for HCBS, giving the public the opportunity for input;
  • Develop workforce training opportunities;
  • Make permanent the Money Follows the Person program

Recent data shows there are nearly five million Medicaid beneficiaries enrolled in HCBS programs, with approximately 820,000 individuals on waitlists. NAHC firmly supports a commitment from Congress to invest in HCBS in order for providers to begin to meet the growing demand for quality care in the home.

Click here to contact your elected officials and ask them to support the Better Care Better Jobs Act now!

The Better Care Better Job Act Deserves Your Support

GO HERE to support the Better Care Better Jobs Act with just a few clicks of your mouse Home care advocates have been meeting with members of Congress this week to ask for their support for the Better Care Better Jobs Act and it is important that home care professionals who did not make the…

Let’s Get the Preserving Home Health Act Across the Finish Line!

Add your voice to ours! GO HERE to tell your elected representatives to support this legislation There is real momentum in the U.S. Congress for the Preserving Home Health Act of 2022, which is picking up supporters in both chambers.  In the Senate, we have added Raphael Warnock (D-GA) and Maggie Hassan (D-NH) to the…

Proof that Your Advocacy Works!

Advocacy is some of the most important work we do at NAHC and because we know how vital it is, we have asked you to become advocates yourselves. Become advocates for your organizations, your employees, your patients, and for the cause of centering American health care in the place where it belongs, the home. If…

Fight for Home Health Care & Hospice in DC!

Wednesday, September 14 REGISTER (required) Today is the last day to sign up (registration above) to join NAHC and your fellow home care and hospice professionals who will be on Capitol Hill on Wednesday, September 14th, to advocate to Congress for some of the biggest issues facing the industry right now. Home health providers are facing…

Senate Debates Expansion of Medicaid HCBS

The Senate Special Committee on Aging met this week to debate the improvement and expansion of home-based services, particularly home-and-community based services, a consistent priority for committee chairman Senator Bob Casey (D-PA). Witnesses and Senators frequently cited. Casey’s Better Care Better Jobs (BCBJ) Act, strongly supported by NAHC, as it is the foundation for the HCBS provisions included in the Build Back Better (BBB) Act, the stalled health care, social service, and climate legislation that was a focus for much of 2021.

The most recent version of that legislation passed by the House of Representatives would provide $150 billion investment into Medicaid HCBS, permanency of the Money Follows the Person program, protections against spousal impoverishment for HCBS recipients, and several other policies intended to improved the provision of Medicaid HCBS.

Witnesses testimony focused on the current state of HCBS through explanation of statistics and data on the workforce, wages, patient need, and expected growth over the next eight to ten years. Witnesses highlighted the challenges that recipients are able to overcome with the assistance of home care, as well as the realities they face in the absence of care. They also highlighted challenges caregivers face in wages not competitive with other industries, feelings of isolation, and the grueling work. These accounts were paired with support for the Better Care Better Jobs Act.

While many of the witnesses lauded the HCBS funding included in the American Rescue Plan, passed in March 2021, they did add that it did not provide a permanent solution. Anne Tumlinson likened it to an “umbrella in a hurricane.”

At the hearing, the witness panel was comprised of Lisa Harootunian, Associate Director, Health Program, Bipartisan Policy Center, Anne Tumlinson, CEO, ATI Advisory, Brandon Kingsmore, Disability Advocate, Public Speaker, accompanied by Ms. Lynn Weidner, Home Care Worker, and Alene Shaheed, Home Care Recipient.

While the version of Build Back Better passed by the House is not expected to see further consideration in the Senate, work continues to be done on compiling a package of provisions consistent with the intent of BBB, though no specifics seem to be agreed to at this point.

NAHC will continue to urge Congress to make significant investments into the Medicaid HCBS program.

Senate Debates Expansion of Medicaid HCBS

The Senate Special Committee on Aging met this week to debate the improvement and expansion of home-based services, particularly home-and-community based services, a consistent priority for committee chairman Senator Bob Casey (D-PA). Witnesses and Senators frequently cited. Casey’s Better Care Better Jobs (BCBJ) Act, strongly supported by NAHC, as it is the foundation for the HCBS provisions included in the Build Back Better (BBB) Act, the stalled health care, social service, and climate legislation that was a focus for much of 2021.

The most recent version of that legislation passed by the House of Representatives would provide $150 billion investment into Medicaid HCBS, permanency of the Money Follows the Person program, protections against spousal impoverishment for HCBS recipients, and several other policies intended to improved the provision of Medicaid HCBS.

Witnesses testimony focused on the current state of HCBS through explanation of statistics and data on the workforce, wages, patient need, and expected growth over the next eight to ten years. Witnesses highlighted the challenges that recipients are able to overcome with the assistance of home care, as well as the realities they face in the absence of care. They also highlighted challenges caregivers face in wages not competitive with other industries, feelings of isolation, and the grueling work. These accounts were paired with support for the Better Care Better Jobs Act.

While many of the witnesses lauded the HCBS funding included in the American Rescue Plan, passed in March 2021, they did add that it did not provide a permanent solution. Anne Tumlinson likened it to an “umbrella in a hurricane.”

At the hearing, the witness panel was comprised of Lisa Harootunian, Associate Director, Health Program, Bipartisan Policy Center, Anne Tumlinson, CEO, ATI Advisory, Brandon Kingsmore, Disability Advocate, Public Speaker, accompanied by Ms. Lynn Weidner, Home Care Worker, and Alene Shaheed, Home Care Recipient.

While the version of Build Back Better passed by the House is not expected to see further consideration in the Senate, work continues to be done on compiling a package of provisions consistent with the intent of BBB, though no specifics seem to be agreed to at this point.

NAHC will continue to urge Congress to make significant investments into the Medicaid HCBS program.