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The HCAOA Weekly is a brief update that will be distributed to HCAOA members each week. This communication complements our quarterly newsletter, The Voice, and will provide a vehicle for ensuring a regular flow of information on a more frequent basis. With ever evolving information in the home care industry, we want to ensure the lines of communication remain open and members have a source for quick, valuable news at their fingertips.
Table of Contents

Member News

Chapter News

Congressional Update

Congressional Corne

Member News

HCAOA California and HCAOA Florida Implement AARP Incumbent Worker Training Program

With more than 20 million older adults at risk of not having enough income to meet their basic needs, AARP Foundation seeks out solutions that equip low-income older workers with skills and resources to build economic opportunity. The Foundation's workforce development programs offer low-income workers the training they need to secure better, higher-paying jobs.
Through AARP Foundation's advancement training for frontline employees, employers can retain and increase the productivity of their employees at a very low cost to the company, giving businesses a competitive advantage and their employees the opportunity to thrive. To qualify, workers must be age 50 or older, have been with their current employer for six months or more, and earn $16 or less per hour. The Foundation will either subsidize outside training for an employee, with the employer covering a portion of the training costs scaled to the company's size, or will reimburse the employer directly for on-the-job training if they commit to increasing the employee's earnings when the training is completed.
AARP Foundation looks forward to working with HCAOA members in California and Florida to implement this program. Please see the linked flyer for additional information. If you have any questions, please contact Kammie Reile at

May is American Stroke Month

This year marks the 20th Anniversary of the American Stroke Association – a good opportunity to reflect on the game-changing advancements revolutionizing the field of stroke prevention and treatment, and to continue working on the significant gaps in knowledge by elevating public education and new life-saving research findings.
Stroke is a leading cause of death and a leading cause of preventable disability.1
  • More than 7 million adults in America have had a stroke.2
  • Someone has a stroke every 40 seconds.1
  • A stroke can happen to anyone at any time.
Prevention starts with awareness.
  • High Blood Pressure is the most common controllable cause of stroke.3
  • Recent guidelines redefined High Blood Pressure as a reading of 130/80. (The standard was 140/90.)3
  • Under recent guidelines, nearly half of all adults in the U.S. have High Blood Pressure.3
Survivors can take measures to prevent another stroke.
  • 1 in 4 stroke survivors have a second stroke.
  • Second strokes are largely preventable with a healthy lifestyle.
  • Survivors stopping their daily aspirin dose can up their risk of having another stroke by 37 percent.4
  • Ask your doctor if aspirin can help you reduce your risk of having another one and following your doctor’s guidance.
Stroke treatment is more advanced than ever before.
  • Stroke patients who receive the clot-busting drug alteplase (also known as tPA) within 90 minutes of symptom onset are almost 3 x more likely to recover with little or no disability.5
  • Under new guidelines, more stroke patients may be eligible to receive alteplase to decrease disability, if given promptly. (Patients with mild strokes were not eligible.)6
  • New stroke guidelines have increased the timeframe for patients to qualify for treatment using a clot-removal device to recover with little or no disability – urgency is still required during a stroke event.6
  • Someone other than the patient makes the decision to seek stroke treatment, in most cases (66 percent).
  • Calling 911 is the fastest proven way to access treatment because hospitals are set up to treat stroke patients arriving by ambulance.
We can’t treat everyone the same.
  • In the Stroke Belt, an 11-state region in southeast U.S., the risk of stroke is 34 percent higher for the general population.7
  • African Americans are most likely to die from stroke.8
  • Stroke death rates in Hispanics rose 5.8 percent each year from 2013 to 2015.8
Click here to learn more about American Stroke Month.
  1. 2018 Statistical Update:
  2. Mozzafarian D et al. Circulation. 2017;135:e119-361
  3. 2017 HBP Guidelines:
  4. Circulation: Aspirin Discontinuation:
  5. Marler JR et al. Neurology. 2000;55(11)1649-55
  6. 2018 AIS Guidelines:
  8. 2017 CDC Report:

2018 HCAOA Annual Leadership Conference

Secure Your Exhibit Booth and Sponsorship Packages!
Made up of over 2,700 business owners from communities across the country, HCAOA members represent millions of dollars in purchasing power each year. If you are a company that serves the home care market, you don't want to miss the opportunity to interact directly with company decision makers at an event that is guaranteed to attract top home care industry leaders.
The conference allows you to simultaneously introduce your company's latest products and services, and gain valuable feedback from potential customers. This ability to reach an ever-expanding audience can cultivate new leads, increase sales metrics and help your company build new relationships.
To learn more about exhibit and sponsorship opportunities, please see the 2018 Annual Leadership Conference Sponsorship Prospectus.
Thank You to our current 2018 Annual Leadership Conference exhibitors and sponsors.
We look forward to seeing you in Washington, DC this fall!

HCAOA Webinars

Please see the following scheduled HCAOA webinars – registration links are included below!
The Impact of Client Driven Growth – Best Practices from the 2018 Benchmarking Study and Beyond

Speaker: Aaron Marcum, Home Care Pulse
Date and Time: May 22 at 3:00pm EST

Description: Are your clients your #1 referral source? In this engaging session, Aaron Marcum, Founder and CEO of Home Care Pulse, will discuss strategies on how you create the ultimate Client Experience, which will boost referrals and the overall lifetime value of each client. Home Care Pulse has conducted research on this topic for nearly 10-years and they have found that The Client Experience has a direct impact on the long-term growth among home care providers. Aaron will share best practices from Best of Home Care award winners, data from the new 2018 Home Care Benchmarking Study, and draw upon his own experience as a former successful home care owner. Attendees will come away with actionable ideas that will help them develop a client driven growth strategy and create a competitive edge in their marketplace. 

Click here to register for this webinar.

Successful Sales Management
Speaker: Melanie Stover, Home Care Sales
Date and Time: May 29 at 3:00pm EST
Description: Join this webinar to learn:
  • The best sales tactics 
  • Proper techniques for on boarding new employees 
  • Developing coaching plans to improve individual and team performance 
  • Properly managing, supervising and motivating your people 
  • Generate a playbook for your company success 
In addition, all participants will receive an opportunity to benchmark sales team competencies. 

Click here to register for this webinar.

Conquering the Crisis: Proven Solutions for Caregiver Recruiting and Retention

Speaker: Stephen Tweed, Leading Home Care
Date and Time: June 12 at 3:00pm EST

Description: In this interactive presentation, Stephen Tweed will describe the magnitude of this crisis. He’ll explore how it is negatively affecting you, your team members, and your agency. He will explain the latest research that is being conducted by Leading Home Care to define the problem, develop a solution, and present a system to conquer the crisis. Stephen will lead you through The Seven Step Caregiver Solution System, and describe in detail how to make this work. He’ll give you specific examples of how leading companies are renewing, revitalizing, and rejuvenating their talent attraction processes. As a result of this program, participants will be able to:
  • Describe the magnitude of the crisis and its causes. 
  • Explore the most effective long-term solution 
  • Create a Culture of Attraction and Accomplishment 
  • Apply The Seven-step Caregiver Solution System. 
HCAOA members can order a copy of Tweed’s book by the same title at Leading Home Care will offer HCAOA members who attend the webinar a 20% discount on either the hard cover or soft cover editions of the book. Please use the following coupon code, “HCAOA2018” to take advantage of this discount. 

Click here to register for this webinar.

The Top Ten Tech To-Dos of the Highly Successful Home Care Agency


  • Marissa Snook, Managing Director, corecubed
  • Amy Selle, Managing Director, corecubed 
  • Stacie Gillespie, SEO Manager, corecubed
Date and Time: September 5 at 3:00pm EST 
Description: Totally married to change, our healthcare at home landscape is evolving as demographics shift towards more people reaching the age where care might be needed, and as technology jumps ahead with social and business integration and solutions. What are the most important things to do that make the most impact for a successful home care agency? Attend this webinar to learn:
  • To emphasize the expanding role that technology plays in reaching and connecting with potential clients, referral sources and the public
  • To define the best practices in digital marketing, and how those practices integrate with agency operations for maximum success 
  • To present a clear diagram of a strategy for success using technology as a tool for reaching and securing new clients and referral sources.
Click here to register for this webinar.

2018 Home Care Benchmarking Study

Get the latest insights, trends, and analyses of the private duty home care industry. For the 9th year, Home Care Pulse has partnered with the HCAOA to produce the most comprehensive national study for the industry. The study includes reports on finance, sales & marketing, operations, recruiting & retention, and client experience aspects of home care businesses. It also includes articles from industry experts providing, their insight on successfully navigating through the challenges home care owners are facing and on positive trends impacting home care.
Click here to order your copy today!
Chapter News

HCAOA Illinois

Monthly Meeting Held Yesterday

On May 15, HCAOA Illinois held a special membership meeting with guest speakers from the Illinois Department of Public Health (IDPH), Jack Fleeharty, RN- Supervisor of Program and Kendra Fabish, RN- Central Office Supervisor. The speakers presented to a packed room with standing room only, and an additional 14 members listening in via phone conference. There was a lot of good back and forth between the members and the IDPH representatives, with questions clarifying regulations and policies for home care providers. Mr. Fleeharty’s PowerPoint presentation will be emailed to all HCAOA Illinois members.
Special Networking Event
You can also click here to register for this networking event!

HCAOA Connecticut

Upcoming Meeting
Please join your fellow members, employer-based home care agency owners, industry colleagues and others for the next HCAOA Connecticut Meeting. 
When: Wednesday, May 30 | 11:30 am - 1:30 pm
Where: Esca Restaurant & Wine Bar | 437 Main Street, Middletown, CT
Cost: Lunch will be available for approximately $20-$25 per person
For more information, please see the meeting agenda.
Click here to register!

HCAOA California

As many of you know, Assembly Member Ash Kalra (D-San Jose) has reintroduced his measure to require the Department of Social Services to give upon request by labor unions the following information of ALL home care aides registered in California:
  • Name
  • Phone numbers and mobile phone numbers
  • Registration expiration date
  • Background examination status
  • Registration expiration date
This information would be given to requesting labor unions for the specific purpose of "employee organizing, representation, and assistance activities," unless the registered home care aide takes an affirmative step to opt-out of their information being given. Unless the home care aide remembers to opt out, there is nothing in the bill limiting the number of times he/she could be contacted, or the hours when contact may occur.
Gov. Brown vetoed similar legislation in October 2017, and the author claims he has addressed the Governor's concerns by only applying this to newly registered home care aides and all renewals going forward.
AB 2455 passed the Assembly Human Services Committee this past on April 24, despite opposition by HCAOA, the California Association for Health Services At Home (CAHSAH), the Alliance Supporting Individuals with Intellectual and Developmental Disabilities and others. Click here to view the hearing, select the 4/24/2018 hearing of the Assembly Human Services Committee and go to the 23-minute mark. HCAOA's opposition testimony begins at the 34:24 mark of the hearing.
Just as we did last year, HCAOA strongly opposes this legislation, believing this bill represents a substantial invasion of home care aides' privacy, and because there is no compelling interest in the State being forced to turn over this private contact information.
The bill was heard by the Assembly Appropriations Committee today, and placed on the Suspense File for further consideration by the committee before going to to the Assembly Floor for debate.
Another very compelling argument was brought forth by a significant Sacramento region-based domestic violence organization, Women Escaping A Violent Environment (WEAVE), though its letter only reached the committee the day of the hearing. In her letter, WEAVE CEO Beth Hassett wrote:
"Requiring the disclosure of any private worker's...telephone number maintained in confidence by the State of California for compliance purposes is a breathtaking invasion of his or her constitutional right to privacy."
We need to pull together significant grassroots efforts aimed at Democrats that will vote on AB 2455 on the Assembly Floor. We are asking for your help in the following activities:
  • Call your legislator's office in Sacramento and urge him/her to oppose AB 2455. We are providing a list of targeted Assembly members that need to be contacted on this issue. If you're not sure who your legislator is, go to and enter your information. Then, call their office and ask that your call be directed to the staff that handles Human Services issues. You can contact their office via phone by calling (916) 319-20__, with the last two digits being the district of your Assembly Member. The phone numbers of the targeted legislators are provided below.
    • Autumn Burke (Inglewood/Hawthorne): 916-319-2062
    • Anna Caballero (Salinas): 916-319-2030
    • Sabrina Cervantes (Corona): 916-319-2060
    • Cecilia Aguiar-Curry (Woodland/Davis): 916-319-2004
    • Ken Cooley (Rancho Cordova): 916-319-2008
    • Jim Cooper (Elk Grove/Lodi): 916-319-2009
    • Tom Daly (Anaheim/Garden Grove): 916-319-2069
    • Susan Eggman-Talamantes (Stockton/Tracy): 916-319-2013
    • Laura Friedman (Glendale/Burbank): 916-319-2043
    • Adam Gray (Merced): 916-319-2021
    • Tim Grayson (Concord): 916-319-2014
    • Jacqui Irwin (Ventura): 916-319-2044
    • Marc Levine (San Rafael/Novato): 916-319-2024
    • Monique Limon (Santa Barbara): 916-319-2037
    • Jose Medina (Riverside): 916-319-2061
    • Al Muratsuchi (Torrance/Manhattan Beach): 916-319-2066
    • Adrin Nazarian (Burbank/North Hollywood): 916-319-2046
    • Sharon Quirk-Silva (Fullerton/Anaheim): 916-319-2065
    • Eloise Reyes (San Bernardino/Fontana): 916-319-2047
    • Freddie Rodriguez (Pomona/Chino): 916-319-2052
    • Blanca Rubio (Baldwin Park): 916-319-2048
    • Rudy Salas (Bakersfield): 916-319-2032
    • Sydney Talmadger-Dove (South Central LA): 916-319-2054
    • Jim Wood (Healdsburg/Santa Rosa): 916- 319-2002
  • Work with other Home Care business owners in your region to reach out to local nonprofit organizations that serve victims of domestic violence and bring this to their attention, urging them to oppose AB 2455. Please feel free to share a copy of the WEAVE opposition letter with them. Also, urge them to contact your area's legislators urging opposition to AB 2455.
  • Organize a meeting with your representative by contacting their district office and requesting such a meeting, inviting other Home Care business owners in your area to join you. Legislators are usually home in their districts for meetings on Thursday afternoons and all of Friday. If you do schedule a meeting and would like to do a pre-briefing prior to your meeting, please let us know and we'll arrange a call with our California lobbying team.
  • Consider sharing this with your home care aides. Obviously, you cannot direct them to participate in this effort, but they may wish to, in which case you may share with them how they may do so.
Please let us know if you have any questions. In advance, thank you for your efforts on this matter. HCAOA is here to work for you!

HCAOA Georgia

Save the Date!
Please save the date for the next HCAOA Georgia Chapter Meeting. 

When: Thursday, June 14 at 10am
Where: The Georgian Terrace Hotel | 659 Peachtree Street NE, Atlanta, GA 

Attend this meeting to receive chapter updates and network with fellow Georgia home care providers.

HCAOA Arizona

Survey and Upcoming Meeting

Help HCAOA Arizona to plan future legislative initiatives by participating in the short survey linked here. Your input is much needed and greatly appreciated.
SAVE THE DATE: June 12th Membership Luncheon. The agenda will be continuing with the lobby day momentum, focusing on legislative outreach and planning. More information to follow soon so stay tuned!
Congressional Update

CMS Issues EVV Guidance

On May 16, the Center for Medicaid and CHIP Services (CMCS) issued an informational bulletin in accordance with the 21st Century Cures Act in order to assist states in implementing electronic visit verification (EVV) systems for Medicaid personal care services (PCS) and home health care services (HHCS). The Cures Act requires the Secretary of Health and Human Services to collect and disseminate best practices to State Medicaid Directors with respect to (1) training individuals who furnish PCS, HHCS, or both, on the use and operation of EVV systems and on the prevention of fraud with respect to the provision of PCS or HHCS; and (2) the provision of notice and educational materials to family caregivers and beneficiaries with respect to the use of EVV systems and other means to prevent such fraud.
This bulletin shares strategies related to EVV training and education for providers and other stakeholders, including beneficiaries and family caregivers, along with other factors that states, the District of Columbia, and US territories (collectively referenced in this bulletin as states) should consider when implementing EVV.
CMCS also recently issued a frequently asked questions document relating to EVV.

NLRB Considers Rulemaking on Joint Employer Issue

On May 9, the Office of Information and Regulatory Affairs published the National Labor Relations Board’s (NLRB) submission that the Board is considering rulemaking to address the standard for determining joint-employer status under the National Labor Relations Act. The submission, prepared at the request of the Chairman, is included in the Agency’s filing in the Unified Agenda of Federal Regulatory and Deregulatory Actions.
“Whether one business is the joint employer of another business’s employees is one of the most critical issues in labor law today,” says NLRB Chairman John F. Ring. “The current uncertainty over the standard to be applied in determining joint-employer status under the Act undermines employers’ willingness to create jobs and expand business opportunities. In my view, notice-and-comment rulemaking offers the best vehicle to fully consider all views on what the standard ought to be. I am committed to working with my colleagues to issue a proposed rule as soon as possible, and I look forward to hearing from all interested parties on this important issue that affects millions of Americans in virtually every sector of the economy.”
The NLRB has begun the internal process necessary to consider rulemaking on the joint-employer standard. The inclusion of the proposal in the regulatory agenda does not reflect the participation of Board Members Pearce and McFerran. Any proposed rule would require approval by a majority of the five-member Board, and the next step would be the issuance of a Notice of Proposed Rulemaking.
Congressional Corner

Minority Leader Nancy Pelosi (D-CA)

Nancy Pelosi, who made history when she was elected in 2002 as the first woman to lead a party in the House, and then again in 2007 when she became the first female speaker, maintains control over House Democrats, even after the party lost control of the chamber.
Democrats’ dashed hopes in 2016 – they picked up six House seats after talking of gaining about 20 – led to a leadership challenge by Tim Ryan of Ohio, who said the party had lost touch with working-class voters. But in a vote in November 2016, Pelosi easily beat Ryan, 134-63, to keep her post in the 115th Congress.
In campaigning to keep her place atop the party’s leadership, the septuagenarian Pelosi offered changes in caucus rules – bringing younger members into leadership and creating vice-ranking member positions on House committees.
Pelosi was the youngest of six children and the only daughter of Maryland congressman and Baltimore Mayor Thomas D’Alesandro Jr. Her older brother, Thomas, known in their hometown as “Young Tommy,” also served as Baltimore mayor, and their mother, Annunciata, was a political organizer.
Pelosi grew up in Baltimore’s Little Italy neighborhood, where some of the D’Alesandro clan still live, and attended Trinity College in Washington. While in college she met her future husband, Georgetown University student Paul Pelosi. After marrying, the couple eventually settled in Paul Pelosi’s hometown of San Francisco.
As they raised their five children, he became a wealthy real-estate developer and she became active in the Democratic Party, rising to the post of state chairman. She gained her first elective office in 1987 when she won a special congressional election to fill the House seat vacated by the death of Sala Burton, a friend who was the widow of longtime congressman Philip Burton.
She gained prominence while serving on the House Ethics Committee in the late 1990s as it investigated violations by then-Speaker Newt Gingrich. Her Democratic colleagues chose her as minority whip – the caucus’s No. 2 post – in a 2001 race against Representative Steny Hoyer, a Marylander she has known since they were young interns on Capitol Hill. She took over as minority leader in 2003 after Representative Dick Gephardt of Missouri decided to give up the post. Hoyer has been her second in command in the Democratic caucus ever since.
She has been re-elected in landslides in overwhelmingly Democratic San Francisco.

Home Care Association of America
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Phone: 800-22-HCAOA Email:  Website:

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