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HCAOA WEEKLY NEWSLETTER
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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
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Member News

Now Available! 2018 HCAOA Annual Leadership Conference Sponsorship Prospectus

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.
 
We look forward to seeing you in Washington, DC this fall!

Survey for the 2018 Home Care Benchmarking Study

In partnership with Home Care Pulse®, HCAOA is proud to invite all home care providers to participate in the annual survey to contribute data to the 2018 Home Care Benchmarking Study. By participating, you will receive a discount code upon completing the survey, which you can use to pre-order the 2018 Home Care Benchmarking Study for just $99.

This survey closes in one week on February 28! To participate, download the Survey Prep Worksheet to help you gather and organize the necessary information. With a completed Survey Prep Worksheet, the survey can be taken in about 30 minutes. 

This study continues to deliver the most comprehensive U.S. home care industry data available to current and potential home care providers. Your participation helps contribute to the greater depth of insight and understanding that this study provides. To learn more about participation and rewards, visit benchmarking.homecarepulse.com/participate.

Upcoming Webinar: Navigating Third-party Credentialing Systems in Assisted Living Centers and Other Facilities

 
Senior care communities across the country are contracting with third-party companies to manage sign-in compliance and vendor credentialing for care providers who work in these settings. The practice of credentialing caregivers that come into assisted living and retirement homes may be inappropriately applied to caregivers employed by HCAOA member companies who are providing services to clients in these facilities. Home care providers consider this an unnecessary nuisance at the very least, but also could be costly and raises a serious concern if the process is interfering with a client’s access to quality home care services.
 
Please join us on Tuesday, March 6 at 3:00 PM Eastern for a webinar to discuss what HCAOA is doing to address this issue. ​Learn from industry attorneys and HCAOA’s Executive Director, Phil Bongiorno, about how communities’ increased use of these systems impact the role of home care providers working inside of assisted living/independent living communities and how best to address the issue on the front line, including strategies for working with communities that have implemented these types of systems.
 
Click here to register for this webinar!
 
If you have any questions or any further concerns regarding this issue, please contact info@hcaoa.org.

Alzheimer’s Association Releases New Dementia Care Practice Recommendations

Pictured left to right: Senator Catherine Cortez Masto (D-NV), Senator Susan Collins (R-ME). Photo credit: Alzheimer’s Association.

On February 14, HCAOA Executive Director, Phil Bongiorno participated in an event on Capitol Hill sponsored by the Alzheimer’s Association to formally release their new dementia care practice recommendations aimed at helping care providers across all settings, deliver optimal quality, person-centered care for those living with Alzheimer’s and other dementias. The recommendations are posted online and will be published as a supplement to the February issue of The Gerontologist.


The event was structured to formally brief policymakers and the dementia care community about these new recommendations. The event was highlighted with special guest remarks by Senator Susan Collins (R-ME) and Senator Catherine Cortez Masto (D-NV). Dementia care experts who developed the recommendations also presented providing greater context and explanation behind the new recommendations.
 
About the Recommendations
 
The Alzheimer’s Association 2018 Dementia Care Practice Recommendations outline 56 recommendations across 10 content areas, grounded in the fundamentals of person-centered care. They were developed by dementia care experts convened by the Alzheimer’s Association and are based on a comprehensive review of current evidence, best practice, and expert opinion. The recommendations seek to better define quality care across all care settings, and throughout the disease course. They are intended for professional care providers who work with individuals living with dementia and their families in long-term and community-based care settings, including in the home. “Since its inception, the Alzheimer’s Association has been a leader in outlining principles and practices of quality care for individuals living with dementia,” said Sam Fazio, Ph.D., lead author and Director of Quality Care and Psychosocial Research, Alzheimer’s Association. “These recommendations reflect the most current research and best practices to help ensure high-quality, person-centered care for people living with Alzheimer’s in long-term and community-based settings.” It is estimated that nearly 60 percent of older adults with Alzheimer’s or other dementias reside in the community (outside a hospital or clinical setting). About 25 percent of these individuals live alone, but the remainder receives care from family members, unpaid caregivers, and community-based and residential care providers. By age 80, 75 percent of people with Alzheimer’s dementia are admitted to a nursing home. The new recommendations are aimed at guiding care in these settings. In addition to updating and enhancing previous recommendations in areas familiar to the dementia care community, the recommendations break important new ground. Most notably, the recommendations offer guidance to community-based and residential care providers on detection and diagnosis and ongoing medical management — topic areas typically reserved for clinicians. Recommendations in these two areas are written specifically for non-physician care providers and address what these providers can do to help with these important aspects of holistic, person-centered dementia care. Other areas covered by the recommendations include:
  • Fundamentals of person-centered care
  • Assessment and care planning
  • Information, education and support
  • Ongoing care for behavioral and psychological symptoms of dementia
  • Support of activities in daily living
  • Staffing
  • Supportive and therapeutic environments
  • Transitions and coordination of services
The 56 recommendations are detailed in 10 area-specific articles published in the February supplement. In conjunction with recommendations, the Alzheimer’s Association released a separate report that examines quality care through the eyes of people living with the disease. A Guide to Quality Care from the Perspectives of People Living with Dementia includes survey data and interviews from individuals living in the early stage of Alzheimer’s or other dementias. It offers insights into how those most affected by the disease view quality care and what they want from care providers and caregivers during their difficult journey.
Chapter News

HCAOA California: Joint Lobby Day with CAHSAH

Assemblymember Ash Kalra has introduced a new bill (AB 2455), which is very similar to the vetoed AB 1513. Voice your opposition to this damaging legislation by joining us for the HCAOA and CAHSAH Joint Lobby Day in Sacramento.
 
When: Wednesday, March 14, 2018
Where: Capitol Plaza Halls, Fraternity Room | 1025 Ninth Street, Sacramento, CA 95814

Agenda: 
           
9:00 - 9:30 am
Registration/Breakfast

9:30 - 11:30 am
Welcome Lobbying 101
Legislative Priorities
Guest Speaker(s)
 
11:30 - 12:30 pm
Lobby Day Luncheon
Meet your Team Members
 
1:30 - 4:30 pm
Appointments with Legislative Offices
 
4:30 - 5:30 pm
Dessert Debriefing 

To assist us in scheduling appointments with your local representatives, you will be asked to provide your Assembly and Senate districts on the event registration form linked below. If you are unsure of your Assembly and Senate districts, please visit the following website and enter your home address (where you are registered to vote) to determine the appropriate legislative districts. 

Appointments are made on a first-come, first-served basis and are filling up quickly! Please register as soon as possible to increase the likelihood that you will be able to meet with your specific representative.
 
Please note: Registration is free for HCAOA California and CAHSAH members. If you are a member of CAHSAH and not a member of HCAOA California, please register through CAHSAH to receive the free member rate.
 
Click here to register through HCAOA!
 
If you have any questions please contact Manager of Chapter Services, Nataly Schwartz at nataly@hcaoa.org or 202-508-3872.

HCAOA Arizona: Lobby Day

Join HCAOA Arizona and the Arizona In-Home Care Association for a day at the capitol. Lobby Day attendees will meet with legislators, enjoy a luncheon in the Historic Supreme Court Room, and more. Don't miss this opportunity to learn about crucial industry issues and what our chapter can do to advocate them.
 
When: Thursday, March 15, 2018 | 8:00 am - 2:00 pm 
Where: Arizona State Capitol, 1700 W Washington, Phoenix, AZ 85007
 
Space is limited, so please register early to reserve your spot! To assist us in scheduling appointments with your representatives, we ask that you please register no later than Wednesday, February 28. Attendees may bring one guest, as space allows.
 
Click here to register!
 
If you have any questions please contact Manager of Chapter Services, Nataly Schwartz at nataly@hcaoa.org or 202-508-3872.

Call to Discuss Creating HCAOA Chapter in Virginia


Join fellow Virginia home care providers and Home Care Association of America staff on a conference call to discuss the benefits of starting a HCAOA chapter in Virginia. Have your voice heard and learn what a HCAOA chapter could do to advocate on your behalf.
 
Date: Thursday, March 1 
Time: 1:00 PM Eastern 
Phone Number: (571) 317-3122 
Access Code: 290-395-221 
 
We will also discuss chapter successes in other states, such as the defeat of AB 1513 in California, which would have required every registered home care aide's name and cell phone number to be made available to labor organizations, and the passing of an Illinois bill that requires hospitals to only refer to licensed home care providers. 
 
Click here to RSVP!
 
If you have any questions please contact Manager of Chapter Services, Nataly Schwartz at nataly@hcaoa.org or 202-508-3872.

HCAOA Washington: Blooming with Bloomers Conference

Join HCAOA Washington for the 11th Annual Chapter Conference!
 
Date: May 1 and 2
Time: 8:30 a.m. - 4:30 p.m. Pacific
Location: Embassy Suites SeaTac
 
If you have any questions about the conference, please contact the 2018 Conference Chair, Jeff Wiberg at jeff.wiberg@fhccares.com.
 
Click here for the Blooming with the Boomers – WAHCA Statewide Conference Attendee Registration!
 
Sponsor and exhibitor registration for the 2018 WAHCA Annual Conference is also available! See a detailed list of packages in the 2018 Exhibitor, Sponsorship & Ad Guide.
 
If you would like to register for more than one package please contact Nataly Schwartz at nataly@hcaoa.org or 202-508-3872.
 
Click here for the Blooming with the Boomers – Sponsor & Exhibitor Registration!
Congressional Update

Employer Mandate May Be Next Target


Given the repeal of the individual mandate penalty beginning in 2019, employers and some members of Congress have turned their attention to the employer mandate.
 
The employer mandate was scheduled to go into effect beginning in 2014. However, in 2013, the IRS delayed enforcement of the employer mandate until 2015. In a final rule issued in 2014, the IRS delayed enforcement again, giving larger employers (those with more than 100 full-time equivalent employees) a transition period in 2015 and fully delaying the mandate for employers with 50 to 99 employees until 2016. These enforcement delays were challenged in court by the House of Representatives in House v. Burwell.  The judge found, however, that the House did not have standing to bring this claim, citing long-standing legal precedent that members of Congress cannot sue to challenge the implementation of a law.
 
Under the Affordable Care Act (ACA), certain employers (generally, those with more than 50 full-time equivalent employees) can face a penalty for 1) not offering coverage to their employees and dependents; or 2) offering coverage to their employees and dependents that fails to be “affordable” or does not meet “minimum value” requirements. In either case, the penalty is only assessed if a full-time employee receives a premium tax credit for marketplace coverage. Although some of last year’s bills to repeal the ACA would have repealed the employer mandate, it currently remains in place.
 
There have been other failed legal challenges to the employer mandate. Despite this litigation, the employer mandate went into effect for most and then all employers with more than 50 employees beginning in 2016. In November 2017, the IRS began sending assessment notices to employers who failed to comply with the mandate in 2015. Critics have argued that the IRS lacks the authority to impose the penalty, that employers weren’t notified by the marketplace of their employees having received a premium tax credit (as required before assessing a penalty), and that federal reporting requirements are technical and confusing for employers.
 
To address these issues, some members of Congress are considering an additional push to repeal or delay the employer mandate even as the Hill seems to have moved on from broader ACA repeal efforts. In the meantime, the IRS continues to implement the employer mandate.
 
The IRS also recently extended the 2018 due date for certain employers and providers to send 2017 coverage information forms, known as the 1095-B and 1095-C forms, to individuals. Insurers, self-insuring employers, other coverage providers, and applicable large employers were given a 30-day automatic extension until March 2, 2018 to send this information to individuals. Because some individuals may not receive their reforms by the time they are preparing to file their 2017 income tax returns, taxpayers are not required to have these forms on file and can file their taxes using other information about their health insurance coverage.

Immigration Debate – Concluded or Just Starting?


Last week, the Senate failed to find the 60 votes needed to pass an immigration bill to address the status of youth who were brought to the U.S. illegally as children. President Trump has terminated the Deferred Action for Childhood Arrivals (DACA) program which allows them to stay in the U.S. conditionally. Several lawsuits have been filed that will challenge that decision. It is unclear whether there will be further action on this in the Congress.
 
However, the employer community is urging Congress to address these legal immigration issues. Look for Congress to begin addressing these issues in the coming months, as the unemployment rate remains at historic lows.
Congressional Corner
November is still eight months away, but Republican leaders are already conceding defeat in the midterm elections. As Senate Majority Leader Mitch McConnell (R-KY) told the New York Times on Saturday, “the odds are that we will lose seats in the House and Senate.” Some think that is premature.
 
In the Senate there are 34 seats up for election later this year. The Democrats are currently defending 26 seats. Republicans, on the other hand, are only defending eight. This electoral advantage — that is, the difference between how many seats the Democrats have to defend versus the Republicans — is 17 seats.
 
Of the 26 seats Democrats are defending, 10 are in states that Trump won in 2016 — including five that he carried by double digits. Republicans, on the other hand, are defending eight seats, seven of which are relatively safe. Other than Sen. Dean Heller (R-NV) who is looking like he will have a fight to stay in office, the rest of the GOP seats are showing relatively well.
 
It appears clear that the Republicans will likely lose seats in the House but the Senate is in question at this time.

Home Care Association of America
444 N. Capitol Street NW, Suite 397, Washington, DC 20001
Phone: 800-22-HCAOA Email: info@hcaoa.org  Website: www.hcaoa.org

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