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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

May is Mental Health Awareness Month

Providing Insight into Older Adult Mental Health

Beginning in 1949, the month of May has been designated to recognize mental health awareness in the United States. Millions of Americans face the reality of living with a mental illness. During May, many organizations and individuals work to raise awareness of mental health. Each year they fight stigma, provide support, educate the public and advocate for policies that support people with mental illness and their families.

An estimated one in four older adults experiences some mental disorder such as depression, anxiety, and dementia – and this number is expected to double by 2030. It is important for caregivers to remember that mental health problems are not simply a natural part of aging. Left untreated, these issues can lead to fatigue, illness, and even suicide.

Listed below are Mental Health Awareness Month activities that will be focusing specifically on the status of mental health in older adults:
  • "Addressing the Crisis in Older Adult Mental Health" – briefing open to congressional staff and members of the public
    • When: Thursday, May 17 | 12:00 PM - 2:00 PM ET
    • Where: Rayburn House Office Building, 45 Independence Avenue, S.W., Room 2075, Washington, D.C.
    • What: This briefing will examine the emerging crisis of access to mental health services for older adults. It will be hosted by the National Coalition on Mental Health and Aging, the National Association for Rural Mental Health and the National Association of County Behavioral Health and Developmental Disability Directors.
  • National Older Adult Mental Health Awareness Day
    • When: Friday, May 18 | 10:00 AM - 12:30 PM ET
    • Where: SAMHSA, 5600 Fishers Lane, Meeting Room: Pavilion C in Atrium, Rockville, Maryland
    • What: Sponsored by the Substance Abuse and Mental Health Services Administration and the National Coalition on Mental Health and Aging, this event is aimed at raising public awareness about the mental health of older Americans and spurring action to address their needs by promoting evidence-based approaches to mental health and substance use prevention, treatment and recovery. The event will also be webcast. Click here to register.

2017 Economic Census is Approaching

Economic Census Webinar: Hosted by U.S. Census Bureau on May 17
As many know, the U.S. Census Bureau measures the nation’s population once every 10 years. However, it also measures U.S. businesses every 5 years with the Economic Census. The Economic Census is the most comprehensive measure of the U.S. economy, providing industry and market statistics at the national, state and local levels. It gives businesses the information they need to make informed decisions that affect the health of America's economy.
Last week, respondents began receiving their official letters from the Census Bureau with instructions for online response to the Economic Census. Companies who receive the census are required by law to respond no later than June 12, 2018.
If you would like to learn more, the U.S. Census Bureau will be hosting an Economic Census Webinar on Thursday, May 17 at 1:00 PM ET:
  • Dial-in Phone Number: 1-888-942-8510
  • Access Code: 7079374
  • Click Here to Join the Webinar

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.
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 California

Legislative Update
The HCAOA California lobbying team is tracking the following legislation:
AB 2413 (Ting): Establishes a new enforcement unit within the Division of Labor Standards Management to protect home care aides. We support this legislation which is currently in Assembly Appropriations Committee.
AB 2455 (Kalra): Requires the Department of Social Services to transfer home care aide personal information to labor organizing organizations. We strongly oppose this legislation which is also currently in Assembly Appropriations Committee. 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 with the following activities: 
  • Contact your legislator's office in Sacramento and urge him/her to oppose AB 2455. If you're not sure who your legislator is, go to and enter your information. Then, call/write their office and ask that your call/letter 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. Letters can be directed to "The Honorable First Name Last Name, CA State Assembly, State Capitol, Sacramento, CA, 95814."
  • 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. Let us know if you need a copy of the WEAVE opposition letter to share 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. 
AB 2703 (Mayes): HCAOA California sponsored this legislation that establishes a personal income tax credit for home care services. The bill was approved and reported out of the Assembly Revenue and Taxation Committee and now referred to the Assembly Appropriations Committee. Assemblyman Mayes will be submitting a press release and we will share the release with HCAOA California members as soon as we receive it.
AB 3039 (Holden): Revises background check requirements for the registration of home care aides. We are watching this bill and will keep you updated. It is also in Assembly Appropriations Committee.

HCAOA Connecticut

Connecticut Senate Debates On-Call Shift Scheduling Ban as Session Nears End
In the closing days of the legislative session in Connecticut, lobbyists must be vigilant for last-minute amendments affecting clients. A law can be changed with little or no notice to the public or opportunity to comment.
One such amendment was introduced in the Connecticut state Senate last Tuesday, May 1, that would have required businesses to give employees more notice of their schedules and pay them one-half of their regular pay if the shift was canceled or changed. It would have applied to employees in the retail, restaurant or hospitality industries and employees who work in nursing or residential care facilities.
While the amendment did not specifically include caregivers or employees of home care companies, they were not excluded. Additionally, if it were adopted, it would be easier to add them later. Change occurs incrementally in Connecticut.
HCAOA opposed the amendment and a similar bill before the Committee on Children because it was overly-burdensome, unnecessary and would hinder a growing sector of the economy. The legislation would be unworkable in practice in the home care industry, where agency owners schedule clients at least two weeks in advance of placing a caregiver in a home. Home care agencies would be penalized if they had to change an employee’s schedule at the last minute, even if the circumstances necessitating the change were outside the agency’s control.
The amendment, like the bill, failed.
Meanwhile, a number of important issues remain on lawmakers’ desks, including adjustments to the second year of the state budget and addressing the projected budget deficit in the current fiscal year. Other policy issues include paid family and medical leave, expansion of paid sick leave, an increase in the minimum wage and sexual harassment training and education.
Today is the last day of the 2018 regular legislative session.
HCAOA Connecticut will continue to fight anti-business measures to help improve the business climate in the state for home care companies and owners, their workers and the seniors they serve.

HCAOA Illinois

May Chapter Meeting
HCAOA Illinois will be hosting a special meeting on Tuesday, May 15. Meet with officials from IDPH, and receive a legislative update, in addition to updates on chapter news and activities.
We are expecting a larger than average crowd, so please register ahead of time using the link below.
Attendees will also have the opportunity to: 
  • Meet Jack Fleeharty, new IDPH Director, Home Nursing & Home Services Agency Licensing Program
  • Hear from Kendra Fabish, RN, Central Office Supervisor, IDPH
  • Learn more about important topics, such as:
    • U.S. Department of Labor opinion letter on live-in care
    • Alzheimer's training bill in Illinois
    • Standardized live-in timesheet for your protection 
Date: Tuesday, May 15
Time: 9:30 am - 11:00 am Central
Location: Wilder Mansion, 211 S. Prospect Avenue, Elmhurst, IL 60126
Cost: Free for chapter members
Attend this meeting in-person or participate via phone! 
If you have any questions please contact Manager of Chapter Services, Nataly Schwartz at or 202-508-3872.

Click here to register!

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 

On May 7, Governor Deal signed SB 406 into law. This law requires comprehensive criminal background checks for elder care providers in personal care homes or other assisted living facilities. The bill, which has been referred to the Senate Public Safety Committee, also requires elder care providers and their employees to participate in the FBI database. Attend the June meeting of HCAOA Georgia to hear more about this new law and how it will impact you.

HCAOA Arizona

Legislative Update
On May 7, HCAOA Arizona chapter leaders met at the state capitol and participated in the Arizona Legislature Senior Caucus meeting. Gale Bohling, HCAOA Board Member and Legislative Committee Chair represented HCAOA Arizona in a panel discussion along with leaders from other senior care organizations to discuss Long-Term Care in Arizona, including the need for long-term services and supports (LTSS), workforce issues including recruitment, development/training, and retention of healthcare and home care staff, the role of family caregivers and care partners, LTSS funding, ensuring quality of care and best practices for delivering long term care services in Arizona.
In other news, Krystal Wilkinson, chair of HCAOA Arizona, is scheduled to meet later this month with Governor Ducey’s office to discuss the state of home care in Arizona. HCAOA Arizona is planning a chapter meeting in mid-June and will be inviting a local legislator as a guest speaker. Stay tuned for more information on this meeting and other exciting chapter activities.
Gale Bohling seen here along with Senator Steve Farley, Assistant Minority Leader and panelists participating in the Senior Caucus meeting.
Congressional Update

Slim Chance for Joint Employer Issue to Get Through Congress

Senate Health, Education, Labor and Pensions Committee Chairman Sen. Lamar Alexander (R-Tenn.) told an audience at the International Franchise Association Legal Symposium in Washington, D.C., that the chances are slim that legislation passed by the House on the joint employer issue could get through the Senate this year. He stated that the best solution is the NLRB revisits the rule, suggesting that the GOP-controlled National Labor Relations Board is more likely to act on the joint employer question than the Senate. Alexander said there's not currently enough Democrat support to move legislation to undo a 2015 NLRB decision expanding joint employer liability for affiliated businesses.
The House in November passed legislation (H.R. 3441) to restrict joint employer liability in a vote that included eight Democrats crossing the aisle to vote in favor. Joint employer liability is at the center of one of the most heated labor policy and legal questions in recent years. A Democrat-majority board in Browning-Ferris Industries of California Inc. ruled that organizations with indirect control over contractors, franchisees, or staffing agency workers may be considered their joint employers under federal labor law.
The pending legislation would amend the National Labor Relations Act and the Fair Labor Standards Act, laws that give workers the right to organize and require employers to pay minimum wages and overtime.

U.S. Payrolls Rise 164,000 While Jobless Rate Falls to 3.9%

U.S. hiring rebounded in April and the unemployment rate dropped below 4 percent for the first time since 2000, while wage gains cooled by more than forecast in a sign that the labor market still isn’t tight enough to spur inflation.
Payrolls rose 164,000 after an upwardly revised 135,000 advance, Labor Department figures showed Friday, May 4th. Average hourly earnings increased 0.1 percent from the prior month and 2.6 percent from a year earlier, both less than projected. The jobless rate fell to 3.9 percent, the lowest since December 2000, after six months at 4.1 percent.
Congressional Corner

Rep. Frank Pallone Announces Proposal to Create New Long-Term Care Benefit

On May 2, at a roundtable discussion with aging and disability advocates in New Jersey, Energy and Commerce Ranking Member Frank Pallone, Jr. (D-NJ) released a proposal to create a new Medicare long-term care benefit. The comprehensive discussion draft, The Medicare Long-Term Care Services and Supports Act, would establish a public benefit within Medicare, designed for everyone regardless of income or where they live, to provide long-term care services and supports.
In a press release from Rep. Pallone he states that under the current system, health insurance, including Medicare, only covers very limited long-term care and support for seniors until a senior eventually qualifies for the Medicaid program after they have depleted all of their financial resources. Today, a senior will spend an average of $140,000 in out-of-pocket costs on long-term care and more than 15 percent of seniors will incur costs in excess of $250,000. In 2014, formal out-of-pocket expenses accounted for over $53 billion, and nearly 17 percent of working adults provide unpaid care for family members or friends.
More than 70 percent of seniors over the age of 65 will need long-term care services and supports in their lifetime, and with 90 million Americans expected to be over age 65 by 2055, long-term care expenses are predicted to double as a share of the economy over the next 30 years. Additionally, beyond seniors, those under the age of 65 with intellectual and developmental disabilities, behavioral health diagnoses, spinal cord or traumatic brain injuries or other disabling chronic conditions and their families struggle to afford the full range or care that is needed.
The Medicare Long-Term Care Services and Supports Act of 2018 creates a strong federal program within Medicare that will be there for those with substantial long-term care costs when they need care. More specifically, the discussion draft:
  • Establishes a standard cash benefit within Medicare for anyone who is eligible for Medicare and those under the age of 65 who meet certain disability thresholds. The benefit would begin after a two-year waiting period that functions as a deductible. The discussion draft also solicits comment on a potential cash deductible alternative for certain beneficiaries.
  • The self-directed benefit could be used towards all long-term services and supports, including nursing facility care, adult daycare programs, home health aide services, personal care services, transportation, and assistance provided by a family caregiver.
  • Includes incentives for people to seek care at home, the setting where most people want to be, and with family support, while also being available for nursing homes.
  • Relieves overburdened caregivers. This benefit can be used towards family caregivers and respite care. Caregivers find value in what they do, but may also lose income, other retirement benefits, and career opportunities if they have to cut back on work hours or leave the workforce.
Click here for the text of the discussion draft, here for a section-by-section summary of the discussion draft, and here for a fact sheet. Pallone asks that stakeholders who wish to comment on the contents of this draft please submit to feedback to by June 15.

Home Care Association of America
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