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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 Corner

Member News

White House Report Identifies Emerging Technologies to Enhance Quality of Life for Seniors

Recently, the White House released a new report, Emerging Technologies to Support an Aging Population, identifying innovations that have the potential to improve quality of life for all Americans, particularly those who live with physical or cognitive burdens due to aging or disability. Importantly, the report also identifies the research and development needed to bring these innovations to fruition.

Drafted by experts convened from across the Federal Government by the National Science and Technology Council, the report highlights six key ways technology has the potential to help Americans live longer, healthier, and more independent lives. These include:

Key Activities of Daily Living. Technology could help older Americans perform many of the activities that comprise independent living, such as eating well, maintaining good hygiene, and managing medications. The report recommends key R&D to advance smart home technology and innovations that promote faster healing and safer, more accurate medication delivery.

Cognitive Skills. Cognitive changes are common during aging and can eventually affect one’s ability to live independently and safely. Further R&D holds the promise of advancing technology to help older adults monitor changes in their cognition, provide mental training to reduce the impact of these changes, and create systems that help individuals and families maintain financial security.

Communication and Social Connectivity. Older adults may face communication challenges as a result of hearing loss, social isolation, and loneliness, especially in economically distressed and rural areas. Technology has the potential to improve hearing abilities, and strengthen connections to family, loved ones, and communities.

Personal Mobility. To live independently, older Americans must be able to move around their homes and throughout the larger community with comfort and ease. Technology could help older adults stay mobile and safely continue to perform key activities necessary for day-to-day life.

Access to Transportation. True independence requires mobility outside of one’s home and immediate neighborhood. Transportation needs and limitations vary depending on how a person’s physical and cognitive abilities change with age. For example, some older adults may be able to drive but require vehicle modification and/or advanced technologies to assist them. New technology could also help older adults more safely and easily use public transportation. Additional R&D into assistive systems that help keep drivers safe and technologies that support easy access to public transportation will allow older Americans to remain connected to social, health, and business facilities.

Access to Healthcare. Routine access to healthcare plays a critical role in helping older adults stay active and independent as they age. The report highlights the need for enhanced R&D into technology that could help align and coordinate care, and to increase the effectiveness and efficiency of healthcare services.
“The integration of home technologies such as sensors, apps, and even robots represents an opportunity to support independent living among the older population. In addition, these home technologies can impact home care, not only by making it more efficient in terms of costs and timing of health-related treatment, but also by offering solutions that encourage independent living and enhanced quality of life for aging adults.”
In addition to the six primary areas listed above, the report recommends cross-cutting themes that are critical to the widespread adoption of new technologies among older Americans, including intuitive, user-friendly designs as well as addressing privacy and security considerations.

Getting these cutting-edge innovations into homes and communities will require R&D across a wide range of disciplines, spanning the public, private, and philanthropic sectors. But the potential is profound; Resilient, cost-effective materials could keep surfaces free of bacteria, innovative sensor and actuator systems could keep people comfortable during long periods in bed, new household robots could assist with food preparation, and much more. The Emerging Technologies to Support an Aging Population report not only identifies areas of technology that can significantly impact Americans’ quality of life as they age, but also recommends areas of R&D where public and private sector efforts can help bring those innovations to life.

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Travel with Every Attendee Throughout the HCAOA Annual Leadership Conference & Beyond by Sponsoring the Registration Bag!

Made up of nearly 3,000 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!
Market your services to HCAOA members at the Annual Leadership Conference by sponsoring the Registration Bag! See more information about the sponsorship package below.
Registration Bag Sponsorship
Travel with each attendee throughout the Conference and beyond by sponsoring the HCAOA registration bag. A bag is given to each registered attendee.

Sponsor will receive:
  • Sponsor logo on front of registration bag
  • 8x10 Exhibit Booth
  • Sponsor ribbons for all registered company personnel
  • Recognition in the Conference Program
  • Company name and logo with link on the HCAOA Conference website
  • Recognition on Leadership Conference Signage
  • Complimentary use of one (1) pre-show & one (1) post-show Leadership Conference Attendee List
To learn more about exhibit and sponsorship opportunities, please see the 2019 Annual Leadership Conference Sponsorship Prospectus. Opportunities are going quickly, reserve your spot at the Annual Leadership Conference today!
Thank You to our current 2019 Annual Leadership Conference exhibitors and sponsors! We look forward to seeing you in Tucson, AZ this fall!
Exhibit Registration
Sponsorship Registration

Pre-Order the 2019 Home Care Benchmarking Study

Did you know that caregivers recruited through word of mouth referrals have turnover rates up to 24% lower than top online sources for caregiver recruitment, according the 2018 Home Care Benchmarking Study? The 2019 Home Care Benchmarking Study will have powerful insights like this as well as information around hundreds of topics concerning the home care industry. Pre-order this month and qualify for a major discount on the Study ( The Study will be available for download/shipping in early May.
Chapter News

HCAOA Michigan

Register today for an important meeting of HCAOA Michigan, the Michigan Chapter of the Home Care Association of America. Come network with fellow home care providers and hear the latest regarding our legislative efforts.
We will have a special guest speaker, Sean F. Crotty speaking on "Paid Sick Time and Minimum Wage Law changes and lawsuits, what does it all mean?"
Other items on our agenda include:
  • Introduction of McAlvey Merchant and Associates, the Chapter's new lobbyist
  • Legislative update from Rusty Merchant, McAlvey Merchant and Associates
  • HCAOA Michigan chapter priorities
  • Licensure
  • Labor law update
  • Reimbursement rates
Don't miss this important meeting. This event is free thanks to a sponsorship by McAlvey Merchant and Associates. However, please use the link below to register so that we have an accurate headcount for the meeting, capacity is limited so please register early.
Date/Time: Thursday, April 25 | 10:00am - 2:00pm
Location: : Michigan Chamber of Commerce,
600 S Walnut Street, Lansing, MI 48933 
Cost: Free!

Please click HERE to register. If you have any questions, please contact Nataly Schwartz at
Contact us today for a free tutorial
and account set up.

Michelle Lane direct line: 816-463-9281
Khali Benney direct line: 816-282-6607

HCAOA Wisconsin

Please join your fellow Wisconsin home care providers for the HCAOA Wisconsin 2019 Lobby Day to be held on May 15.
Date/Time: Wednesday, May 15 | 11:00am - 2:00pm CST
Prior to meeting with Legislators, please join us at Kavanaugh's Esquire Club in Madison to discuss our legislative talking points. Lunch is available at your expense.
Location: Kavanaugh's Esquire Club | 1025 N Sherman Ave., Madison, WI 608-249-0193
After lunch, we will all go to the Wisconsin State Capitol for meetings with legislators. Please register as soon as possible so that we can make appointments with your legislators.

Please click HERE to register. If you have any questions, please contact Nataly Schwartz at

HCAOA Connecticut

Please join your fellow members, employer-based home care providers, industry colleagues and others for the next HCAOA Connecticut Meeting. 
The meeting will include a legislative advocacy and public policy report by chapter lobbyist Matthew Hallisey. A discussion of potential educational programs and a roundtable discussion of issues affecting home care agency owners. Please click HERE to view the meeting agenda.
Date/Time: Tuesday, April 23 | 9:00am
Location: Companions for Living, 312 North Main Street, West Hartford, CT 
Please park next door at the Walgreen's parking lot as there is limited space available.

Be sure to register ahead of time so that we have an accurate headcount by clicking HERE.  
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HCAOA Illinois

Early Bird Rate Ends This Friday!

HCAOA Illinois invites you to attend the HCAOA Illinois State Conference with the theme Positivity, Proactivity, Productivity. Attendees will be immersed in the latest home care innovations, business strategies, practices and methods. Leading vendors will be exhibiting their latest offerings supporting home care providers across the state and country. This year we will be kicking off the meeting with an opening night reception. Registration for the Conference includes the opening night reception, however, registration for the reception is available for those who cannot attend the Conference.

Take this great opportunity to learn the newest competitive strategies, find out what's cutting-edge, and network with local key innovators all in one location. See details below:

Opening Reception: Monday, May 13 2019, 6:30pm - 8:00pm 
Conference Date and Time: Tuesday, May 14 2019, 8:30am - 4:30pm 
Location: Double Tree by Hilton Lisle/Naperville Hotel in Lisle, IL on May 13-14.
Cost: (Registration includes the Opening Reception, however, if you cannot attend the full conference, registration can be purchased in our store for just the Opening Reception)


Now - April 19

 April 20 - May 12 











HCAOA has secured an outstanding rate of $119 plus tax per night.
Reservations can be made by calling the Double Tree by Hilton Lisle/Naperville Hotel at 630-505-0900.

Please book accommodations by April 22, 2019 and mention that you are
an attendee of the HCAOA Illinois Conference to ensure you receive our
discounted rate.
Please click HERE to register. If you have any questions, please contact Nataly Schwartz at


Save the Date for Virtual Meeting
After a successful lobby day last month, the chapter has scheduled a virtual meeting to be held on Tuesday, May 14 at 2pm Eastern. Keep an eye on your inbox for more information to come shortly. If you have any questions, please contact Nataly Schwartz at

HCAOA Washington

12th Annual Blooming with the Boomers “Build a Strong Camp to Weather Any Storm

May 7th & May 8th at Lynnwood Convention Center
Hotel Information:
Embassy Suites by Hilton
Seattle North Lynnwood
20610 44th Ave W
Lynnwood, WA 98036
Conference Location:
Lynnwood Convention Center
3711 196th Street SW
Lynnwood, WA 98036
Rate is $139/night and includes hot buffet breakfast, parking, and shuttle to Lynnwood Convention Center.
Rate & block expire on April 22nd.
Call: (425) 775-2500 or use this LINK to book 

Click here to register.
Congressional Update

Medicare Advantage Plans Cover One Third of Medicare Beneficiaries

Traditional Medicare is losing enrollees and political support to private health plans that cover a third of Medicare participants. These Medicare Advantage plans receive a fixed amount per enrollee to provide benefits rather than a per-service payment rate. That means the plans have more incentive than physicians in traditional Medicare to provide efficient, cost-saving treatment.
Credit the enrollment surge to a slew of regulatory changes by the Department of Health and Human Services allowing the plans to offer more benefits, including gym memberships, dental services, vision coverage, and home care services. This year, Medicare Advantage plans began covering transportation to pharmacies and medical appointments along with home-delivered meals. Next year, they’ll cover in-home technology letting patients remotely interact with caregivers.
As more resources go toward Medicare Advantage plans, traditional Medicare is taking a back seat. It’s part of the Health and Human Services effort to transform fee-for-service Medicare into a program that rewards quality care rather than the amount of treatment caregivers provide.

Personal Care Aides Win in Overtime, Worker Misclassification Suit

The Department of Labor prevailed in a lawsuit claiming that 44 home care aides were misclassified as independent contractors and not paid overtime wages.
At Home Personal Care Services LLC will have to pay $128,446 to the DOL’s Wage and Hour division, who will then compensate the workers, Judge Leonie Brinkema said April 15. She oversaw a two-day bench trial at the U.S. District Court for the Eastern District of Virginia.
The government’s inquiry into At Home’s pay practices and eventual lawsuit have their roots in the department’s 2013 policy change that removed a statutory carve-out exempting personal care aides employed by third party agencies from the Fair Labor Standards Act’s overtime pay requirements.
In response to the policy change, At Home re-classified a number of its PCAs as independent contractors so it wouldn’t be required to pay them one-and-a-half times their base hourly rate for each hour beyond 40 each week, Brinkema said. Any overtime pay would have to be approved by insurers. But as independent contractors, PCAs could work extra hours at their regular rate of pay.
But At Home continued to control patient assignments, hours worked, equipment, and wage rates for all the workers it claimed were independent contractors, Brinkema said. Whether or not an insurer would approve an increased rate billed by At Home, and whether PCAs would prefer to work more hours at a lower rate of pay, is irrelevant to whether those PCAs are At Home’s employees under the FLSA, Brinkema said.
At Home also disputed the calculated damages, but Brinkema said it was At Home’s burden under the FLSA to maintain proper records from which to calculate hours worked and rates of pay. Without those records, the government’s best estimate sufficed, Brinkema said. Given At Home’s sole owner was involved with personnel decisions like hiring, firing, discipline, and patient assignments, Brinkema held her jointly and severally liable for the $128,445 judgment.
To report worker misclassification violations go to the U.S. Department of Labor Wage and Hour Division website at

Senator Durbin Introduces Family Caregiver Legislation

On April 4, 2019, Senator Dick Durbin (D-IL) introduced the Supporting America’s Caregivers and Families Act (S.1017), which would increase funding, training, and support for millions of caregivers in America, including those caring for people living with Alzheimer’s and other dementias.
More than 5 million Americans are living with Alzheimer’s and, without significant action, nearly 14 million Americans will have Alzheimer’s by 2050. This explosive growth will cause Alzheimer’s costs to increase from an estimated $290 billion in 2019 to more than $1.1 trillion in 2050 (in 2019 dollars).
In addition to its economic impact, Alzheimer's takes a devastating toll on caregivers. In 2018, more than 16 million unpaid caregivers provided 18.5 billion hours of care valued at nearly $234 billion. Caregivers of people living with Alzheimer’s and other dementias report higher levels of stress, depression and worse health outcomes when compared to others who are providing care to individuals without dementia. As a result, Alzheimer’s caregivers incurred $11.8 billion in additional health costs last year. These dedicated caregivers would greatly benefit from increased resources, training, and support to help them navigate the strain of caregiving and improve their health and quality of life.
The Supporting America’s Caregivers and Families Act would provide these caregiver resources by increasing funding for the National Family Caregiver Support Program, increase the use of caregiver assessments, and expand the ability of the nation’s network of Area Agencies on Aging to partner with health payers to provide case management and other services for seniors. These important actions will enhance support for caregivers through skills building, increased resources and information, respite care, counseling, and other helpful benefits.
Congressional Corner

Senator Dick Durbin (D-IL)

Senator Dick Durbin began his congressional career in the early 1980s as an opponent of abortion rights representing a downstate Illinois district where most voters shared that view. Over time, he has become among the most stalwart and influential Democratic partisans on Capitol Hill.
The transformation coincided with Durbin’s rise in the Senate. As the assistant minority leader -- also known as minority whip -- starting in 2015 and the assistant majority leader and majority whip for eight years before that, he’s the chief vote-counter and a dependable messenger for the party line.
Durbin has long been popular with Democratic colleagues and the party’s left-leaning base, especially labor unions. They often laud his ability to articulate the party’s message without being criticized for being an angry extremist, as well as his willingness to delve into tough policy battles.
Durbin, however, has been unable to translate that admiration into becoming his party’s top leader in the chamber. When Minority Leader Harry Reid announced his retirement at the end of the 114th Congress, he gave his backing for the party leader to the more media-savvy Charles Schumer of New York, who held the No. 3 Democratic leadership post.
The Illinois senator did avoid a potential challenge for the whip’s job in November 2016 from Washington’s Patty Murray, who has more seniority in the chamber than either Durbin or Schumer. Murray instead decided to take Schumer’s old place as the No. 3 Democrat and “assistant leader.”
Durbin often cites his immigrant roots and attributes his work ethic to his upbringing. His Irish-American father and Lithuanian-born mother both worked on the railroad in East St. Louis, where he was reared.
Durbin worked his way through college and law school. He became interested in politics while a student at Georgetown University, serving as an intern to Illinois Senator Paul Douglas, a Democrat.
After earning his law degree, Durbin moved back home and worked in state government, as an aide to Illinois Lieutenant Governor Paul Simon and then as a state Senate aide. He was unsuccessful in races for the state Senate in 1976 and lieutenant governor in 1978. After leaving the state Senate staff, he practiced law.
His first electoral victory came in 1982 when he ran for the U.S. House in a district that included the state capital of Springfield. He unseated long-time Republican lawmaker Paul Findley by less than 1 percentage point.
A major legislative triumph for Durbin came in the late 1980s when he was able to win enactment of a ban on smoking in passenger airliners. Durbin’s father, a heavy smoker, died of lung cancer when Dick was 14.
When Simon, who had gone on to win election to Congress, announced his decision to retire from the Senate in 1996, Durbin ran for the seat. He beat Republican Al Salvi by 15 percentage points. He’s won three easy re-election victories, including by 22 points in 2002 and by 39 points in 2008. He won by 11 points in 2014, a good Republican year.
Durbin, a father of three, eschews the Washington social scene and flies home most weekends to be with his family. His eldest daughter, Christine, died in 2008 at age 40 of complications from a congenital heart condition.

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