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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

HCAOA in the News

HCAOA Executive Director Phil Bongiorno Quoted in CNN Story about Immigration and the Workforce

Earlier this week, Phil Bongiorno was quoted as part of a story on the effect that certain skill-based immigration restrictions will have on the home care industry. During the interview, Bongiorno discussed the need for viable pathways for immigrants with skillsets beyond the engineering and scientific skillsets currently prioritized. In the article, Bongiorno notes that home care providers currently stretched by a tight labor market will be further impacted by anything that prevents new workers from having a pathway to employment.
Member News

Be An Oasis In Your Community

Join home care providers from across the country at the home care event of the year, the HCAOA 2019 Annual Leadership Conference! This year’s theme, Be An Oasis In Your Community, will focus on the importance of standing out among the competition as well as how to best serve your communities. Attendees will be immersed in the latest home care innovations, business strategies and practices throughout the conference and have the opportunity to learn from industry leaders in keynote speeches and expert breakout sessions on a range of must-see topics via the tracks below:
  • Emerging Providers
  • Established Providers
  • Cultivating Quality Caregivers
  • Strategic Industry Trends
In addition, the industry’s leading vendors will be exhibiting their latest efforts to support home care providers across the country. Take this great opportunity to learn the newest competitive strategies, discover cutting-edge technologies and network with key innovators across the home care industry—all in one location. Ultimately, what makes a conference truly great is the attendees. We look forward to this conference being just the start of a conversation about improving the state of home care for clients, employees, and you, the business owner, across the country.
Check out the Conference Brochure for more information on the schedule, speakers, accommodations, registration and more! 

HCAOA, Age Safe America Announce Collaboration

Age Safe America, LLC and Home Care Association of America (HCAOA) have negotiated an opportunity for all HCAOA Members to be preferred home care providers on the nationwide Age Safe® Services Registry. The Registry refers vetted professionals to aging Americans and their families. Members of the Age Safe Services Registry undergo a “best practices" background screening by their US based partner and/or belong to a reputable industry association and/or carry recognized professional credentials.
More information about this opportunity can be found here.

2019 Caregiver of the Year Award – Nominate A Caregiver Today!

Do you have a caregiver in your company who has consistently gone above and beyond the call of duty? Have they exhibited compassion, empathy, and respect in the delivery of care to your clients and their families? Have they improved the quality of life, exemplified extraordinary commitment, acknowledged and met the needs of your clients and families? If so, HCAOA encourages you to nominate a member of your staff to be considered for the HCAOA Caregiver of the Year Award!
HCAOA will announce the Caregiver of the Year Award during the Annual Leadership Conference with the theme, Be An Oasis In Your Community in Tucson, AZ. The award will be presented during the Annual Business Meeting during the Annual Leadership Conference. The winner will receive a cash prize of $1,000 as well as $500 towards their travel to the conference. 
The Caregiver of the Year Award is open to member companies only. Only one nomination per member company is permitted. Both the final award recipient and nominator must be available to attend the conference. Submit your nominations today!
Please click on the button below to nominate a caregiver today!
Nominate A Caregiver Today

Register for the 2019 HCAOA Congressional Fly-in On July 24-25

HCAOA invites you to participate in the upcoming 2019 Congressional Lobby Day scheduled for July 24-25. The program will begin on the afternoon of Wednesday, July 24. The schedule will include briefings on important federal and state issues impacting the home care industry, presentations from HCAOA staff and consultants on how to discuss home care industry concerns with members of Congress. Meetings with your elected Representative and Senators will take place the following day on Capitol Hill.
We cannot emphasize enough the value of having HCAOA members participate in this annual event. This activity is vital to our overall advocacy efforts and will assist as we work to address state and federal advocacy issues impacting the home care industry.
We will be preparing materials for you to discuss and leave with your Senators and Representatives, and will be scheduling Hill visits with lawmakers for HCAOA members.
Register HERE for the 2019 HCAOA Congressional Lobby Day!
The need for mobile printing has never been greater. Now you can print full-page documents practically anywhere – from your smartphone, tablet or laptop. Learn how printing at the point of care is saving clinicians time and helping with compliance, while improving productivity patient safety. Try a full-page mobile printer for free.

Register Today For Our Webinar on Social Media and HIPAA 

Managing social media use and HIPAA compliance can lead to some of the most common misunderstandings healthcare providers face. Employees who aren’t properly trained on HIPAA and social media can expose your organization to HIPAA violations and costly fines!

Whether your practice is using Facebook to attract new clients, or your employees are posting about their workday on Twitter, improper use of social media can lead to major HIPAA violations. Especially now that smart phones and access to apps like Instagram and Snapchat are on the rise, more of these violations have been making the headlines than ever before.

The question becomes: How can your business use social media without violating HIPAA privacy and security requirements?

In this webinar, we outlined exactly how to protect your business by managing how your employees use social media. You’ll get concrete examples of how to create effective policies surrounding uses of phones and social media around the office, as well as real life examples of HIPAA breaches that have occurred as a result of improper social media usage.

Social Media and HIPAA Compliance: Protecting Your Practice in the Digital Age 

Date: June 25, 2019
Time: 2:00pm EST
Presented By: Liam Degnan, Compliancy Group

Kick Off The Conference by Sponsoring the Opening Keynote Speaker!

Seize the opportunity to interact with hundreds of industry leaders in one centralized location. Kick off the Annual Leadership Conference by sponsoring the opening Keynote Address! The HCAOA Keynote Presentation is the most well-attended session at the Annual Leadership Conference. This session provides an excellent opportunity for exposure to all Conference attendees.
Sponsor will receive:
  • A speaking opportunity to introduce your company as the sponsor and welcome the keynote speaker
  • Recognition on keynote signage
  • 8x10 Exhibit Booth
  • Full page ad in Conference Program
To learn more about exhibit and sponsorship opportunities, please see the 2019 Annual Leadership Conference Sponsorship Prospectus.
Thank You to our current 2019 Annual Leadership Conference exhibitors and sponsors.
We look forward to seeing you in Tucson, AZ this fall!

Dell Offering $200 Back on Laptop Purchases over $500

HCAOA Members can take advantage of a special promotion with Dell. Business owners who purchase over $500 in laptops over the phone can receive back a $200 gift card. Call 800-757-8422 and mention the Home Care Association of America to redeem this offer.
Chapter News

HCAOA California

Chapter Meetings Scheduled For Anaheim on June 25th and Foster City on June 26th

AB 2455 implementation is creating anxiety around the state as the July 1 effective date draws near. Our membership will gather in Northern and Southern California late this month to discuss the potential impact on home care providers and how providers can mitigate legal liabilities and risk when communicating with caregivers about their rights under AB 2455.

Southern California members of HCAOA will convene at the DoubleTree by Hilton Anaheim/Orange County on Tuesday, June 25th to discuss AB 2455, among other topics.

Location: DoubleTree by Hilton Anaheim/Orange County
                 100 The City Drive | Orange, CA
Date: Tuesday, June 25
Time: 9:30 a.m. Continental Breakfast and networking, 10 a.m.- noon program
Cost: $50 for members, $150 for nonmembers
Meanwhile, Northern California Members can join us on Wednesday, June 26th in at Atria At Foster Square in Foster City for a meeting to cover similar topics.

Location: Atria at Foster Square | 707 Thayer Ln | Foster City, CA
Date: Wednesday, June 26
Time: 9:30 a.m. Continental Breakfast and networking, 10 a.m.- noon program
Cost: $50 for members, $150 for nonmembers
If you have any questions please contact HCAOA at or 202-508-3870
Click here to register for either session.
HCAOA Members get special pricing and, as always, no contracts or limits. Contact us today for a free tutorial and to set up an account. 

Michelle Lane Direct Line: 816-463-9281
Khali Benney Direct Line: 816-282-6607

HCAOA Connecticut

HCAOA Connecticut Summer Program Postponed
Unfortunately, due to a special session of the Connecticut General Assembly next week, HCAOA Connecticut has to postpone its educational program about countering the attacks on the home care industry, which was scheduled for Wednesday, June 26, 2019.
Thank you to all who registered and the support and interest we received from members and lawmakers. We look forward to rescheduling the event to a date to be determined in the fall.
In the meantime, HCAOA Connecticut members are encouraged to meet with local legislators by inviting them to your office where they can see how a home care company operates and meet caregivers and staff. A smaller, informal setting may help lawmakers better understand the industry and how certain state policies would harm home care companies, jeopardize small business growth and development and the overall state economy. Please let us know if we can help you facilitate any such meetings or provide you with any materials or talking points. 
Registrants will be refunded; please contact with any questions.

HCAOA Florida

Save the date for HCAOA Florida’s Annual Chapter meeting, to be held on August 15. Ruby Grantham, Acting Manager of The Laboratory and In-Home Services Unit, is confirmed to speak at the meeting. The Laboratory and In-Home Services Unit oversees the licensure and regulation of providers that offer laboratory and home health services.
Date/time: Thursday, August 15 at 1pm to 4pm
Location: Embassy Suites by Hilton Orlando Airport
                 5835 TG Lee Boulevard, Orlando FL 32822

A registration link will be provided soon.

HCAOA Georgia


June Meeting a Resounding Success

Attendees at the 2019 HCAOA GA Chapter Meeting
HCAOA Georgia held their June meeting on Thursday, June 13 at the Georgian Terrace Hotel in Atlanta. The meeting was extremely well attended, with extra chairs needing to be brought in to accommodate the crowd. The meeting was opened by HCAOA Georgia Chapter Chair, C. Edward Grogan who discussed that the Health Facility Regulation Department (HFRD) will not be issuing further citations until at least December while they make further determination regarding enforcement. Mr. Grogan also warned of Wage and Hour audits by the Department of Labor.

Patrick Cooney, HCAOA Federal lobbyist, attended via phone and delivered up to date information about the legislative landscape in the House and Senate.

Rusty Paul, HCAOA Georgia Chapter’s lobbyist, provided similar comments as Mr. Cooney, detailing the landscape of the state general assembly. Mr. Paul also provided an update regarding the partial win on liquid morphine being allowed by proxy caregivers, fingerprinting and Assisted Living Facilities.
Kim Caldwell from the Health Facility Regulation Department (HFRD) had a power point presentation that was set up as a game for the audience members. She tested the group on about 10 questions and discussed Skills I, II and III. Ms. Caldwell provided attendees with a handout of the top ten violations according to HFRD and answered questions regarding regulations from participants.
GA Commissioner of Labor, Mark Butler Presenting to Attendees

The Georgia Labor Commissioner, Mark Butler, was also present at the meeting. Mr. Butler spoke briefly regarding thousands of job openings around the state. He explained that Georgia and Oregon are the two fastest growing states in the nation and that we currently have more jobs available than potential workers.


HCAOA Board of Directors Membership Committee Chair and Board Liaison to the Georgia Chapter, Martin Miller encouraged the attending non-members to join the chapter in order to continue to receive valuable information in future chapter meetings. 

HCAOA Massachusetts

Health Care Worker Regulations will be Published Next Friday
The Executive Office of Elder Affairs (EOEA) has announced that the Health Care Worker Regulations will be published on Friday, June 28. HCAOA will be closely monitoring these regulations and will keep members updated.
Currently, the Massachusetts Home Care Aide Council has informed HCAOA that the Health Care Worker Regulations will include the following:
  • An exemption from the registries for reasons "to protect the health, safety and welfare of the health care worker"
  • The regulations will give access to the registry to the EOEA, Aging Services Access Points (ASAPs) and "employer organizations"
  • The ASAPs will be charged with monitoring the registry for compliance by home care providers.
  • Non-compliance could lead to termination of a contract to provide services with the ASAPs
Home care providers will have 30 days to notify employees about the Registry and will need to submit the required information to the EOEA in September. At that point the EOEA will have 90 days to get the database/website up and the Registry online. The effective date of the Registry, first created in H.3821 and signed into law in November 2017, is January 1, 2020.


HCAOA To Review 2019 Caregiver Trend Report: DISCONNECTED at Virtual Chapter Meeting Next Week

Please join your fellow HCAOA Ohio members and home care providers from around the state for a virtual chapter meeting via teleconference. We will be discussing the chapter lobby day and chapter next steps. We will also be forming sub-committees within the chapter related to advocacy and membership. If you have any interest in assisting Chapter Leadership please contact Nataly Schwartz at

Featured Speaker: We've invited Maggie Keen, VP at myCNAjobs to share the latest data from the 2019 Caregiver Trend Report: DISCONNECTED following a brief chapter meeting. The latest Trend Report includes insights from both home care companies and caregivers to uncover new thinking on how companies can better align to drive more effective recruitment and improve retention. 
With 61% of home care companies turning down cases within the past 30 days due to lack of staff, we invite you to join us for a data-packed session to learn how managing this disconnect can help you leapfrog your competition. 

Date/time: Wednesday, June 26 at 2pm

Please register HERE.

A link with information on how to join the meeting virtually will be sent upon registering.

HCAOA Washington

Paid Family & Medical Leave reporting starts July 1, 2019

Employers preparing for the reporting and remitting premiums for the first time starting July 1, 2019 should visit here.

Additionally, care providers should check these items off their lists today:
[ ] Make sure you have a SecureAccess Washington (SAW) login (don’t have one? create an account).
[ ] Have your UBI number on-hand. You will need it to set up your employer account (if you don’t know your UBI number, you can look it up).
[ ] Review reporting formats, requirements, and payment options.
Decide which reporting format you will use and prepare your reports for Q1 and Q2.

If you choose to report via file upload, test your file format to avoid upload errors when you report in July.

[ ] If you use an employer agent like a third-party administrator, CPA or business manager make sure they plan to submit your Q1 and Q2 reports on your behalf.
Important tip: This is a new program and reporting system, so setting up your account and submitting your first reports and payments may require more time than reporting in future quarters. We encourage you to come into the system as early in July as possible to get your account set up and reports filed before the July 31 deadline.
DOH Washington Hosts Telehealth Workshop for Rural Caregivers

The DOH Washington Rural Palliative Care Initiative is continuing its 2019 Rural Palliative Care Education Series on June 25, 2019 at 12-1:00 pm with a session titled “Assessing Your Telehealth Capabilities for Palliative Care: Develop From Where You Are”
This series is open to all rural communities in Washington state. To register please go here. Panelists will discuss technology, workflow, and best practice considerations when setting up a palliative care telehealth program and offer in-depth analysis to a rural hospital working to set up a palliative care telemedicine program.
Chapter chair Shawn D’Amelio will provide a full accounting of chapter activities, including a full legislative update, to Washington members later this week. Watch your inboxes!
Congressional Update

 Senate Aging Committee Seeks Input on Falls Prevention

U.S. Senators Susan Collins (R-ME) and Bob Casey (D-PA), the Chairman and Ranking Member of the Senate Aging Committee, are requesting stakeholders to provide recommendations to reduce older Americans’ risk of falls and fall-related injuries. The feedback will be compiled for a report the Committee is authoring to bring attention to this common and dangerous event.
Comments can be sent to the Aging Committee via email at The deadline to respond is June 26, 2019. All submitted comments will be considered part of the official public record.
In 2016, approximately three million older adults were treated in emergency rooms after falling. Even if an older adult avoids a major injury, a fall can still have a cascading effect on health. After falling once, an older adult may restrict his or her activity out of fear of falling again. This can lead to a decline in physical health as well as social isolation and depression.
The annual total direct medical cost of fall-related injuries for older adults is approximately $50 billion. The average hospital cost for a fall injury is more than $30,000. A fracture sustained during a fall is often the first sign of advanced osteoporosis.
The Aging Committee is specifically soliciting input on the following questions:
  • Reporting and Follow-Up. To what extent are falls unreported among older Americans? What strategies can be employed to encourage patients to promptly notify their health care provider or caregivers of a fall? How can follow-up with appropriate healthcare providers be improved after a visit to an emergency department for a fall?
  • Tools and Resources. What learning tools, resources or techniques can be used to empower patients to change their home environment or modify risk factors to reduce the risk of falls? What are the opportunities and limitations surrounding assistive technologies? Are there are any federal policy barriers that make it difficult to offer tools and resources to patients to prevent falls?
  • Medicare. How can the “Welcome to Medicare” visit or the “Annual Wellness” visits be improved to better assess fall risk and fracture prevention and ensure appropriate referrals? How can Medicare coverage and reimbursement for falls prevention and fall-related services be improved? How are existing Medicaid waivers being utilized for falls prevention and fall-related services? Are there demonstrations or pilot programs that the Center for Medicare and Medicaid Innovation should consider?
  • Evidence-Based Practices. Are there evidence-based practices that reduce the rate of additional bone fractures among those older Americans who have fallen and broken or fractured bones? Are there regional differences in the utilization of these services, evaluations, or screenings? Are there models (such as the Million Hearts Campaign) for other health conditions that have applicability to reducing the overall rate and impact of falls among the elderly?
  • Polypharmacy. What recommendations do you have to ensure prescribers take into account the relationship between polypharmacy and falls risk when making both initial and follow-up clinical decisions for high-risk patients? Is there a need for increased research on the link between polypharmacy and falls-related deaths and/or injuries?
  • Transitions of Care. How can the transitional period from a hospital or skilled nursing facility to the home be improved in assessing the home for fall risks? What more could be done by government agencies to support fall risk assessments and the implementation of protocols that could be used to prevent falls in the home care population?
  • Post-Fracture Care. What can be done to create a care pathway for patients post-fracture to ensure proper follow up care and prevention of future fractures? Are there best practice models that can provide implementation opportunities? Are there any federal policy barriers to implementing best practices in post-fracture care?
HCAOA plans to submit comments to the Committee on this topic. If you have thoughts on these questions you would like to share with HCAOA, please email them to Patrick Cooney at Please submit your thoughts by close of business on Monday, June 24th.

New DOL Chief Shakes Things Up at Agency

As reported by Bloomberg Government, the Trump administration’s chief wage enforcer has spent her early weeks in office seizing command of routine casework from her agency’s regional offices and blocking approval of Obama-era investigation tactics, according to Labor Department sources.
Cheryl Stanton, who was sworn in as administrator of the Labor Department’s Wage and Hour Division April 29, quickly rescinded all authority previously delegated to her subordinates. The move ensures the former business lawyer has the final say on many of the minimum wage, overtime pay, and family leave investigations that her agency’s vast bureaucracy handles in a given week.
Stanton’s heightened oversight of the division’s more than 60 regional and district offices reflects an attempt to better grasp ongoing operations to start to develop an eventual agenda. She has already begun to gradually return some of the authority to regional administrators and their staff on a piecemeal basis. But in its initial weeks, Stanton’s policy has sparked alarm among career officials, delayed the recovery of back pay employers owe workers, and frozen the agency’s processing of time-sensitive visa applications for victims of workplace crimes.
Stanton arrives at the DOL after a stint running the South Carolina Department of Employment and Workforce, which doesn’t cover wage-and-hour law. She previously spent nearly a decade at private law firm Ogletree Deakins, where she defended businesses in labor and employment lawsuits.
Congressional Corner

Senator Mitt Romney (R-UT)

Mitt Romney ran for the Senate as an experienced politician with a national profile, having already been governor of Massachusetts and his party’s presidential nominee.
Romney was born to a politically prominent family. His father, George Romney, was elected governor of Michigan in 1962, when his son was 15, and would go on to head the Department of Housing and Urban Development Department under President Richard Nixon. Romney’s mother, Lenore Romney ran unsuccessfully for the Senate.

Romney served as a Mormon missionary in France, and later served in leadership positions in the Church of Jesus Christ of Latter-day Saints. He remains fluent in French.
After completing his mission, he graduated from Brigham Young University and earned a joint law degree and MBA from Harvard. Romney worked in management consulting before starting a private equity firm, Bain Capital, in 1984. The firm specialized in leveraged buyouts, buying companies, increasing their value, and reselling them at a profit. He remained there until 2001.
Romney’s first bid for a Senate seat was in 1994, when he challenged Massachusetts Sen. Edward Kennedy (D). Kennedy’s campaign criticized Romney for layoffs at Bain Capital-purchased companies. Romney lost with 41percent of the vote to Kennedy’s 58 percent.

Romney was asked to lead the organizing committee for the 2002 Olympics, held in Salt Lake City. He lobbied Congress for support and raised money from private donors to fund the cash-strapped organization, raising his public profile in the process. He served as governor of Massachusetts from 2003 to 2007. He ran as a moderate and self-described “progressive.”
His signature accomplishment was requiring almost all Massachusetts residents to purchase or obtain health insurance, a plan that would later be called “Romneycare.” The plan also offered subsidies to low-income residents. During his tenure, the Massachusetts legislature expanded Medicaid and required most companies to provide health coverage.
Romney ran for president in 2012, beating former Sen. Rick Santorum (Pa.) and former Speaker Newt Gingrich to win the Republican nomination. He won just over 47 percent of the vote and carried 24 states, losing to President Barack Obama.
In the 2018 race to succeed Utah’s retiring Sen. Orrin Hatch, Romney won his primary election with 73 percent of the vote, and faced off against Democrat Jenny Wilson.

Home Care Association of America
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