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Home Care Association of New York State

FEDERAL BUDGET

President Obama on February 14 released a proposed fiscal year 2013 budget that includes provider cuts, beneficiary costs, and programmatic changes aimed at achieving $302.8 billion in Medicare savings and $55.7 billion in Medicaid savings over ten years. Proposals include an extended and increased reduction in the market basket update and a beneficiary copayment. Please write your Congressional representative and urge them to oppose this impact on home care.

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Federal/National Issues

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NAHC Statement on Senate Finance Committee Report - 10/3/11

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OPPOSE MEDICARE HOME HEALTH COPAYS AND PAYMENT CUTS

NAHC urges all home care advocates to join in sending the message for Congress to “Oppose Medicare home health copays and payment cuts.”

» Home Health “Sick Tax” Issue Brief/Talking Points

» Home Health Payments Issue Brief/Talking Points

» Co-payment White Paper

» A Home Health Co-Payment: Affected Beneficiaries and Potential Impacts

» Potential Impact of a Home Health Co-Payment on Other Medicare Spending

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PRESERVE ACCESS TO HOME HEALTH CARE

Ensure that the Centers for Medicare and Medicaid Services (CMS) preserves adequate and appropriate payment for Medicare home health services and does not impose unreasonable regulatory burdens that would restrict access to care.

1) Urge Members of Congress to co-sponsor the Home Health Care Access Protection Act.

» Talking Points/Issue Brief

» Impact Data: By State

» Impact Data: By Congressional District

» Congressional Letters to CMS

» Report: Home Health Care Saves Billions for Medicare

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2) Urge that face to face physician encounter requirement for home health services be rescinded and reformed.

» Talking Points/Issue Brief

» Senate Letter to CMS Administrator Berwick

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» Call Your Legislators

EXPAND THE HOME HEALTH CAUCUS

Congressmen Jim McGovern (D-MA) and Walter Jones (R-NC) are again asking their colleagues in the House of Representatives to join the Congressional Home Health Caucus. NAHC urges all home care advocates to reach out to their representatives and remind them to join the caucus today.

» Dear Colleague Letter from Congressmen McGovern and Jones

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HOSPICE: PROTECT THE MEDICARE HOSPICE BENEFIT

NAHC urges hospice advocates to tell Congress to “Protect the Medicare Hospice Benefit.”

» Issue Background/Talking Points

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HOSPICE: SUPPORT S. 722 / HR. 3506

Support S. 722/HR. 3506 to Refine Hospice Face-to-Face, Require Demonstration of Hospice Payment Reform, and Increase Hospice Survey Frequency

» Background/Talking Points

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PROMOTE TELEHOMECARE/REMOTE MONITORING

Contact your Senators and encourage them to co-sponsor S. 501, the Fostering Independence Through Technology (FITT) Act of 2011 which would expand the use of telehealth under Medicare by offering incentives to home health agencies who demonstrate the use of remote monitoring and communication technologies that serve rural and underserved urban communities.

» Background/Talking Points

» Dear Colleague from Senators Thune and Klobuchar

» Send a letter to your Senator

ALLOW NP/PAs TO ORDER HOME HEALTH SERVICES

Ask your Senators and Representative to co-sponsor the Home Health Care Planning Improvement Act, which would allow Nurse Practitioners, Advanced Practice Nurses, and Physician Assistants to sign Medicare home health care plans.

» Talking Points

» New Report Projects Substantial Medicare Savings from Allowing NPs/PAs to Sign Home Health Plans of Care.

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OPPOSE PROPOSALS TO CUT FEDERAL FUNDING FOR MEDICAID.

NAHC urges home care and hospice advocates to ask their Members of Congress to protect access to home care and hospice for low income Medicaid beneficiaries by opposing proposals that would reduce federal Medicaid funding.

» Issue Brief/Talking Points

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PRESERVE THE COMPANIONSHIP SERVICES EXEMPTION

NAHC urges home care advocates to ask Congress to protect access to home care by supporting proposals that would preserve the companionship services exemption.

1) Urge your representative to cosponsor H.R.3066, the Companionship Exemption Protection Act

» Issue Brief/Talking Points

» Dear Colleague Letter from Rep. Terry

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2) Urge Members of Congress to reject proposals that would eliminate the companionship services exemption.

» Issue Brief/Talking Points

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