www.CAHSAH.org cahsah BULLETIN Advocacy in Action Guide How Lobby Day Advocacy Impacts California Bills Taking Responsibility for Reductions in Hospital Readmissions: Be Careful! Do hospital staff have only a superficial understanding of how patient reductions can be achieved? MARCH 2015 Chair’s Message BY ALEJANDRO SALDANA, CAHSAH CHAIR Hello everyone. We are in the third month of the year and it is time to get all of our members together to lobby and educate our federal and state legislators. I am requesting that everyone attend CAHSAH’s Annual Lobby Day at the State Capitol on March 18 to continue educating our legislators about the issues surrounding the home care industry in 2015. I also urge you to bring someone you know in the industry, even if they are not CAHSAH members. During the last week of March, NAHC will be hosting their annual March on Washington. I encourage you to attend this important event as this is an opportunity to meet your United States congressional representatives. I hope you are able to attend, and I look forward to seeing you at these great legislative opportunities. Respectfully, Alejandro Saldana CAHSAH Board Chair CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 3 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 4 in this issue Chair’s Message........................................ Pg. 3 Taking Responsibility for Reductions in Hospital Readmissions: Be Careful!..............Pg. 7 Dean Chalios - President (916) 641-5795, ext. 118 Michele Lander - Director of Operations (916) 641-5795, ext. 129 Advocacy in Action................................. Pg. 8 Jessica Roenspie - Meeting and Event Planner (916) 641-5795, ext. 117 Weekly News Updates......................Pg. 10 Marissa Pickard - Education Marketing Coordinator (916) 641-5795, ext. 127 Membership Spotlight.......................... Pg. 12 Jeannie Yang - Education Assistant/Registrar (916) 641-5795, ext. 113 cahsah staff CAHSAH Awards Program..........Pg. 13 Educational Events Calendar.... Pg. 15 Federal Bill Tracker..................................Pg. 16 Sandy Bertoux - Director - Finance and Membership (916) 641-5795, ext. 111 Ryan Moore - Director of MIS (916) 641-5795, ext. 132 Kristine Fitzpatrick - Controller/Human Resources Manager (916) 641-5795, ext. 115 Patricia Martinez - Membership Coordinator (916) 641-5795, ext. 114 The CAHSAH Bulletin is published by CAHSAH and supported by Heffernan Insurance Brokers Managing Editor & CAHSAH President Dean Chalios Jennifer Gabales - Director of Policy (916) 641-5795, ext. 123 Editor Wesley Clark Mary Adorno - Legislative Specialist (916) 641-5795, ext. 124 California Association for Health Services at Home 3780 Rosin Court, Suite 190 Sacramento, CA 95834 Telephone: (916) 641-5795 Fax: (916) 641-5881 www.cahsah.org Wesley Clark - Communications Specialist (916) 641-5795, ext. 120 For advertising, please contact: Wesley Clark at 916-641-5795 ext. 120 CAHSAH does not necessarily endorse any of the products, services or meetings advertised in the Bulletin. CAHSAH also does not endorse the opinions, products or services of guest authors in the Bulletin. Copyright 2015 California Association for Health Services at Home. All rights reserved. CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 5 Taking Responsibility for Reductions in Hospital Readmissions: Be Careful! By Elizabeth E. Hogue, Esq. Hospital administrators are increasingly focused on decreasing readmission as they continue to receive penalties in the form of reductions in reimbursement from the Medicare Program. Hospital staff appropriately seek assistance from post-acute providers in order to achieve reductions. There is no doubt that Medicare-certified home health agencies, HME suppliers, private duty home care agencies, hospices, skilled nursing facilities (SNFs), assisted living facilities (ALFs), outpatient therapists, etc. can assist hospitals to reduce readmissions. The post-acute industry generally welcomes the recognition that it has a crucial role to play in this regard. • • • • • • • • • • • BUT, BE CAREFUL! It appears that staff at some hospitals have only a superficial understanding of how reductions can be achieved. This is true, in part, because there is a general lack of evidence and data to show what activities contribute to reductions in readmissions. It remains unclear whether hospital discharge planning activities, for example, can have a substantial impact on reductions in readmissions. • • There is a tendency on the part of hospitals, however, to put the entire responsibility for reductions on the shoulders of post-acute providers. This point of view may lead to some potentially harmful results, including failure to reduce readmissions. It may also support the argument that hospitals should be able to choose post-acute providers for patients since they suffer the financial consequences when patients are readmitted. On the contrary, it seems likely that reductions in readmissions will be achieved only through partnerships between hospitals and post-acute providers of all kinds. The operative word is clearly “partnership.” This point of view is supported by Conditions of Participation (CoPs) of the Medicare Program for hospitals that govern discharge planning. Specifically, discharge planners/case managers at hospitals are required to screen all inpatients soon after admission to determine which ones are at risk of adverse health consequences post-discharge if they lack discharge planning. Screening must include consideration of the following factors: 1. Patients’ functional status and cognitive ability 2. Type(s) of post-hospital care that patients require, such as: • Home Health, attendant care, and other community-based services • Hospice or palliative care • Respiratory therapy • • • • Rehabilitation services (PT, OT, Speech, etc.) End Stage Renal Dialysis services Pharmaceuticals and related supplies Nutritional consultation/supplemental diets SNFs ALFs Medical equipment and related supplies Home and physical environment modifications Transportation services Meal services Household services, such as housekeeping, shopping, etc. Whether the type(s) of post-hospital care require(s) the services of health care professionals or facilities Availability of required post-hospital health care services to patients Availability and capability of family and/or friends to provide follow-up care in the home Evaluate post-discharge needs of inpatients identified in the first stage, or of inpatients who request an evaluation, or whose physician requests one. Evaluations must include the ability of patients to self-care post-discharge. An evaluation of the ability to self-care requires hospitals to actively solicit information regarding this issue not only from patients or their representatives, but also from family, friends, and support persons. Develop a discharge plan, if indicated by the evaluation or at the request of the patient’s physician Initiate implementation of the discharge plan prior to the discharge of inpatients. This requirement includes provision of inpatient education/training to patients for self-care, or to patients’ families or other support persons who will provide care in patients’ homes. It includes arrangements for: • Transfer to rehabilitation hospitals, long term care hospitals, or long term care facilities • Referrals to home health agencies or hospices • Referrals for follow-up with physicians and therapists • Referrals to pertinent community resources that may assist with financial, transportation, meal preparation or other post-discharge needs Anecdotally, it appears that hospital discharge planners/case managers are not consistently engaging in these activities and others required by the CoPs. Compliance with the CoPs for discharge planning may have a significant impact on reductions in readmissions in partnership with postacute providers of all types. CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 7 advocacy in action How Lobby Day Advocacy Impacts California Bills I t’s a new year, and the first year of a two year session in California’s legislature. A whole cast of new bills have been submitted in the Capitol prior to the bill introduction deadline that closed last Friday, February 27, and CAHSAH’s Policy Advocacy and Public Affairs (PAPA) Committee is now in the process of reviewing those bills and identifying any that may have an impact on the home care industry. A few of those bills will become the focus of CAHSAH’s upcoming Annual Lobby Day event on March 18 at the Sacramento Masonic Temple. individuals or groups (the bill “sponsor”) contact a legislator with a specific problem and solution they wish to have addressed with legislation. When the Senator or Assembly Member agrees to “author” a bill, he or she sends the idea to Legislative Counsel, where the language is drafted as a bill. Once the author approves the draft, the bill is filed at the Senate Desk or Assembly Desk, at which time the bill is given a number and “read” for the first time. The bill must then pass in committee. Senators and Assembly Members may sit on one or more committees. Each committee deals with bills related to just one particular subject area. For example, there is a committee specifically for health, education, public safety, transportation, agriculture, and so on. While the PAPA Committee continues the process of determining CAHSAH’s priority bills, and while Lobby Day is still a couple of weeks away, it’s important that we take the time to refamiliarize ourselves with Lobby Day’s place in the greater picture of California’s legislative process. With an understanding of its place in the big picture, we can better appreciate the role Lobby Day plays in protecting the essential interests of the home care industry and the agencies that serve the elderly and persons with disabilites in our communities. The first committee that all bills must pass through is the Rules Committee. The Rules Committee is responsible for assigning the bill to one or more policy committees. For example, bills dealing with health issues are usually referred to the Assembly Health or Senate Health and Human Services Committees. A bill cannot be heard by a committee until it has been in print for 30 days. Each bill must also appear in the Daily File (the agenda of the legislature’s daily business) for four days prior to being heard in a committee. California’s Legislative Process The state legislative session generally convenes in December to organize and work begins in January. Each legislative session is two years with month-long breaks in the spring, summer, and early fall. The last day for bills to be introduced is usually in February, and the last day for bills to pass is usually early September. If the bill has a cost associated with its implementation, it must be heard by a “fiscal” committee, which is either the Senate or Assembly Appropriations Committee. Only comments related to a bill’s cost are debated by the fiscal committees. After the bill passes its The Lifycycle of a Bill For an idea to become a bill, typically, interested CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 8 The Impact of Lobby Day You can make an impact on California’s State Legislative process. By participating in CAHSAH’s Annual Lobby Day event, you can make an impact on California’s state legislative process. CAHSAH’s staff and PAPA committee members have worked diligently to identify our priority bills at an early stage in their legislative lifecycle so that our advocacy is placed in a position to succeed. When Lobby Day commences on March 18, the deadline to submit bills will have only past by about three weeks. Because of this strategic placement, early in the lifecycle of a bill, we are able to reach out to our legislators at the beginning of the committee process when many of them are just hearing of the bill for the first time, or may not have encountered it long enough to form strong political opinions. This is why participation in Lobby Day advocacy is so important: it plants the seed of our position in the minds of legislators and improves the effect of our advocacy as the bill progresses through the summer and the fall months. last committee in its house of origin, it is read a second time on the floor. The bill must then pass off the Senate and Assembly floor in its third reading. The author presents the bill on the floor to the entire house (either Senate or Assembly). Most bills require a majority vote to pass (21 in the Senate and 41 in the Assembly). The exceptions to this are bills with an “urgency clause” and appropriation bills, both of which require a two-thirds vote (27 in the Senate and 54 in the Assembly). Once a bill passes out of the house of origin, it moves to the other house and goes through the process all over again. This means the bill must pass through the assigned committees of the other house and then be heard on the floor of the other house. Last year, CAHSAH defeated a number of big bills due to its member advocacy. At the time of Lobby Day, the home care industry faced AB 1863 (Jones), the DRA Licensure Bill, SB 935 (Leno), the Minimum Wage Bill, and AB 2171 (Wieckowski), the RCFE Bill. If any of these bills would have been approved by the Governor, they would have had far reaching, negative impacts on the home care industry. CAHSAH was able to defeat these bills because our members wrote letters, made calls, met with their legislators, and testified at bill hearings held in the State Capitol and participated in District Advocacy Day in the summer. Our advocacy prevailed because the committees and the Governor were familiar with and sympathetic to our position - these victories were the result of the seeds we planted all the way back in the spring. If the bill has been passed by both houses, it is sent to the Governor. The Governor may sign the bill, or veto the bill. During the legislative session, the Governor has 12 days to sign or veto a bill. If the Governor does not sign or veto the bill within the specified amount of time, the bill becomes law without the Governor’s signature. If the bill is signed or approved, it goes to the Secretary of State to be chaptered. If the Governor vetoes a bill, a two-thirds vote in each house is needed to override the veto. Most bills take effect on January 1 of the following year after their passage. However, bills with an urgency clause take effect immediately upon signature by the Governor. Lobby Day Registration Is Open! Making Amendments to a Bill Technically, bills can be amended at any point in the process. After the amendment has been submitted, the bill will be amended and reprinted to reflect the changes made by the amendment. If a Senate bill is amended in the Assembly, or vice versa, and the house of origin refuses to concur in those amendments, the bill will go to a conference committee. Remember, you can make an impact on California’s State Legislative process. CAHSAH’s 2015 Annual Lobby Day event is scheduled for Wednesday, March 18, 2015 at the Sacramento Masonic Temple at 1123 J Street in Sacramento. Click here to join CAHSAH for this free member event, and put your Advocacy into Action! CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 9 Weekly News Updat CAHSAH Attends Home Care Licensure Stakeholder Meeting OASIS and Claims Matching Effective April 1, 2015, Medicare systems will compare the Health Insurance Prospective Payment System (HIPPS) code on a Medicare home health claim to the HIPPS code generated by the corresponding Outcomes and Assessment Information Set (OASIS) assessment before the claim is paid. 02.09.2015 Over 75 CAHSAH members, including CAHSAH’s President and Policy Director, participated in the Department of Social Services’ (DSS) Home Care Licensure Stakeholder Meeting. During this meeting, which was the first in a series that will be hosted by DSS, the Department outlined a broad overview of the statutory requirements for home care licensure under AB 1217 while also providing an opportunity for home care agencies to ask a variety of questions. DSS also indicated that they are in the process of developing a home care agency survey and a procedure for agencies to file complaints. For providers who attended the meeting but were unable to have their questions heard, the Department has assured those individuals that they will have additional opportunities to provide input and ask questions at each of their future stakeholder meetings. Click here for the full article. Medi-Cal Hospice Annual Rate Update The Department of Health Care Services (DHCS) has updated the reimbursement daily and hourly rates for hospice providers. Effective for dates of service on or after October 1, 2014, providers should bill using the new hospice care rates. For an updated list of rates, providers may visit the Long Term Care Reimbursement page of the DHCS website. Providers that would like to be added to DSS’ email notification list for future stakeholder licensure meetings may send their request to [email protected]. DOL Lawsuit Update - Court of Appeals Grants DOL’s Request for Expedited Briefing Click here for the full article. 02.09.2015 Following Federal Court Judge Richard Leon’s recent ruling against the Department of Labor’s (DoL) home care Final Rule, the DoL filed a Notice of Appeal to the U.S. Court of Appeals for the District of Columbia. Included in the Department’s appeal was a request that the Court place the briefing on an expedited schedule, which the Court granted. Although the briefing has been placed on an expedited schedule, an official decision on this case is not likely to be made earlier than June or July of this year. Begin Your Hospice CAHPS Dry Run! February is the second month of the Hospice CAHPS Dry Run. If you are an eligible hospice, you must participate in at least one month of the Hospice CAHPS Dry Run (January, February, or March 2015), followed by ongoing monthly participation starting April 2015. CAHSAH will continue to monitor this case and report any developments. Click here for the full article. 2 of Hospice 3 Resubmission NOE/NOTRs February 16 - Palmetto issued a notice indicating that the transition to the Centers for Medicare and Medicaid Services’ (CMS) Enterprise Identity Management system (EIDM) has been postponed. Febraury 16 - The Department of Health Care Services has delayed the implementation date for displaying pending Medi-Cal managed care plan enrollment information in the Automatic Eligibility Verification System (AEVS). February 09- The Centers for Medicare and Medicaid Services (CMS) has made modifications to the FISS and CWF systems to allow for resubmission of Notice of Elections (NOEs) when they contain errors. Click here for the full article. Click here for the full article. Click here for the full article. Delays EIDM 1Palmetto Transition Medi-Cal Managed Care Eligibility Reporting CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 10 tes for February Medicare Hospice Aggregate Cap Submission ASK MARY 02.09.2015 Effective for the cap year that ended October 31, 2014, all hospice providers will now have to self-disclose the aggregate cap calculation and remit overpayments. The first report is due to the agency’s MAC no later than March 31, 2015. Failure to file the report will result in suspension of Medicare payments. The MAC’s final cap determination will then reconcile all data, which could potentially result in an increase or decrease of the self-disclosed calculation. The MAC will also calculate any inpatient liability. CMS is transitioning the current IACS system through which providers gain access to their Provider Statistical and Reimbursement (PS&R) reports to EIDM on February 9. Providers should ensure that they are “active” in the IACS system so that they can access their PS&R beginning January 31. The following recommendations are advised for all hospice providers: • Make sure that you know your User ID and Password. Your User ID and Password will be moved “as is” on January 30 after 5:00 PM. • Reset your password if you think that your password might expire between January 30 and February 9, 2015. • DO NOT register for a new User ID in IACS if it was approved prior to 5:00 PM, Friday, January 30, 2015. • DO NOT register for a new User ID in EIDM! This will only complicate moving your IACS User ID to EIDM! • Guidance from CMS has been posted on the IACS Overview, here. CMS does not plan on issuing instructions related to self calculation/reporting of the aggregate cap until the cap/ sequester issue is resolved - the timing of which is not currently known. However, at this time there is no indication that CMS plans to delay the requirement that hospices must report by March 31. Given these circumstances, we are providing the following information which has been developed for industry use and will assist hospices in estimating their aggregate cap as well as any related liability: • Instructions for Completion of Hospice Cap Report for the 2014 Cap Year • Sample Letter to MACs • Self-reporting Cap Computation Spreadsheet Please note that the attached cap calculation information does not include consideration of the sequester. Hospices may use these materials to estimate their cap liabilities and also calculate their cap liabilities with inclusion of the sequester so that they know what the cap liability may be if HHS/CMS determine that inclusion of the sequester in the cap calculation is appropriate. Hospices may want to wait to submit their cap self-calculation until we have additional word from CMS on resolution of the cap/ sequester issue. If you are a hospice provider that uses a financial consultant to assist with calculation of your cap liability, please seek their guidance on how best to proceed. Mary Adorno CAHSAH’s Legislative Specialist Q: Can you explain how Medicare covers ambulance transports for hospice patients? A: Ambulance transports to a patient’s home which occur on the effective date of the hospice election (i.e., the date of admission), would occur prior to the hospice’s initial assessment and therefore prior to the plan of care’s development. As such, these transports are not the responsibility of the hospice. Medicare will pay for ambulance transports of hospice patients to their home, which occur on the effective date of hospice election, through the ambulance benefit rather than through the hospice benefit. Ambulance transports of a hospice patient, which are related to the terminal illness and which occur after the effective date of election are the responsibility of the hospice. MEMBERSHIP SPOTLIGHT CAHSAH’s Concierge Program This month’s concierges are new participants in the program. A nice round of applause goes to: Kathy Gosney CAHSAH Welcomes New Members! Please help us extend a warm welcome to those new members who have recently joined CAHSAH between January 13, 2015 and February 19, 2015. Providers Cherish Home Health, Inc., Cambria, CA ComForCare Senior Services-West Hollywood, Culver City, CA Emerald City Caregivers, West Hollywood, CA John C. Fremont Home Health and Hospice. Gidda’s Home Health Services, Inc., Hawthorne, CA Jennifer Vasquez Keepsake Companions Interim HealthCare of Santa Rosa, Santa Rosa, CA Doris Bersing Legend Home Health, Inc., Torrance, CA Living Well Assisted Living at Home Richard Kuehn National Home Health Services, Manteca, CA Family inHome Caregiving, Inc. Redwood Home Care, Sausalito, CA Josh Allen Reliable Hospice Inc., Anaheim, CA In Touch at Home Senior Helpers, La Mesa, CA AFFILIATE MEMBER INTRODUCTIONS StayHome Senior Care, Simi Valley, CA CAHSAH is dedicated to bringing together buyers and sellers of home care products and services. As part of that commitment, we introduced to you this month the following affiliate members: Via Home Care, LLC, Carlsbad, CA Foundation Management Services, Inc. Community Health Accreditation Program (CHAP) For more information, please feel free to contact each directly. Affiliates At Home Care Consulting, Boise, ID Diagnostic Laboratories, Burbank, CA Foundation Management Services, Inc., Denton, TX ISU Insurance Services ARMAC Agency, Victorville, CA Loving Hearts Private Care, Inc., Hawthorne, CA myCNAjobs, Chicago, IL Options for Rehab, Rancho Cucamonga, CA S&S Home Care Consulting, San Diego, CA Time Warner Cable Business Class, Cerritos, CA CALL FOR CAHSAH AWARDS & NOMINATIONS CAHSAH encourages you to nominate your staff members whose outstanding performance should be recognized. All awards will be presented at The Joseph H. Hafkenschiel Awards Ceremony at CAHSAH’s Annual Conference in Palm Springs, CA, May 19-21. All nominees will be individually recognized by Nominating Committee Chair, Michelle Hofhine. CAHSAH’s Awards program consists of the following: The Lois C. Lillick Award, honoring an individual who has made outstanding contributions to the continuing development of local, state, and national home care associations. The Physician of the Year Award, recognizing a physician who consistently excels in providing and utilizing home care, and optimizing the role of home care in the health care system. The Lillian H. O’Brien Home Care Supervisor Award, honoring a first-line home care clinical or office supervisor who has made outstanding contributions in motivating staff to achieve excellence in home care service. The Home Care Service Award, honoring an individual directly involved in day-to-day home care, who has consistently provided outstanding service to patients in their homes. CAHSAH Ambassador Award, honoring an individual who has made a special contribution to the home care industry. Support Service Award The Support Service Award honors a support service individual who demonstrates unique behaviors or practices which support excellence in home care and a consistent commitment and dedication in promoting home care. The nominee must be clinical or office staff. The Joan Baier-Garland Home Care Nursing Scholarship provides support to students in good standing in either an AA, BSN or Masters Nursing Program who have demonstrated a commitment to home care and to the community. Scholarship amount: $2,500. All applications are available online. To nominate an individual for an award, click here. To apply for the NURSING SCHOLARSHIP, click here. Candidates must be CAHSAH members and be current with their membership dues. The deadline is March 20, 2015. Your contributions count! Make a difference on CAHSAH’s Board and Nominating Committee! CAHSAH members should consider running for the CAHSAH Board of Directors or the Nominating Committee. Service on the CAHSAH Board or Nominating Committee is a way to contribute your expertise to the good of the association and the industry. Candidates for these positions must be CAHSAH members, current with their membership dues and must have served on a CAHSAH committee. This year, CAHSAH members will elect six (6) Board members, three (3) Medicare Certified seats, one (1) Licensed Home Health seat, and two (2) Home Care Aide seats. This year, CAHSAH members will elect three (3) Nominating Committee members: two (2) Medicare Certified seats, and one (1) Home Care Aide seat. To be a candidate for the Board of Directors or the Nominating Committee, click here to complete the Nominee Profile online. The deadline is March 20, 2015. Candidates for both the Board and the Nominating Committee will be notified of their selection immediately after the April Nominating Committee meeting. For further details on the Call for Awards & Nominations, please contact Michele Lander. events. You can then add branding to each specific event within the a NEW 2015 CAHSAH® ANNUAL CONFERENCE & HOME CARE EXPO MOBILE APP AVAILABLE FOR DOWNLOAD APRIL 1, 2015 Available on all devices, including: • iOS (iPhone, iPad, iPod Touch) • Android phones and tablets • Web-based app for other phones App Icon Splash Screen To register for the 2015 Annual Conference & Home Care Expo click here or call (916) 641-5795 ext. 113 [email protected] | 415-449-5744 | www.doubled BLUEPRINT FOR OASIS ACCURACY WORKHOP | OASIS-C1 DATA SET Sponsored by: Axxess and Data Soft Logic april 13-14 sacramento cos-c exam: April 15 exam registration separate april 15-16 ontario cos-c exam: April 17 exam registration separate This 2-day 13 contact hour workshop is designed: • To support the educational needs of home health clinicians in achieving comprehension and accuracy in OASIS data collection using guidelines established by the Centers for Medicare & Medicaid Services (CMS) • To provide a preparatory review for candidates for the COS-C (Certificate for OASIS Specialist - Clinical) examination. • To supply you with the knowledge and tools necessary to boost your confidence and improve your foundation of data precision. REGISTER NOW FOR REGISTRATION QUESTIONS OR ASSISTANCE CALL (916) 641-5795 EXT. 113 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 14 app. EDUCATIONAL Events Calendar March 2015 3-5 6 3-5 6 Home Care Manager Certificate Program Home Care Manager Certificate EXAM Hospice Manager Certificate Program Hospice Manager Certificate EXAM Las Vegas, NV Las Vegas, NV Las Vegas, NV Las Vegas, NV April 2015 13-14 Blueprint for OASIS Accuracy Workshop Sacramento, CA 15COS-C ExamSacramento, CA 15-16 Blueprint for OASIS Accuracy Workshop Ontario, CA 17COS-C ExamOntario, CA Header Logo dutch.me 20 27 7 Private Duty Workshop: Legal Landscape of 2015 Private Duty Workshop: Legal Landscape of 2015 Sacramento, CA Ontario, CA May 2015 19-21 Annual Conference & Home Care Expo Palm Springs, CA June 2015 9-10 11-12 ICD-10 for Home Health Workshop ICD-10 for Home Health Workshop Sacramento, CA Ontario, CA July 2015 n/a n/a ICD-10 for Hospice Workshop ICD-10 for Hospice Workshop 14-16 17 14-16 17 Home Care Administrator Certificate Program NBHHC® Home Care Administrator Certificate EXAM Hospice Administrator Certificate Program NBHHC® Hospice Administrator Certificate EXAM Ontario, CA Sacramento, CA Las Vegas, NV Las Vegas, NV Las Vegas, NV Las Vegas, NV view full education calendar CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 15 Federal Bill Tracker Bill Number H.R. 30 Rep. Todd Young (R-IN) H.R. 290 Rep. James Renacci (R-OH) H.R. 294 Rep. Jeff Miller (R-FL) H.R. 440 Rep. Charles Boustany, Jr. (R-LA) Description Location Save American Workers Act of 2015: Amends the Internal Revenue Passed the House Code to change the definition of “full-time employee” for purposes of the employer mandate to provide minimum essential health care coverage under the Patient Protection and Affordable Care Act from an employee who is employed on average at least 30 hours of service a week to an employee who is employed on average at least 40 hours of service a week. . Creating Access to Rehabilitation for Every Senior (CARES) Act of 2015: Amends title XVIII of the Social Security Act to eliminate the 3-day prior hospitalization requirement for Medicare coverage of skilled nursing facility services in qualified skilled nursing facilities, and for other purposes. Long-Term Care Veterans Choice Act: Amends title 38, United States Code, to authorize the Secretary of Veterans Affairs to enter into contracts and agreements for the transfer of veterans to nonDepartment medical foster homes for certain veterans who are unable to live independently. Pending hearing in the House Ways and Means Committee Pending hearing in the House Veterans Affairs Committee Helping Individuals Regain Employment Act: would ensure that long- Pending hearing in term unemployed individuals are not taken into account for purposes the House Ways and of the employer health care coverage mandate. Means Committee S. 183 S. 183: Jobs and Premium Protection Act: Would repeal the annual Senator John Barrasso fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. (R-WY) Pending hearing in the Senate Finance Committee Home Health Improvement Act: Would allow physician assistants, S. 578 Senator Susan Collins nurse practitioners, clinical nurse specialists, and certified nurse (R-ME) midwives to order home health services for Medicare beneficiaries. Senator Chuck Schumer (D-NY) Introduced, pending committee assignment NEED A PERSONAL TRAINER IN 2015? FLEX your advocacy muscles. STRETCH your industry knowledge. CRUNCH those numbers. IMPROVE your home care endurance. Take advantage of your CAHSAH membership! Let us do the heavy lifting. CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 16 ! y a d o t r e t s i g e r 2015 Annual Conference & Home Care Expo May 19-21, 2015 • Palm Springs, CA Early Bird Registration Rates End Friday, April 10, 2015 Do not miss out on CAHSAH’s 2015 Annual Conference, visit www.cahsah.org to get full details.
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