VNAA and ElevatingHOME advocate for regulations and legislation to support the unique interests of home-based care providers with a clear focus on the future. As a member, you are represented by a national organization with a longstanding and trusted relationship with Congress, the Centers for Medicare and Medicaid Services (CMS), the Medicare Payment Advisory Commission (MedPAC), the Office of the Inspector General (OIG), and other key federal agencies. We offer guidance and resources on emerging policy initiatives to help you prepare and respond appropriately and guide new program development. We also provide support, education, and clarification on Federal regulatory issues.

Click here to view the VNAA and ElevatingHOME 2019 Legislative Priorities Letter.

VNAA and ElevatingHOME Support:
  • Patient Quality of Life Coalition (PQLC) Comment Letter to HHS on the Draft Report on Pain Management Best Practices: Updates, Gaps, Inconsistencies, and Recommendations
  • LEAD Coalition Comment Letter to HHS on Healthy People 2030 
  • VNAA and ElevatingHOME Comment Letter to Congress on the National Nurse Act of 2019
  • Comment Letter to CMS on the Development and Implementation of a Serious Illness Alternative Payment Model 
  • Leadership Council of Aging Organizations (LCAO) Comment Letter to the Senate Health, Education, Labor & Pensions (HELP) Committee
Who Do We Work With? Bill Tracking
Bill Number Bill Name and Sponsors Title Status
S.433/H.R. 2573 "Home Health Payment Innovation Act of 2019", introduced February 11th, 2019 by Senator Collins (R-ME) and Senator Stabenow (D-MI). Identical legislation was introduced in the House on May 8, 2019 by Representatives Sewell (D-7th-AL), Abraham (R-5th-LA), Kuster (D-2nd-NH) and Buchanan (R-16th-FL).  This legislation would amend title XVIII of the Social Security Act to improve home health payment under the Medicare program. Specifically, it would ensure the new Medicare home health Patient Driven Groupings Model (PDGM) does not inappropriately reduce payments for home health services starting in fiscal year 2020. The legislation would also waive homebound rules for certain Medicare beneficiaries enrolled in Medicare Advantage or Medicare Shared Savings Programs. S. 433 has continued to gain momentum with the number of Senate supporters now up to 20 Senators. The House version of the legislation is also gaining traction, with a total of 39 House Members now endorsing the legislation. At this time, there is no set plan for the legislation to be marked up in the relevant Committees, although ElevatingHOME and others in the health industry are strongly advocating for consideration of the legislation. It is also important for Congress to hear from ElevatingHOME and VNAA members on the importance of advancing this legislation.
S.296/H.R.2150 "Home Health Care Planning Improvement Act of 2019", introduced January 31, 2019 by Senator Collins (R-ME) and Senator Cardin (D-MD); House version introduced by Rep. Schakowsky (D-IL-9) on April 9, 2019. This legislation would allow nurse practitioners, clinical nurse specialists, certified nurse-midwives and physician assistants to order Medicare home health care. S. 296 has also gained support in recent weeks with a current 33 bipartisan coponsors. H.R. 2150 also has very strong support with 102 House Members currently supporting the bill. The legislation also has the support of a broad stakeholder community, including the major nurses associations. ElevatingHOME and other stakeholders will focus in the coming weeks on securing additional cosponsors for this important legislation.
H.R. 647/S.2080 "Palliative Care and Hospice Education and Training Act", introduced January 25, 2019 by Rep. Engel (D-NY-16) in the House and on July 10, 2019 by Sen. Baldwin (D-WI) in the Senate. This bill amends the Public Health Service Act to require the Department of Health and Human Services (HHS) to provide support for Palliative Care and Hospice Education Centers. These centers must improve the training of health professionals in palliative care and establish traineeships for individuals preparing for advanced education nursing degrees, social work degrees, or advanced degrees in physician assistant studies in palliative care.  HHS may provide support to schools of medicine, schools of osteopathic medicine, teaching hospitals, and graduate medical education programs for training physicians who plan to teach palliative medicine. This legislation has wide bipartisan support with 258 cosponsors in the House and 25 cosponsors in the Senate. ElevatingHOME will continue to work to secure cosponsors for this legislation.
S. 1190/H.R. 2594 "Rural Access to Hospice Act of 2019", introduced by Sen. Capito (R-WV) on April 11, 2019 in the Senate and by Rep. Kind (D-WI-03) on May 8, 2019 in the House. When patients enroll in hospice, they select a physician or nurse practitioner to serve as their attending physician. The attending physician collaborates with the hospice in the development of the care plan, and is kept informed of the patient’s care. Attending physicians are typically reimbursed for their services under Medicare Part B. However, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) are not reimbursed under Part B. As a result, these clinics, which serve over 27 million Americans in under-resourced and rural communities, cannot provide or be reimbursed for hospice attending physician services. The legislation has bipartisan support with 9 cosponsors in the Senate and 15 in the House. ElevatingHOME will continue to work to secure more cosponsors for this important legislation.

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