Category Archives: blog

27 January 2017

A Call to Call-In Action!

Posted January 27, 2017 in blog in Events in Public Policy

Act Now to Preserve Health Care for Seniors and People with Disabilities

The Leadership Council of Aging Organizations (LCAO) will hold call-in days Tuesday, January 31 and Wednesday, February 1. We hope NADSA members will participate by calling your Senators and House members to protect for the ACA, Medicaid and Medicare.

The new President and the new Congress are moving quickly to dismantle the Affordable Care Act and major cuts or restructuring to Medicaid and Medicare are lurking not be far behind. We must make our voices heard to let policymakers know that these changes will hurt seniors and people with disabilities.

The call-in number will be 866-426-2631. Please encourage as many as possible of your staff and clients to participate and promote the day on your email list and social media channels.   Those who call will hear a brief overview of the issues and will be asked to enter their zip code before being transferred to their members of Congress. (The zip code is necessary to correctly identify your representative before transferring your call.)

Below are talking points you might use for the calls but feel free to prepare your own.

No repeal of the ACA without simultaneous replacement   If Congress votes to repeal the ACA, a replacement package that provides equivalent or improved access to affordable, quality health coverage, including adult day services, must be included in the same legislation.

No cuts to and restructuring of Medicaid   Seniors and people with disabilities account for two-thirds of Medicaid spending. The program is the primary public source of funding for long-term services and supports. Program cuts, along with block grant or per capita cap proposals would harm people who have no alternative means of paying for essential services.

Preserve Medicare for current and future seniors and people with disabilities   Medicare is a huge success story, with strong support from all Americans. Premium support and other restructuring proposals to shift more costs onto beneficiaries would make health care far less affordable and accessible to seniors and people with disabilities.

There is power in numbers. If Congress hears from enough people they will listen. If they hear from few they will assume  few care.

6 September 2016

Heightened Scrutiny Is Real!!

Posted September 6, 2016 in blog in News in News in Public Policy in Uncategorized

“Heightened Scrutiny Is Real. Use It.”

            – Ralph Lollar, Director of Long Term Services and Supports,
                               Disabled and Elderly Health Programs Group, CMS
                                speaking to state officials at the NASUAD HCBS Conference


Spokesmen for the Centers for Medicare and Medicaid Services (CMS) offered new clarification important to ADS/ADHC providers during several sessions at the National Association of States United for Aging and Disabilities (NASUAD) annual HCBS conference August 29th thru September 1st.

In short, the single word “unless” in the HCBS regulations provides the states and providers within them the opportunity to justify under the provision of heightened scrutiny continued Medicaid HCBS funding for ADS/ADHC services regardless of the physical setting as long as the person-centered, community quality requirements are met.

Although justification may be rigorous in some instances, this clarification is a significant step forward from an administration that previously seemed determined to prohibit any setting that was physically located within, on the grounds of, or next to an institution.

More information will be presented at the NADSA Conference September 21-23.

Roy C. Afflerbach, NADSA Public Policy Advisor


22 August 2016

Opportunity To Comment on CMS Proposed Rule Affecting ADS

Posted August 22, 2016 in blog in News in News / National Adult Day Services Week in Public Policy

CMS-1654-P is a new rule that proposes changes to incentivize health care providers to diagnose Alzheimer’s disease earlier and to recommend community based services and supports. Adult Day Services are specifically mentioned as one such alternative! (See page 46213 of the Federal Register by clicking here.)

Most importantly, click here to leave a short Formal Comment about this proposed Rule.

Less than 150 people have commented and most of those are radiological technicians. ADS comments will be seen if enough of us make them!! Your comment need only be something like this: “Thank you for recognizing that Adult Day Services is a suitable community alternative to provide care for individuals suffering with Alzheimer’s (Page 46213 of the Federal Register). Adult day health centers are experienced in providing this care and are far less expensive than either Home Care or institutional care. I urge you to retain your support for Adult Day Care in the Final Rule.” (I have posted this comment.)

Post your comment as soon as possible. The comment period closes September 6th.

Sen. Roy Afflerbach, Ret., NADSA Public Policy Advisor
21 July 2016


Posted July 21, 2016 in blog in Public Policy in Uncategorized

During this election season is the perfect time for Adult Day Centers to reach out to incumbent candidates and challengers to educate them about the services centers provide and to whom they provide them. It is also an excellent time to educate center participants about the candidates who seek to represent them in the various political offices.

 If you operate as a non-profit, this can easily and effectively be done without putting at risk your  charitable organization tax exempt status, provided you follow a few simple guidelines!

Through our membership in the Leadership Council of Aging Organizations, we were able to meet with professional counsel to learn which guidelines to follow.

Click here for a summary of these guidelines that has been compiled by Boulder Advocacy, an affiliate of the Alliance for Justice, which is comprised of a team of expert lawyers whose goal is to facilitate the ability of charities to advocate within the political realm without risking their non-profit status.

 Additional information can be found here:

Roy Afflerbach, NADSA Public Policy Advisor



24 June 2016

Call for Nominations to serve on the NADSA Board of Directors

Posted June 24, 2016 in News in News

Board Candidate Application Form

Are you passionate about Adult Day Services and considered serving on the Board of Directors for the National Adult Day Services Association?  Our board members are charged with helping strengthen the Association and contribute to the advancement of Adult Day Services.  The board is comprised of a hard-working, dedicated group of leaders with diverse characteristics and skill sets.  We are proud to say that more than 50% of board members are Adult Day providers from across the U.S. and Mexico.

Annually, NADSA reviews the composition of the Board, identifies openings and seeks nominations from members with depth and breadth of experience in a variety of areas who are interested in contributing their time and skills to advance the national development, recognition and use of Adult Day Services.  If this sounds exciting to you, please apply!  Below we’ve included information regarding the Board’s function, focus and the selection process.

Six Priorities of the Board aligned with the outcome of the Member Survey:

  1. Public Policy
  2. Marketing
  3. Education of Members
  4. Strengthening/Developing State Associations
  5. Development/Membership of NADSA
  6. Research

Selection Process:

  • All Directors of the NADSA Board must be NADSA members, and a majority must be providers of adult day services
  • The Nomination Committee is charged with identifying the best candidates to lead the association, balancing skills, experience, geography, gender, ethnicity and other factors that would result in a strong and diverse board.
  • The membership is responsible for approving the slate of Directors recommended by the committee
  • The results will be announced at the Annual Business meeting in Indianapolis, IN on September 23, 2016.

Expectations of Board members:

  • Ability to annually attend two (2) in person and four (4) teleconference board meetings
  • One of the in-person meetings is in conjunction with the fall conference [locations vary] and the other is in conjunction with the spring public policy conference in Washington, D.C.
  • Engage as a working member of at least one committee and dedicate 2-4 hours per month for this committee or task force work
  • Willing to be involved in soliciting sponsorships/exhibitors and/or advertisers for the national conference
  • Board of Directors typically serve for a term of three (3) years.

I hope this has sparked your interest to complete the Board Candidate Application Form and include your CV or resume by July 23, 2016.

Testimonials from Current Board Members:

“Since joining the Board in October 2015, I have become aware of the imperative work that’s being done at the national level to advocate for Adult Day Services.  There are issues such as education, lobbying, promotion, awareness, and research that impact and benefit centers in every state.  Driving awareness of Adult Day Services is a core mission of NADSA.  Making a difference in awareness requires greater member participation and more members in order to compete with other long term care services providers who are more organized and better funded. If not us, then who?  If not now, then when?  I invite you to explore how you can bring your voice to the table with NADSA.”

“In 2014, after 13 years of managing and operating adult day centers, I joined the NADSA Board of Directors.  Until that point I had been very active in various state Adult Day Associations but never pursued becoming more involved with NADSA.  I now ask myself WHY? Being a part of the NADSA board has allowed me the opportunity to collaborate with individuals from across the nation that share my same passion and desire to see ADS move to the forefront of long term care services and the health care continuum.  Seeing the progress and accomplishments of NADSA over the past two years is rejuvenating and I am excited to see what the future holds for NADSA.  I encourage you to consider the options for becoming involved with the leadership of NADSA.”



NADSA will provide to user the contents of this Directory only if you accept all of the terms and conditions contained in this non-exclusive, non-transferable, limited agreement. You must read this agreement before opening the Directory.

By opening this Directory, you hereby accept and agree to be bound by the following terms and conditions: This Directory shall be used for individual and confidential reference purposes only, and may be used only pursuant to the terms of this agreement. This directory is property of NADSA. Its contents may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; used as part of or in connection with the preparation, revision or confirmation of a mailing, telephone, fax, email, or other marketing list; or otherwise utilized, in any form or manner or by any means reference. Contained herein are the names, addresses, telephone numbers, fax numbers, email addresses, and contact persons of ADS Centers. Their presence in this Directory represents only that these companies, organizations, institutions, or individuals are ADS Centers. It does not represent their consent to receive any related communications. NADSA does not endorse these Centers and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the products or services provided by those Centers/individuals contained in this directory. NADSA expressly disclaims all liability for damages of any kind arising out of the use or performance of the products or services provided by these Centers/individuals.