Category Archives: Public Policy

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



22 July 2015

OAA Passed By US Senate! Time to Contact the House!

Posted July 22, 2015 in Public Policy

This past Thursday, July 16th, the Senate quietly and unanimously passed by voice vote S.192 to reauthorize the Older Americans Act (OAA) through 2018. For the past two years, NADSA joined with 48 other national organizations to urge passage of this legislation because it contains new provisions relating to Area Agencies on Aging (AAA) and Aging and Disability Resource Centers (ADRC) that could be helpful to Adult Day Services as Home and Community Based Services (HCBS) providers. (Capitol Hill Lobby Day participants will recall that this was one of our “asks” to the legislators.) Access the summary and other information about the bill via this link:

The effort now moves to the House of Representatives to obtain approval by that body. Now is the time to contact your Member of Congress to urge him/her to support S.192 as passed by the Senate on July 16th. Note that this is a bipartisan compromise bill that has been negotiated over the past two years.

Here is a link to obtain the contact information for Members of Congress: (If you are uncertain who is your Representative, click on the “find your representative” link on the page and enter your zip code.)



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