Category Archives: Public Policy

23 October 2013

Medicare Adult Day Services Bill 2013 (H.R. 3334) Introduced

Posted October 23, 2013 in Public Policy

Linda Sánchez Fights for More Care Choices for Seniors

Legislation gives families option to choose adult day care under Medicare

 Washington, DC – Today, Congresswoman Linda Sánchez (CA-39) introduced the “Medicare Adult Day Care Services Act of 2013” (H.R. 3334) which would provide more cost-effective, skilled care options for seniors, people with disabilities, and families in the Medicare program.

H.R. 3334 would allow patients who qualify for home health services or nursing home care under the Medicare program to choose the option of adult day care services instead.

By paying adult day care providers 98% of the home health rate, the “Medicare Adult Day Care Services Act of 2013” could also yield savings to Medicare.

“We owe it our seniors to provide them with quality health care, and they deserve to have the full range of care choices,” said Congresswoman Sánchez.    “Adult day care is an important option for seniors who need rehabilitative care or help with daily life tasks, but don’t need around-the-clock care.  This legislation provides a cost-effective Medicare choice by paying adult day care providers 98% of the home health rate.  This bill also provides crucial relief to family caregivers, who often struggle to balance work and caring for their loved ones fulltime.”

In addition to increasing choices for seniors and people with disabilities, the bill would provide a vital service to family caregivers.  While taking care of their loved ones, these caregivers lose an average of $659,139 in wages, pension benefits, and Social Security benefits over a lifetime, according to the Family Caregiver Alliance.  By providing this adult care choice to Medicare beneficiaries, H.R. 3334 helps protect a family’s economic well-being, without adding to the cost of Medicare.

Congresswoman Sánchez has introduced Medicare Adult Day Care legislation in every session of Congress since the 111th Congress.  The National Adult Day Services Association (NADSA) supports H.R. 3334 and encourages support for the Bill.  Please contact your members of Congress to request their support if they are not listed below.  Thank those who are already cosponsors.

COSPONSORS(22), ALPHABETICAL [followed by Cosponsors withdrawn]:     (Sort: by date)

Rep Blumenauer, Earl [OR-3] – 10/23/2013 Rep Bordallo, Madeleine Z. [GU] – 10/23/2013 Rep Carson, Andre [IN-7] – 10/23/2013 Rep Cartwright, Matt [PA-17] – 10/23/2013 Rep Clarke, Yvette D. [NY-9] – 10/23/2013 Rep Conyers, John, Jr. [MI-13] – 10/23/2013 Rep Davis, Danny K. [IL-7] – 10/23/2013 Rep Frankel, Lois [FL-22] – 10/23/2013 Rep Jackson Lee, Sheila [TX-18] – 10/23/2013 Rep Johnson, Eddie Bernice [TX-30] – 10/23/2013 Rep Langevin, James R. [RI-2] – 10/23/2013 Rep Loebsack, David [IA-2] – 10/23/2013 Rep Lowenthal, Alan S. [CA-47] – 10/23/2013 Rep Lujan Grisham, Michelle [NM-1] – 10/23/2013 Rep Michaud, Michael H. [ME-2] – 10/23/2013 Rep Napolitano, Grace F. [CA-32] – 10/23/2013 Rep Norton, Eleanor Holmes [DC] – 10/23/2013 Rep Rangel, Charles B. [NY-13] – 10/23/2013 Rep Roybal-Allard, Lucille [CA-40] – 10/23/2013 Rep Schakowsky, Janice D. [IL-9] – 10/23/2013 Rep Schwartz, Allyson Y. [PA-13] – 10/23/2013 Rep Waters, Maxine [CA-43] – 10/23/2013

21 October 2013

The Afflerbach Group Selected to Lobby for National Adult Day Services Association

Posted October 21, 2013 in Public Policy

The National Adult Day Services Association (NADSA) has selected The Afflerbach Group, LLC to represent its members and strengthen the national voice of adult day services.  Senator Roy Afflerbach, Retired will lead the effort to assist NADSA in developing and implementing effective public policy advocacy efforts and will provide direct advocacy representation to policy makers. 

 The Afflerbach Group, LLC (TAG) was founded by retired Pennsylvania State Senator Roy Afflerbach in March 2005. The company is a networking organization that brings together the talents of seasoned successful professionals and advocacy experts to provide their services to a few select clients.  TAG’s present public policy advocacy clients are the Humane Society of the United States (HSUS); The Pennsylvania Adult Day Services Association (PADSA); The Pennsylvania Association of Senior Centers (PASC). In addition, they maintain collaborative arrangements with the Pennsylvania Senior Support Coalition (directed by the Pennsylvania Association of Area Agencies on Aging), the South Western Pennsylvania Partnership for Aging (SWPPA), and national advocacy firms. 

This new venture is another step in helping advance the national development, recognition and use of adult day services. 


25 March 2013

South Carolina Adult Day Services Representatives Talk with Lt Governor

Posted March 25, 2013 in Public Policy in Uncategorized

Adult day services representatives in South Carolina recently landed an outstanding opportunity to educate the public about adult day services when they were invited to appear on a television broadcast.  Barbara Wright, owner of Helping Hands and Hope Bridge, and Coretta Bedsole were invited to appear on Lt. Governor McConnell’s weekly television show broadcast on SC Educational Television. This unique opportunity educates policy makers and the public about the benefits of adult day. Please take some time to review the interview and consider how you can make a difference in your community.

(Used with permission of SC Educational Television)


Join us in Washington, DC, on April 15-16, 2013, for the annual public policy event as we approach federal leaders about the importance of adult day services.  Learn more at

15 February 2013

Proposed Rule for VA Agreements Impacts Adult Day Centers

Posted February 15, 2013 in Public Policy

A proposed rule change has been introduced by the Veterans Administration that would implement the VA’s authority to use Medicare procedures to enter into provider agreements with extended care services such as Adult Day Health Centers, home health and hospice.  Under this proposed rule, VA would be able to obtain extended care services for veterans from providers who are closer to veterans’ homes and communities.

View the proposed rule in the Federal Register at

Comments must be received by the VA on or before March 15, 2013.

Written comments may be submitted by email through; by mail or handdelivery to Director, Regulations Management (02REG), Department of Veterans Affairs, 810 Vermont Avenue NW., Room 1068, Washington, DC 20420; or by fax to (202) 273–9026. Comments should indicate that they are submitted in response to ‘‘RIN 2900–AO15, Use of Medicare Procedures to Enter Into Provider Agreements for Extended Care Services.’’

FOR FURTHER INFORMATION CONTACT: Daniel Schoeps, Office of Geriatrics and Extended Care (10P4G), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420; (202) 461–6763. (This is not a toll-free number.)

26 September 2012

What Would Medicare Adult Day Services Act 2012 (H.R. 6476) Do?

Posted September 26, 2012 in Public Policy

             The Medicare Adult Day Services Act of 2012 (H.R. 6476) was introduced in the U.S. House of Representatives on Friday, September 24, 2012 by Representative Linda Sanchez (D-CA).

If passed the legislation would:

  • Expand Medicare beneficiaries care options by adding skilled nursing, rehabilitation and social services in an Adult Day Services Center;


  • Provide opportunity to improve outcomes for Medicare beneficiaries at a reduced cost;


  • Enable working caregivers to continue to work while their loved ones receive skilled services to recuperate from an acute illness with the flexible hours of a Medicare Adult Day Services Center;


  • Allow patients who qualify for home health services or nursing homes under Medicare to use adult day care as an option for care;


  • Not expand eligibility: it simply allows qualified patients to choose adult day services;


  • Save Medicare dollars because it would pay adult day care providers 98% of the home health rate while adding more choice to Medicare recipients;


  • Require the Medicare Certified Adult Day Services Center to meet the standards of nationally recognized accrediting agencies;


  • Require the Medicare Certified Adult Day Services Center to comply with all applicable state and local building and fire codes;


  • Require that services in a Medicare Certified Adult Day Services Center be ordered by a physician who approves the plan of care;


  • Allow a Medicare certified home health agency to operate a Medicare Certified Adult Day Services Center if they become certified and follow the regulations for the program.


Representative Sanchez introduced a previous version of the Bill in 2009 which garnered support of 98 co-sponsors, and other 100 national and state consumer and provider organizations.



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