Skip to content Accessibility tools

Networking is Critical for Adult Day Services as Public Policy Pace Perks in DC


As part of the annual Public Policy Conference in 2015, the networking dinner held the evening prior to legislative appointments provides opportunity for adult day services providers to meet colleagues from across the United States.

NADSA board member Lydia Missaelides summarized it well when she stated, “With all of the things CMS and the Administration are throwing at us these days, it is almost as though they are trying to accomplish as much as possible within the remainder of the President’s term.”

Add to that the amount of activity taking place in Congress and the United States Senate, and it is, indeed, challenging to stay on top of everything that is happening.


Wisconsin delegates Lyn Geboy and Jim Penkowski met with Senator Tammy Baldwin (D-Wisconsin) in the Senate Reception Room, posing with the image of the great progressive Representative, Senator and Governor from Wisconsin, Robert “Fighting Bob” La Follette. They had the chance to speak directly to Senator Baldwin about adult day services and hopes to create a full-fledged place in the long-term care continuum for ADS.

Therefore, networking with other organizations such as we have during the past 18 months is most critical. It is through these networks that we have been able to present the NADSA viewpoint at every opportunity.

  • We have participated with the Leadership Council on Aging (LCAO) and the Consortium for Citizens with Disabilities (CCD) Long-Term Services and Supports (LTSS) Task Force to structure a seven-page letter at the request of the Senate Finance Committee for purposes of blending a more smoothly coordinated care system between acute care and LTSS. We have met with the National PACE Association, CMS,  and another task force of LCAO and CCD to discuss the extension of a PACE-like model to the under-55 population with acute chronic needs.
  • Through our participation with AARP, LCAO, and the White House Conference on Aging (WHCoA) planning and implementation group, we have been able to insert ADS commentary to a far greater extent than at any previous opportunity.
  • Our engagement with Senator Chuck Grassley’s staff has provided us with a continuously open door and a close working relationship with his Health Policy Advisor.
  • The visits made to Congressional and Senate offices during Capitol Hill Days by the NADSA public policy team have opened additional policy doors for us.
  • Similar engagement with critical members of the Senate Finance Committee has helped lead to the Committee recommending passage by the full Senate of NADSA supported Senate Bill 704 and Senate Bill 1362. Senate Bill 704 would create a Medicare Advantage demonstration that specifically authorizes ADS as a service option; and, Senate Bill 1362 provides the Center for Medicare and Medicaid Innovation (CMMI) with specific authority to initiate a demonstration such as the PACE-like extension of services to individuals under age 55 who have acute chronic care needs.
  • NADSA continues to work with our friends at the National Association of States United for Aging and Disabilities (NASUAD), Easter Seals, Leading Age, PACE, and others to address the CMS Home and Community Based Services (HCBS) regulations promulgated in 2014.
  • Further work continues in addition with care management organizations (CMOs) to evaluate and address the Managed Long-Term Services and Supports (MLTSS) regulation that CMS recently published for comment. NADSA will be making formal comment in writing by mid-July and invites readers of this report to submit ideas and concerns that you may like to see included in NADSA’s comments.

Thanks to many of you who took advantage of the opportunity to post comments to the LTSS Policy Paper published on the WHCoA website, the nation’s health care insurance industry has noticed and has commended ADS through as “The players who may be talking most about a concrete way to save money.” As old-time politicians like to say, “You can’t buy publicity this good!”

—By Roy Afflerbach, NADSA Public Policy Advisor

Translate »