Posts Tagged ‘Bill Dombi’

Obama Administration Mulls Rule To Give Home Health Aides Better Wages

April 29, 2013

By Alvin Tran, Kaiser Health News

As a home health aide, Nicole Fletcher, 40, provides personal assistance to the elderly, disabled and those living with chronic conditions in their own homes. She assists them with activities of daily living – including bathing, dressing and eating – and, on occasion, she often stays to help them overnight.

“Sometimes there will be 24-hour cases because the client needs care and cannot be left alone depending on their condition,” she said.

Working for a District of Columbia-based company, she earns more than the minimum wage and is paid time-and-a-half for every hour she works beyond her usual 40 per week. But unlike Fletcher, close to 2 million in-home care workers and personal care aides in the United States don’t always get paid for overtime work or receive minimum wage, according to the U.S. Department of Labor. They are explicitly excluded from a key federal wage law that carved out exceptions for causal babysitters and companions for people who are sick or disabled. (more…)

Industry Meets with MedPAC Staff About IOM Recommendation to Allow NPs to Certify Home Health Plans of Care

February 20, 2013

The Medicare Payment Advisory Commission (MedPAC) intends to review the Institute of Medicine’s 2010 report, “The Future of Nursing: Leading Change, Advancing Health,” and examine its implications for future Medicare policies. Commission Chairman Glenn Hackbarth and Commissioner Mary Naylor suggested that the Commission review the IOM study. The report specifically recommends that Congress amend the Medicare program to authorize advanced practice nurses to certify patients for home health care services. (more…)

Broader Therapies Could Further Strain Medicare

February 13, 2013

By Brett Norman, POLITICO

A lawsuit may have lit the fuse on a budgetary time bomb in Medicare, even though it simply reaffirms what should be a routine payment policy for services like physical therapy that the massive federal health care program has always had.

People on Medicare are entitled to various kinds of rehab and therapeutic services — occupational or speech therapy, for instance. But over the past 30 years or so, the coverage became spotty. Some people were able to get that care only if it could help them get better — not if it was aimed at keeping them stable or slowing a predictable decline. That became known as the “improvement standard.” The care was only for those who would improve. (more…)

NPR: Health Care Aides Await Labor Decision On Minimum Wage

February 4, 2013

Home health care aides are waiting to find out if they will be entitled to receive minimum wage. A decades-old amendment in labor law means that the workers, approximately 2.5 million people, do not always receive minimum wage or overtime.

The Obama administration has yet to formally approve revisions to the Fair Labor Standards Act that would change that classification.

On Dec. 15, 2011, Obama announced the proposal, and then-Labor Secretary Hilda Solis offered her support for the revisions in the Labor Department’s blog:

“This new rule would ensure that these hardworking professionals who provide valuable services to American families would receive the protections of minimum wage and overtime pay that nearly every employee in the United States already receives under the FLSA.”

The guidelines would affect a growing industry (revenues for home health care services nearly doubled to $55 billion between 2001 and 2009, according to the U.S. Census). (more…)

Medicare Home Health Reimbursement Could Be Cut In Deficit Deal, Dombi Says

November 2, 2012

By Steve Teske, Bloomberg BNA

Medicare reimbursement to home health agenices could be targeted for reduction as part of sweeping budget deficit deal that may be considdered by Congress in 2013, according to Bill Dombi, vice president for law at the National Association for Home Care. (more…)

Home Care Industry Will Continue to Grow, Despite Political Uncertainty

May 3, 2012

By , Senior Housing News

Despite the political bickering in Washington, D.C., the Obama Administration’s desire to keep care for older Americans in their homes as much as possible to lower the costs of care is good news for the home care industry according to the National Association for Home Care & Hospice.

Presenting in front of roughly 40 home care professionals at a Decision Health M&A conference this week in Chicago, William Dombi, vice president for law at the NAHC said that despite Medicare payment reductions, the outlook for the home care industry continues to be positive.

“Demand for the service of home care will continue to grow,” he said. (more…)

Obama Proposes Removing Companionship Services Exemption for Home Care Workers

December 15, 2011

USA Today | By Richard Wolf

WASHINGTON – Nearly 2 million home care workers could qualify for federal wage and overtime protections under a rule being proposed today by the Obama administration.

The effort — the 18th initiative in Obama’s “We Can’t Wait” campaign against Congress — would overcome legislative inertia and a 2007 Supreme Court ruling that upheld home care workers’ exclusion from wage-and-hour standards. (more…)