Posts Tagged ‘Office of Management and Budget’

Home Health Firms Met With OMB, But Failed To Avert Proposed Pay Cuts

July 11, 2013

By John Wilkerson, Inside Washington Publishers

Representatives of the home health industry met with Office of Management and Budget officials to make a case against pay cuts shortly before CMS proposed the 2014 pay rule for that sector, but the proposed rule that industry had been awaiting since the Affordable Care Act passed still made pay cuts that the Partnership for Quality Home Healthcare called “alarming.” Industry is arguing for more targeted pay cuts and is lobbying for an alternative fraud-fighting proposal that it estimates would save nearly $20 billion – industry’s earlier preliminary estimates put the savings at around $15 billion.

The Partnership for Quality Home Healthcare on July 10 issued results of a national poll of registered voters that finds that 93 percent of seniors surveyed think Congress should stop Medicare fraud instead of cutting Medicare payments or increasing fees on seniors’ Medicare services. (more…)

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…)

Home Care Workers Decry Lack of Wage Protection

April 18, 2013

It’s been a few months since President Barack Obama pledged to extend federal minimum wage and overtime protections to the nation’s 2.5 million home care workers – but the regs are still bottled up. A group of stakeholders and advocates are tired of waiting – they’re releasing a report and holding a conference call Thursday to push for action. (more…)

What Sequestration Means for Home Care

February 28, 2013

Tomorrow’s deadline for Congress to reduce federal spending or face an across-the-board two percent cut to federal programs comes with many unanswered questions for the impact on home health providers. According to multiple sources, the cut, also referred to as “sequestration,” is all but certain to happen.

According to the National Association for Home Care & Hospice, the Centers for Medicare & Medicaid Services had punted all questions on sequestration to the White House’s Office of Management and Budget. OMB has yet to put out anything on the specific approach that sequestration will take in Medicare and any of its provider sectors. However, here is what industry leaders have pieced together from a variety of sources as to what is the most likely scenario: (more…)

NAHC Meets with the Office of Management and Budget on Companionship Services Rule

February 15, 2013

The Office of Management and Budget (OMB) is in the process of reviewing the final rule drafted by the US Department of Labor (DoL) that would change the standards for applying the “companionship services” exemption under the Fair Labor Standards Act (FLSA). On January 15, 2013, the White House cleared the rule and forwarded it to OMB for its required review. (more…)

Labor Department Sends Home Health Companionship Final Rule to OMB

February 12, 2013

Late last month, the U.S. Department of Labor (DOL) sent a memo to members of Congress stating that the rule that would extend federal minimum wage and overtime protections to in-home health care workers, is pending in the Office of Management and Budget (OMB).

DOL has finished reviewing the 9,000 public comments on the proposed rule, which was issued on December 27, 2011 and has prepared a draft final rule that has been accepted by OMB, normally the final step before a rule is published. OMB now has 90 days to issue the final rule. (more…)