Continued growth predicted for Florida's economy

On Friday, Florida's economists projected the economy would continue to "grow steadily" over the next three years, leading to a general revenue budget surplus in excess of $1 billion. This week, the Florida Department of Economic Opportunity released an infographic, outlining Florida's economic growth by the numbers.

While these indicators are positive, final budget recommendations from the Governor and Legislature are forthcoming. FHCA will continue to monitor and share information on proposed budget allocations, in particular those impacting long term care providers, as we move into the 2014 legislative session.

Margate Health Care Center hosts Rep. Waldman

Rep. Jim Waldman (D-96) toured Margate Health Care Center this week, meeting with residents and staff and thanking them for the work they do in running a "very impressive facility." He noted in particular that "the staff is very friendly and caring and that you all are obviously very proud to work here and it shows."

Administrator Tony Farinella had the opportunity to speak with the Representative about FHCA's legislative priorities, including the need for adequate reimbursement and Certificate of Need reforms that support nursing facility modernization. They also discussed Florida's long term care sector, including the average age of residents and the complexities of their care, as well as the volume of post-acute care the facility provides.

Pictured with Representative Jim Waldman is District Aide Melissa Burnos; Employees of the Month Award winners Linda Jones, LPN, and Judith Marsh, C.N.A.; and Administrator, Tony Farinella.

FHCA supports move toward meaningful ALF reform

On Tuesday, the Senate Children, Families and Elder Affairs Committee met and advanced SB 7000, the proposed committee bill that addresses assisted living facility reforms. Peggy Rigsby of FHCA testified in support of the bill, noting that passing meaningful ALF reforms is one of FHCA’s 2014 legislative priorities. As we’ve been reporting, FHCA staff and members have held numerous meetings with Sen. Eleanor Sobel (D-33) and other legislators to discuss this issue.

Progress could already be seen by way of the shift in committee member discussions, as several legislators appeared to have a better understanding of distinction between nursing homes and ALFs and want a solution to holding unlicensed facilities accountable so they don’t tarnish the image of the entire long term care sector. It was clear lawmakers are looking to pass some form of ALF legislation this year, and FHCA will be taking the lead on this issue to ensure the rules are clarified and do not impose additional, burdensome regulations on licensed ALFs committed to delivering high-quality care.

Urge Congress to Protect Funding for Florida Nursing Home Care

The U.S. House of Representatives is expected to vote any day on a Debt Ceiling Package that includes a “Doc Fix,” which is partially paid for by reducing the nursing home provider assessment rate from a maximum of 6% to 5.5%.  Under this plan, the impact on Florida is greater than any other state. Please TAKE ACTION TODAY and contact your Members of Congress and urge them to stop the Medicaid provider assessment reduction proposal in the Debt Ceiling debate.

In 2008, the Florida Legislature enacted a provision to create a provider assessment at the maximum amount in an attempt to fund nursing homes during the down economy.  The impact of this reduction on Florida nursing home care is significant.  A .5% reduction would cut funding for Medicaid nursing home providers by $86.5 million.  This means facilities’ average $213 per patient day rate would be cut by approximately $5.45.  Nursing homes are already underfunded by almost $21.00 per patient day (the difference between the Medicaid rate and the actual cost of care). Facilities will not be able to absorb such a reduction, especially given that 70% of their operating costs pay for the caregivers and other staff working to take care of our state’s most frail seniors.

The provider assessment program is essential to funding quality long term care services for seniors and individuals with disabilities. Any reductions to the provider assessment threshold will affect the care of thousands of Floridians in nursing homes and have a significant impact on nursing home providers, along with thousands of other health care providers throughout the state. 

Click here to send an email now to your Members of Congress and tell them to oppose any legislative proposal that would reduce the maximum allowable Medicaid provider assessment rate or quality assessment fee.

Legislators tour facilities to better understand long term care

As lawmakers gather in Tallahassee to begin committee work in anticipation of the 2014 legislative session, Florida Health Care Association continue their work of educating policy makers about the important role of long term care providers in caring for Florida's frail elders. Along with meeting with legislators throughout the Capitol and in their district offices, many facilities are offering tours to give lawmakers an opportunity to gain a better understanding of the quality care being delivered to long term care residents with complex medical needs.

Recently, Sen. Lizbeth Benacquisto (center, R-30) toured Page Health and Rehabilitation Center. FHCA Independent Owner Vice President and Page CEO Wes Edwards (left) provided an extensive tour, giving the Senator an opportunity to meet with residents and staff and learn more about the important services they offer to area seniors.

Legislators Honored with Champion for Elderly Awards

On August 7 during Florida Health Care Association's 2013 Annual Conference in Hollywood, Fl., the Association honored several legislators who stopped by to visit with members and accept their 2013 Legislative Champion for the Elderly Award. FHCA Past President Kelley Rice-Schild presented Sen. Rene’ Garcia (R-Hialeah) with his award, while Past President Dion Sena presented Rep. Katie Edwards (D-Sunrise) with her award. Both legislators played an important role in the Certificate of Need debate that took place during the 2013 legislative session.

Rep. Bill Hager (R-Boca Raton), who sponsored the nursing home tort reform legislation, was presented his award by FHCA District XI President Neil Sutton. FHCA also presented Rep. Eddy Gonzalez (R-Hialeah Gardens) and Rep. Mark Pafford (D-West Palm Beach) with their awards for their ongoing support of the long term care profession.

FHCA Chief Lobbyist Bob Asztalos came in his Navy HMCS uniform to make the award presentation to Rep. Cary Pigman (R-Sebring) via Skype. A U.S. Army Reservist, Rep. Pigman was recalled to active duty and is currently serving as a physician in the Middle East.

FHCA’s Legislative Champion for the Elderly Awards are determined as part of FHCA’s post-session Legislative Scorecard, which assesses legislators on their sponsorship/co-sponsorship of pro-long term care legislation, their voting record and overall support or non-support related to issues or bill(s) that impact the profession. Additional lawmakers who were recognized but unable to attend included Rep. Daniel Davis (R-Jacksonville) and Sens. Denise Grimsley (R – Sebring), Joe Negron (R – Palm City) and Jeremy Ring (D – Margate).

Pediatric nursing facilities care for those who need it most

On Monday, the U.S. Department of Justice filed suit against the State of Florida, alleging that children with disabilities are unnecessarily living in Florida’s nursing homes. The lawsuit comes after a DOJ findings letter that was sent to AHCA last September, stating the state was violating the Americans with Disabilities Act by unnecessarily institutionalizing children.

Florida Health Care Association has always supported individuals receiving the most appropriate care in the safest and least restrictive settings, and we have actively supported the Agency for Health Care Administration’s efforts over the past year to continue making improvements to an already strong program for these medically fragile children.

It's important for members of the media and the public to be informed about these special facilities caring for children and young adults, whose medical conditions are too complex to be safely cared for in any other setting. These facilities have dedicated caregivers on staff, including registered nurses, physicians, respiratory therapists, speech therapists, dieticians and social workers, to name a few. In addition, they have a very specific set of requirements and regulations to care for children 21 and under.

The areas where these children live are separate and secure, and designed specifically for children. You’ll find handicap-accessible playgrounds, toys, stuffed animals and a brightly-colored, kid-friendly living environment. Education is an important component, and through collaboration among the families, medical team and school system, each child’s schooling needs are met. You’ll also find more than twice the number of staffing hours per child than that which is required for seniors.

Despite implications by the press about financial incentives, the unfortunate reality is that Medicaid doesn’t come close to covering the cost of care for these fragile children - care that includes 24-hour pulse and oxygen monitoring, specialized wheelchairs, off-campus outings with all the necessary staff so they can experience what it’s like to be a kid. Yet, despite a chronic funding shortfall, these facilities continue to do all that it takes to deliver high-quality, compassionate care to those who need it most.

Efforts should be focused on supporting these facilities as they meet an important need: helping children continue to thrive and if able, return back home; helping families cope with the everyday challenges of caring for a child with a disability; and serving as an important safety net for those children who have no alternative support system for their 24-hour needs.

FHCA Names 2013 Legislative Champions for the Elderly

Florida lawmakers honored for standing up for long term care residents and caregivers

Florida Health Care Association has named its 2013 Legislative Champions for the Elderly, which recognizes those legislators who championed pro-long term care issues and used his or her leadership in the Legislature to stand up for adequate Medicaid funding for nursing home resident quality care and valuable caregiver jobs, displayed courage on tough issues and championed legislation that ensures a fair and balanced long term care regulatory system. The following individuals have been named an FHCA 2013 Champion for the Elderly:
• Rep. Daniel Davis (R – Jacksonville)
• Rep. Katie Edwards (D – Sunrise)
• Rep. Eddy Gonzalez (R – Hialeah Gardens)
• Rep. Bill Hager (R- Boca Raton)
• Rep. Mark Pafford (D – West Palm Beach)
• Rep. Cary Pigman (R – Sebring)
• Sen. René Garcia (R-Hialeah)
• Sen. Denise Grimsley (R – Sebring)
• Sen. Joe Negron (R – Palm City)
• Sen. Jeremy Ring (D – Margate)

“We’re proud to honor these legislative leaders for standing up for the profession and supporting legislation that ensures Florida’s nursing facilities can continue their important work of delivering high-quality, long term care to our state’s seniors and people with disabilities,” said Emmett Reed, executive director of Florida Health Care Association, the state’s first and largest advocacy organization for long term care providers.

FHCA’s legislative awards will be presented at the Association’s Annual Conference on Wednesday, August 7, at The Westin Diplomat Resort & Spa in Hollywood. The Awards are determined as part of FHCA’s post-session Legislative Scorecard, which assesses legislators on their sponsorship/co-sponsorship of pro-long term care legislation, their voting record and overall support or non-support related to issues or bill(s) that impact the profession. The Legislative Scorecard also includes detailed information regarding Florida long term care priorities and the Association’s grassroots initiatives.

A copy of FHCA’s 2013 Legislative Scorecard is available in the Advocacy Section of FHCA’s website.

FHCA members earn Gold Seal status

Five Florida Health Care Association (FHCA) member nursing homes have been awarded the Governor’s Gold Seal Award, which recognizes nursing homes that demonstrate the highest standards of quality of life and care for their residents. The five new recipients are: Bridgeview Center, Ormond Beach; The Chateau at Moorings Park, Naples; Coquina Center, Ormond Beach; Highlands Lake Center, Lakeland; and The Manor at Carpenters, Lakeland.

Governor Rick Scott said, “I would like to congratulate the five nursing homes that are receiving the Gold Seal Award. These nursing homes set the example of quality care for Florida’s elders, and are paving the way to providing all Florida families with the assurance that their loved ones are getting the care they deserve. This is why the Florida Families First budget invests in critical programs and priorities important for the safety and well-being of Florida seniors.”

“FHCA's members are committed to delivering high quality care to our state's frail elders, and FHCA is pleased the Governor has recognized that by bestowing this achievement to these deserving facilities,” said J. Emmett Reed, FHCA Executive Director.

Nursing homes that wish to be considered for the Gold Seal Award must submit an application with supporting documentation to the Agency, which is reviewed by the Governor’s Panel on Excellence in Long Term Care. The Panel considers the criteria below and makes recommendations to the Governor. Gold Seal recipients must be in operation a minimum of 30 months prior to the date of application and the facility must:

• Meet a quality of care scoring and ranking that places them in the top 10 percent in their region or top 15 percent in the state and be a 5-star facility in the Nursing Home Guide

• Have no Class I or II deficiencies within 30 months preceding application

• Provide evidence of financial soundness and stability

• Participate in a consumer satisfaction process involving residents, family members and guardians

• Involve families and members of the community in the facility on a regular basis

• Have a stable workforce

• Have an outstanding record with the State Long Term Care Ombudsman Council within the 30 months preceding application

• Provide targeted in-service training to meet training needs identified.

The Gold Seal Award program was developed and implemented by the Governor's Panel on Excellence in Long Term Care, which is composed of persons appointed by the Governor’s Office, Agency for Health Care Administration, Department of Health, Department of Elder Affairs, Florida Association of Homes for the Aging (now LeadingAge Florida), Florida Health Care Association, Florida Life Care Residents Association and the State Long Term Care Ombudsman.

Of the 681 licensed nursing homes in Florida, 24 nursing homes currently hold the Gold Seal Award. The Gold Seal Award program was established in 2002 and recognizes Florida nursing homes that have exceptionally high standards and display excellence in the quality of care delivered to their residents.

For a complete listing of Gold Seal facilities, visit FloridaHealthFinder.gov then click on Find a Facility or Provider. From here choose Search by Facility Type/Location and use the Advanced Search option when searching for Nursing Homes to find the list of Gold Seal facilities.

Governor Signs 2013-14 Florida Budget

Impact on Long Term Health Care Programs At A Glance

Last week, Governor Rick Scott signed the 2013-2014 Florida Budget, reducing it down from $74.5 billion to $74.1 billion as a result of $368 million in line item vetoes. The budget provides $3.01 billion for nursing home care, which, as indicated, reflects full funding of workload and price level increases (inflation). The budget continues the Special Medicaid Payment Program for government-funded nursing homes ($11 million) and eliminates the rate add-on for HIV/AIDS ($4.1 million).

Additionally, the budget increases the nursing home quality assessment by approximately $18 million, to a total of $430.2 million, and increases the rate from $22.89 to approximately $23.87 per non-Medicare patient day. The quality assessment provides for rate "buyback" of approximately $585 million, compared to $540 million in the current year. This is an approximate $45 million increase in the amount of prior year rate reductions to be restored.

Programs vetoed that were related to long term health care for elders included the Supplemental Payment for Nursing Home Ventilators ($2,511,493); Rate Increase for Private Duty Nursing Services Provided by Licensed Practical Nurses ($9,384,984); Alzheimer's Community Care Association ($300,000); Northdale Civic Association - Senior Center ($50,000); Southwest Social Services - Badia Senior Center ($1,000,000) and the Program of All-Inclusive Care for the Elderly (PACE) in Lee, Hillsborough and Broward Counties ($4,353,039).

FHCA Post-Session Report

The 2013 legislative session officially ended Friday, May 3, with the Legislature passing 286 bills, including the $74.5 billion budget for 2013-2014. The budget includes pay raises for teachers and state workers, along with a 3 percent tuition hike for college and university students. It also expands early voting days and the number of sites where early voting can be held and sets aside money for small and large projects, including $70 million to help restore the Everglades.

The budget does not include any federal aid to cover additional people under Medicaid, a key component of the Affordable Care Act. The Legislature's failure to reach a compromise over Medicaid expansion resulted in an intense political battle during the final days of session, and speculation over whether lawmakers will return to Tallahassee this summer for a special session has already begun.

The amount of time and energy lawmakers spent on this issue took its toll on FHCA's key priorities and health care, in general, as very few health-care related bills were passed by the 2013 Legislature.

For the first time since 2007, the 2013 Legislature was in the unique position of having a budget surplus rather than facing a budget deficit. Given that, FHCA made restoring previous funding cuts to nursing home care one its key legislative priorities for the session.

In January, Governor Rick Scott released his initial budget. In addition to calling for higher teacher pay and manufacturing equipment sales tax cuts, the Governor's budget fully funded the estimated 2013-2014 expenditures for nursing homes, including full inflation (estimated to approximate 2 percent).

The initial budget released by the Senate in March also called for the full funding of nursing homes as provided under current law, including the expected inflationary increase. The House, however, released its initial proposed budget which kept rates at their current levels and eliminated the projected 2.0 percent inflationary increase, reducing funding for nursing home care by $45.6 million.

In the end, the collective work of FHCA staff, its lobby team and the membership paid off, as the initial House offer during the Conference process moved to the Senate position of fully funding estimated nursing home expenditures, including inflation.

As one of the final acts of session, the Legislature passed the Villages CON bill (HB 1159), which is now on its way to the Governor for signature. The bill was amended to replace the original language, which eliminated the CON laws within the Villages and several other deed-restricted communities in Florida, with a competitive expedited review process for nursing homes. Several other health care items, not related to nursing homes, were added to the bill prior to final passage.

Several long term care issues were stifled by the Legislature’s intense focus on Medicaid expansion. Those issues left unfinished included ALF reform; regulation of pediatric nursing facilities; the use of life insurance policies for long term care services; and language to exempt nursing homes from the pain clinic regulations. FHCA expects those issues to re-emerge in the 2014 session.

With the 2013 legislative session now over, FHCA would like to thank the membership for supporting the Association in our efforts to advocate on behalf of the providers committed to delivering high-quality care to our state's frail elders every day. The tremendous support from our volunteer leaders, member involvement in our grassroots initiatives and the tireless efforts of the Association staff together led to a positive budget outcome for Florida's nursing homes. FHCA would also like to thank our associate members who took an active role in this year's legislative activities, including PharmScript, who sponsored Lobby Wednesdays, and Bouchard Insurance, who sponsored FHCA's Provider Program.

For a comprehensive look at the issues that impacted long term care this session, click here to access FHCA's 2013 Legislative Session Wrap Up.

FHCA Provider Program - 2013 Legislative Session Draws to a Close

The final week of the 2013 legislative session draws to a close. FHCA's Government Affairs team reflects on the budget, the issues worked by the Association and the important role members played in our grassroots initiatives.

FHCA Provider Program - Countdown to Final Week of Session

FHCA Executive Director highlights where long term care providers stand with just one week left in the 2013 legislative session. The budget, tort reform and Certificate of Need legislation are discussed.

Sensational reporting misrepresents nursing home care while promoting flawed justice system

We are forever hopeful that when it comes to reporting accurately and without malice, members of the press hold themselves to a pretty high standard. Unfortunately, @JoshSalman's recent column aspires to create sensationalism without the benefit of accuracy or fairness.

Senate Bill 1384 is another attempt by Florida leaders, this time spearheaded by Senator Bill Galvano, to ensure we continue holding our nursing homes to the highest standards while protecting our system of justice against selfishness, greed and harm.

Had he done his homework, Mr. Salman would have learned that Senate Bill 1384 does nothing to weaken regulations and protections, but it does draw a line against the kind of legal mischief that’s enriched personal injury attorneys while depriving nursing homes of resources devoted to the care of our loved ones.

The truth is Florida nursing homes have some of the strongest oversight in the country, with facilities undergoing an intense survey process, mandated minimum staffing ratios and increasing regulations at the state and federal level.

Standards here are consistently rated among the nation’s best. Federal regulators give over 50 percent of Florida nursing homes a four or five star rating, and facilities continue to staff well above the national average. Individuals are receiving more time with nurses on a daily basis, which is important given the changing health needs of today’s resident. Customer satisfaction remains high among long-stay residents and their families, and short-stay patients’ satisfaction has significantly improved in recent years.

Mr. Salman and others in the press continue to cite a malcontent former state employee as their source for commentary on this legislation. Actual research on the “advocacy group” Families for Better Care shows how this organization and its spokesperson are connected to trial attorneys. Further, according to public records, trial attorneys donated more than $8 million in campaign contributions during the 2012 election cycle. And speaking of lawsuits, Mr. Salman failed to point out that Mr. Lee himself has filed suit for personal damages against the trade associations representing Florida’s long term care facilities, casting his objectivism even further into doubt and his motives even further into question.

Many nursing home lawsuits have nothing to do with seeking redress for real negligence or even with improving conditions for residents. Because all citations must be reported, even those that are later proven to be unfounded, the data is easily exploited to prey on the emotions of seniors and their families in order to seek clients for litigations.

Every industry can and should be held accountable, and this legislation does nothing to change that. Senate Bill 1384 allows patients to sue for negligence and damages for those who purposely or consciously harm our seniors. Regarding claims for punitive damages, the bill ensures such claims are based on evidence, not hearsay, and are driven by the merits of the case, not by a personal injury lawyer’s attempted push to enrich himself with someone else’s bank account.

The unfortunate reality is that punitive damages, when awarded for serious and egregious behavior, go mostly to others, NOT to the plaintiff. Those lawyers who specialize in suing nursing homes oppose this legislation because it removes their ability to generate higher out-of-court settlements and squeeze out more dollars for their fees.

Florida is one of the worst states in the nation for lawsuits, and trying to extort money from businesses using the courts is an all-too-common practice in our increasingly litigious society. The cost to nursing home care from frivolous or malicious suits driven by personal injury lawyers is draining resources that go directly to those responsible for delivering that care – doctors, nurses, therapists and others who have dedicated their lives to helping others.

When trial lawyers profit at the expense of others, and support policies that help themselves more than those they represent, it’s not legal representation – it’s larceny.

Let’s set the record straight – personal injury lawyers and their pseudo-advocates do nothing to improve quality. Quality is good because our state’s nursing homes are committed to an environment where the highest standard of care is the norm. Senate Bill 1384 is a long-overdue remedy, and Senator Galvano’s leadership through this bill will simply restore some common sense, fairness, and respect for the law.

J. Emmett Reed, CAE
FHCA Executive Director

FHCA Provider Program - LTC Advocates Work to Make Impact at Capitol

Watch highlights from the Certificate of Need issue press conference, progress of nursing home tort reform and FHCA's last Lobby Wednesday, which featured over 150 members from Gulf Coast Health Care, Page Healthcare, Southern Healthcare Management, Life Care Center of Estero, FHCA District III, Valencia Hills Health & Rehab, associate members and other LTC advocates. Special thanks to PharmScript for sponsoring our Lobby Wednesdays throughout the 2013 legislative session.

Take Action: Help Pass Nursing Home Tort Reform

CS/SB 1384, the nursing home tort reform bill sponsored by Sen. Bill Galvano (R-26), passed favorably out of the Senate Health Policy Committee this week. This bill clarifies guidance in due process in determining whether evidence exists that would warrant a claim for punitive damages. SB 1384 will not take away the ability for someone with a legitimate case to have their day in court or reasonable compensation if their case has merit.

Nursing home care is one of the most heavily regulated sectors in Florida, and this bill does not weaken those regulations or detract from ensuring facilities meet appropriate care standards. Facilities still undergo an intense survey process, still have to meet minimum staffing ratios along with increasing regulations at the state and federal levels. Facilities are committed to continued quality improvements and today, over 50 percent of Florida nursing homes showing a four or five star rating according to the Centers for Medicare and Medicaid Services.

An appropriate system of justice should be based on liability, not making it lucrative for attorneys to file lawsuits. Reckless accusations by trial lawyers divert valuable time, attention and resources away and tarnish the reputation of trusted, high-quality facilities, and they drive up the costs for residents, facilities and ultimately, taxpayers.

Please continue contacting your legislators to ask them to support this good bill which would help keep predatory trial attorneys from using punitive damages to inflate the cost of settlements in nursing home claims. Click here to enter your zip code and send an e-mail to your Senator today to ask them to support nursing home tort reform.

FHCA Certificate of Need Press Conference Video

Watch video of today's press conference with Sen. Rene Garcia, Florida Health Care Association representatives, AARP, Florida Council on Aging, Florida Conference of Catholic Bishops and other long term care advocates joining together to discuss opposition to SB 1482 by Sen. Alan Hays/HB 1159 by Rep. Marlene O’Toole which would create a special exemption that would allow nursing homes to be built in special deed-restricted communities, such as the Villages, bypassing state rules and a Certificate of Need moratorium on new nursing home beds.

Long term care advocates gather to highlight the importance of a comprehensive, organized approach to health care planning for Florida’s seniors

Sen. René Garcia (R-38) gathered with long term care advocates today to highlight the importance of a comprehensive, organized approach to health care planning for Florida’s seniors. Current legislation being considered (SB 1482 by Sen. Alan Hays/HB 1159 by Rep. Marlene O’Toole) would create a special exemption that would allow nursing homes to be built in special deed-restricted communities, such as the Villages, bypassing state rules and a Certificate of Need (CON) moratorium on new nursing home beds.

“We cannot create special exceptions for single communities or developers,” said Sen. Garcia “This is simply bad policy for our state. Any reforms to the Certificate of Need should take place through a comprehensive process whereby providers, consumers, businesses and all stakeholders come together to discuss solutions that are in the best interest of our citizens.”

Florida Health Care Association, AARP, Florida Council on Aging, Florida Conference of Catholic Bishops and other long term care advocates joined together to oppose Senate Bill 1482 which is on Monday’s agenda in the Senate Judiciary Committee.

“The current CON law assists nursing homes with managing the underfunding of Medicaid rates by maintaining efficient occupancy levels and a balanced mix of Medicaid, Medicare and private pay residents,” said Deborah Franklin, Legislative Committee Chair for Florida Health Care Association and Director of Operations for Florida Living Options, which operates three nursing homes and assisted living facilities and two independent living facilities in the central area of Florida. “While this bill may seem to have a limited impact on a single deed-restricted community, it fails to adequately recognize the long term care needs of those residents in the surrounding counties which exist outside the Villages development.”

Steve Bogomilsky, managing operator of Southern SNF Management, spoke about his recent ability to use the current CON process to move underutilized nursing home beds from other communities to build a state-of-the art 120-bed skilled nursing facility that services the Villages. The Villages Rehabilitation and Nursing Center opened last month and offers short-term rehab and longer, skilled nursing care. The facility is one of two skilled nursing centers that have opened within the last year which service citizens of the Villages and the surrounding counties.

Jack McRay, Manager of Advocacy for AARP Florida noted that AARP opposes legislation that would create special “exemptions” to the moratorium. “Let’s not distort the long-term-care market by saddling it and Florida’s seniors with unnecessary nursing home beds and too few home-and-community-based resources and services,” said McRay.

In a statement of support Florida Council on Aging added, “The Florida Certificate of Need has facilitated the appropriate balancing of local, state and federal funding with the controlled development of nursing home beds according to the need formula.”

The Legislature created a Certificate of Need moratorium on nursing homes in 2001 as a way to control Medicaid costs, encourage home and community-based services and ensure the optimum use of nursing home care based on the need and demand for these types of services. The moratorium is currently set to expire in 2016 or when the Statewide Managed Care Long Term Care program is fully implemented, which is expected by early 2014.

Press Conference Today to Oppose CON Exemption Legislation

Long Term Care Advocates to Legislature: Health Care Planning Should be Comprehensive and Consider Full Continuum of Long Term Health Services – Not the Needs of Private Developers

Sen. René Garcia (R-38) will host a press conference today, April 15, at 11:30 a.m. in the Senate 4th Floor Rotunda to highlight the importance of a comprehensive, organized approach to health care planning for Florida’s seniors. Current legislation (SB 1482 by Sen. Alan Hays/HB 1159 by Rep. Marlene O’Toole) would create a special exemption that would allow nursing homes to be built in special deed-restricted communities, such as the Villages, bypassing state rules and a Certificate of Need moratorium on new nursing home beds.

Florida Health Care Association, AARP, Florida Council on Aging, Florida Catholic Conference and other long term care advocates will join together to discuss opposition to Senate Bill 1482 which is on Monday’s agenda in the Senate Judiciary Committee . Florida Health Care Association and nursing home providers directly impacted by this legislation will discuss how the current CON process is working, with beds underutilized in communities being moved to those areas where there is a need for nursing home services. Representatives from AARP will discuss the importance of taking seniors’ desire for home and community-based care into consideration when planning for a community’s needs for long term health care services.

For details on the press conference, contact Kristen Knapp at kknapp@fhca.org or (850) 510.4389.

FHCA Provider Program - LTC Providers and Lawmakers Highlight Importance of Grassroots

Members from Cypress Health Group and facilities represented by Airamid Health Services met with their lawmakers and advocated for restored Medicaid funding and the passage of tort reform. Hear about the important messages they're delivering and catch interviews with Reps. Jimmy Patronis (R-6) and Betty Reed (D-61) on the importance of meeting with their constituents, especially those who care for our state's seniors.

President’s 2014 Budget Request

On April 10, 2013, President Obama released his FY 2014 budget request. By law, the President is supposed to send the budget to Congress no later than the first Monday in February. However, the Administration delayed the release of the FY 2104 budget because of the uncertainty surrounding the final FY 2013 spending bills and the impact of sequestration. The Budget Message of the President, information on the President’s priorities, budget overviews organized by agency (including the Department of Veterans Affairs), and summary tables can be found here. The VA 2014 Budget request for 2014 is $152.7 billion. This includes $66.5 billion in discretionary resources and $86.1 billion in mandatory funding. FHCA's national affiliate, American Health Care Association/National Center for Assisted Living (AHCA/NCAL) issued a statement from President and CEO Mark Parkinson in response to the President’s FY 2014 budget proposal.

FHCA Provider Program - Advocates Push for Senate Budget Position

At the halfway mark, more than 150 long term care providers joined FHCA to urge legislators to take the Senate budget position and restore much-needed Medicaid funding for high-quality long term care.

LTC Providers Urge Lawmakers to Take Senate's Budget Position

This week, both the House and Senate Appropriations Committees met and passed their respective budgets. The Senate budget provides full funding for nursing facility care as available under current law. The House budget reduces nursing facility funding by approximately 2 percent or $45.6 million (a removal of the inflation that is available under current law and retaining the 2012-2013 average nursing home rate).

Since 2008, the Legislature has reduced nursing facility Medicaid rates by nearly $700 million, causing long term care providers to struggle with operating costs, such as skilled labor and the increased use of medical technologies, which exceed Medicaid reimbursements. Facilities are losing an average $22.81 per patient per day, or $550,000 each year as a result of chronic Medicaid underfunding.

“With 60 percent of nursing facility residents relying on Medicaid as their health care safety net, adequate Medicaid funding is critical to ensuring our state’s seniors continue to have access to quality long term care services,” said Emmett Reed, FHCA Executive Director.

As lawmakers prepare to work out their differences on their respective budgets, FHCA is asking them to take the Senate’s position in the budget conference to help restore much-needed Medicaid funding for nursing facility care.

FHCA Provider Program - House and Senate Budgets Released

Learn how the House and Senate Chairman’s budget proposals impact nursing home care. Also hear from Sen. Aaron Bean (R-4) and FHCA President Scott Allen about why it's so important to be actively engaged in the legislative process.

CON exemption bill advances, FHCA members testify in opposition

Today, House Bill 1159 by Representative O’Toole was heard in the House Health Innovation Subcommittee. This bill preempts the current CON process for special deed-restricted communities, and while the language in this bill is focused on a single community, FHCA believes it could have negative consequences for nursing homes and long term care residents across the state.

Both FHCA Past President and Legislative Committee Chair Deborah Franklin (pictured) and Steve Bogolmilsky with Southern SNF Management testified in opposition to this bill, noting that the current CON law controls costs to the Medicaid program and ensures that nursing home care is based on the need and demand for these services. Many legislators support free markets; however, the fact is that nursing homes in Florida do not operate in a true free market system. The Legislature sets Medicaid rates for nearly 60 percent of the residents in nursing homes, and 80 percent of residents and patients rely on government funding to cover their long term care.

Although the bill passed out of this committee, it still has several stops to go, as does its companion in the Senate – Senate Bill 1482 by Senator Hayes. FHCA will continue raising our concerns with the Legislature and do all that we can to prevent this legislation in its current form from advancing.

FHCA Provider Program - ALF and Nursing Home Leaders Advocate for Long Term Care

Week three of the 2013 legislative session brought assisted living facility and nursing home members to Tallahassee over a two-day period to help FHCA bring important long term care messages to the Capitol and to help legislators gain a better understanding of the valuable care these providers deliver to Florida's frail elders.

ALF Lobby Day Highlights

Today, the House Health Innovation Subcommittee passed HB 1319 by Rep. Eddy Gonzalez (R-111). This is one of several ALF bills making their way through the Legislature this session and is the most likely to advance given that it contains many, if not all, of the Agency for Health Care Administration's recommendations.

In town today for a special ALF Lobby Day were FHCA's ALF Vice President Rosemary Carbonelli of Pines of Sarasota ALF, FCAL Committee Vice Chair Steve Schrunk of Countryside Lakes and other ALF leaders. In discussions with legislators and staff related to proposed ALF legislation, these ALF leaders asked them to consider a balanced and enforced regulatory system which supports Florida's ALF model of choice, independence, dignity, accessibility and quality of life.

Hear from Steve Schrunk about the importance of taking action in the legislative process to help lawmakers better understand the role that assisted living facilities play in the long term care continuum and the quality care they are delivering to Florida's seniors.

FHCA Provider Program - LTC Advocates Thank Governor For Protecting Medicaid Nursing Home Funding

Several volunteer leaders of FHCA met with Gov. Scott this week to thank him for protecting vital Medicaid Funding. Another successful Lobby Wednesday also brought together FHCA Florida Leaders, activity professionals, vendors and others to advocate for long term care.

Bill Calls for Review of Department of Elder Affairs

This week, the House Healthy Families Subcommittee approved HB 601 by Rep. Matt Hudson (R-80), which calls for a study of the Department of Elder Affairs (DOEA). The agency's role is expected to change in the coming years, given that some programs DOEA oversees would be largely absorbed into the new Medicaid Managed Care Program, particularly the long term care managed care component. The study would be conducted by the state's Office of Program Policy Analysis and Government Accountability. The bill's next stop is the Government Operations Subcommittee.

FHCA Provider Program - 2013 Session Underway

The 2013 legislative session gets underway. FHCA already sees two key bills advance and has members in Tallahassee to kick off Lobby Wednesdays and advocate for our long term care priorities.

Bill that Helps State and Seniors Pay for Long Term Care Advances

This afternoon, SB 794 by Sen. Jeff Brandes unanimously passed out of the Senate Children, Families and Elder Affairs Committee. This important legislation gives seniors an alternative means for paying for their long term care services while offering savings for the state's Medicaid program and, in turn, Florida taxpayers. Specifically, the bill allows for seniors to use the value of their life insurance policies to pay for much needed Medicaid long term care, be those home and community-based services or nursing home care if that type of medical care is more appropriate. Testifying in support of the bill was FHCA Reimbursement Committee Co-Chair, Doug Burr, who served on the Agency for Health Care Administration Accelerated Life Benefit Technical Advisory Workgroup this summer.

"We applaud the committee for advancing this important legislation, which is a win-win solution that will save taxpayer dollars while preserving the funding facilities need for care delivery and maintaining a stable workforce,” said Emmett Reed, FHCA Executive Director.

FHCA will keep you updated on SB 794 and the House companion, HB 535 by Rep. Jimmy Patronis, as these bills make their way through the Legislature.

House Subcommittee Advances Bill to Bring Fairness to Nursing Facilities in Florida's Courts

This morning,  HB 869 by Rep. Bill Hager (R-89) passed favorably out of the House Civil Justice Subcommittee. This bill strikes a balance to ensure those who need redress have access to the courts while ensuring that those not directly involved in providing care – investors, creditors and other individuals who have no role in the alleged act – are not included in nursing home claims. Corporate law does not allow this to occur in other business litigation; doing so raises the cost of defending a suit, artificially raises the settlement value of the claim and discourages much-needed investment in senior facilities.

“FHCA is thankful to the committee for advancing this bill. This is a good first step toward relieving the courts from frivolous lawsuits, as rising liability costs add to the chronic funding challenges already facing the long term care sector and drive up costs for residents, facilities and ultimately, taxpayers.” said Emmett Reed, FHCA Executive Director.

FHCA Unveils 2013 Long Term Care Legislative Priorities

Ensuring stable Medicaid funding for Florida nursing facilities, residents and caregivers tops agenda

Florida Health Care Association (FHCA), the state’s largest and leading advocacy organization representing long term care providers and the elders under their care, today announced its priorities for the 2013 legislative session. Topping the Association’s list will be to ask legislators to begin restoring Medicaid funding that has been cut from nursing facility (aka nursing homes) quality care over the past several years. Since 2008, Medicaid rates for nursing facility care have been reduced by $696.4 million, causing an average loss to facilities of $22.81 per patient per day ($550,000 annually).

“Long term care providers continue to struggle with operating costs, such as skilled labor and the increased use of medical technologies, which exceed Medicaid reimbursements,” said Emmett Reed, Executive Director of Florida Health Care Association. “With 60 percent of nursing facility residents relying on Medicaid as their health care safety net, adequate Medicaid funding is critical to ensuring our state’s seniors continue to have access to quality long term care services.”

As an alternative option to reduce pressure off the state’s growing Medicaid budget, FHCA and its members will also advocate for legislation which will give seniors an alternative means for paying for their long term care services while offering savings for the state's Medicaid program and, in turn, Florida taxpayers. Senate Bill 794, sponsored by Senator Jeff Brandes, and House Bill 535, sponsored by Representative Jimmy Patronis, allow seniors to use the value of their life insurance policies to pay for much needed Medicaid long term care services.

Due to the Medicaid spend-down path, seniors currently in need of Medicaid long term care services must either cash surrender or outright abandon their policies. By allowing seniors to use the value of their life insurance policies to pay for much needed Medicaid long term care services, SB 794 will give seniors more choice, including whether to receive care at home for a longer period of time or cover their nursing facility care costs if that type of medical care is more appropriate. According to a study by Florida State University Center for Economic Forecasting and Analysis (Jan. 2013), this option could help between 2,645 and 2,879 seniors with covering their long term health care needs each year, saving the state and taxpayers between $79 and $93.1 million.

"We believe this legislation is a win-win solution that will save taxpayer dollars while preserving the funding facilities need for care delivery and maintaining a stable workforce,” noted Reed.

A third priority for long term care providers is to bring fairness to nursing facilities in Florida’s court system. Legislation filed by Sen. Bill Galvano (SB 1384) and Rep. Bill Hagar (HB 869) will strike a balance to ensure those who need redress have access to the courts while ensuring that those not directly involved in providing care – investors, creditors and other individuals who have no role in the alleged act – are not included in nursing home claims. Corporate law does not allow this to occur in other business litigation; doing so raises the cost of defending a suit, artificially raises the settlement value of the claim and discourages much-needed investment in senior facilities.

“Rising liability costs add to the chronic funding challenges already facing the long term care sector,” Reed continued. “Our members are committed to caring for Florida’s most frail elders at a high level of quality they expect and deserve. Reckless accusations by trial lawyers divert valuable time, attention and resources and unfairly tarnish the reputation of a trusted, high-quality facility.”

Throughout the 2013 legislative session, over 500 long term care advocates will converge on Florida’s Capitol to educate lawmakers about these and other important long term care issues. To learn more about FHCA’s 2013 legislative priorities, find resources to advocate for protecting Medicaid funding for nursing facility care and learn more about being involved in FHCA’s Safeguard Our Seniors grassroots campaign, visit www.safeguardourseniors.org.

Take Action Today - Important Bill Vote on Wednesday

On Wednesday, the Senate Committee on Children, Families and Elder Affairs will hear SB 794 by Sen. Jeff Brandes. We need your help with with contacting your legislator and asking them to support the passage of SB 794, which will give seniors an alternative means for paying for long term care services while offering savings for Florida's Medicaid program and taxpayers.

Click here to access our Take Action Alert, scroll down to enter your zip code to find your legislator and send them this important message.

SB 794 allows seniors to use the value of their life insurance policies to pay for much needed long term care services - giving them the option to receive care at home for a longer period of time or cover their nursing home care costs if that type of medical care is more appropriate. This option could help between 2,645 and 2,879 seniors with covering their long term health care needs each year, saving the state and taxpayers between $79 and $93.1 million.

For more information, review the brief, "Alternative Funding Resources for Nursing Home Care.”

Legislation will help state, seniors pay for long term care

By J. Emmett Reed, FHCA Executive Director

As lawmakers begin tackling how to handle implementation of the Affordable Care Act, it’s clear that Medicaid is once again at the center of the debate. How lawmakers will address the potential swelling of the Medicaid rolls and more importantly, cover those costs, have the providers impacted by those decisions watching with great interest.

Medicaid is an important safety net for more than two-thirds of the 71,000 Floridians who depend on nursing homes for their daily care needs. Unfortunately, Medicaid rates for nursing home care have been reduced by close to $700 million over the past four years, with facilities losing $550,000 each year.

This chronic underfunding for our state's most frail elders comes at a time when Florida is on the verge of a boom in the elderly population. While facilities remain committed to delivering residents the highest quality of care, they continue to struggle with a lack of adequate funding that affects their ability to operate effectively. But what can be done?

Millions of seniors hold a potential solution in their hands if they own a life insurance policy. Legislation being considered this session will allow seniors to use the value of that policy to pay for needed long term care services, thus helping to reduce the pressure on Florida’s Medicaid budget when it comes to funding nursing home care.

Life insurance is recognized as the owner’s personal property, with guaranteed rights to the policy as a “living benefit” and not just a death benefit. The problem is that far too many life insurance policies owned by seniors will never pay a death benefit because they are allowed to either expire, lapse or are surrendered for cash value.

For seniors in need of Medicaid long term care services, life insurance is an “unqualified asset” for eligibility. As a result, they must either abandon or cash surrender their policy to qualify for coverage. But, converting a life insurance policy into a long term care benefit plan would extend their ability to remain private pay while the present day value of the life insurance asset is spent down in a Medicaid compliant fashion. All of this is done while preserving a portion of the death benefit for family members if their loved one passes.

According to a recent study by Florida State University*, each year between 2,600 and 2,800 seniors who require long term care services have the potential to convert their life insurance policies into long-term health care benefit plans. Doing so would save the state and taxpayers between $79 and $93 million annually in Medicaid expenses.

Seems like a simple solution, and one that will have a measureable, positive impact on Florida’s long term care funding challenges. We’re pleased that Representative Jimmy Patronis and Senator Jeff Brandes agree, as both have filed legislation in their respective chambers (HB 535/SB 794) which would give seniors this option.

Stable funding is critically important to long term care in Florida, which is growing in both projected numbers and importance. Close to 10,000 people will turn 65 each day over the next 18 years. Over the next 10 years, health care jobs will be among the country’s top occupational groups. To meet those demands, nursing homes will need resources to recruit qualified nurses, Certified Nursing Assistants and other staff who are key to maintaining resident high quality care.

We understand the Legislature is trying to strike a balance between funding critical programs such as health care and education while creating jobs that will strengthen our state’s economy. This legislation is a solution and a win-win for all those involved.

Families have a means to pay for long term care, which is particularly helpful to the vast majority of those who have not planned for it with savings. The state gains an alternative funding source, reducing pressure on the growing Medicaid budget. And Florida’s long term care sector remains strong, giving nursing homes the ability to maintain a stable workforce and deliver high-quality care to those who need it most.

*Source: Florida State University Center for Economic Forecasting and Analysis, Conversion of Life-Insurance Policies to Long-Term Care Benefit Plans in Florida (Jan. 2013)

Florida Supreme Court Upholds Arbitration Agreements

In a 7-0 decision today, the Florida Supreme Court held that an arbitration agreement executed by the resident is binding on the estate/heirs of the decedent/resident. The question presented was whether an arbitration provision in an otherwise valid contract binds the signing party’s estate and heirs in a subsequent wrongful death case. In its unanimous decision, Justices found that arbitration agreements should be followed in such wrongful-death cases, upholding a decision by the 5th District Court of Appeal. "Because the signing party’s estate and heirs are bound by defenses that could be raised in a personal injury suit brought by the decedent, as well as by releases signed by the decedent, it would be anomalous to conclude that they are not also bound by a choice of forum agreement signed by the decedent in a wrongful death action arising out of the treatment and care of the decedent."

FHCA strongly supports the use of arbitration agreements as a reasonable, intelligent option for patients, residents, and providers seeking more timely and less adversarial resolution of legal disputes. In addition, arbitration ensures that scarce health care resources go toward delivering resident care rather than the escalating costs associated with lawsuits.

Over 60 percent of nursing home residents rely on Medicaid as their safety net to cover their long term health care needs. Today, facilities are losing an average of $22.81 per patient per day (nearly $550,000 annually) due to chronic Medicaid underfunding. Lengthy, costly litigation adds to the chronic funding challenges already facing the long term care sector and drives up costs for residents, facilities and ultimately taxpayers.

“We believe that fair and timely resolution to any legal concerns is in the best interest of the residents, taxpayers and the state’s entire health care sector.” said Emmett Reed, FHCA Executive Director. “Despite our funding challenges, FHCA's member nursing homes and assisted living facilities remain committed to excellence and make the delivery of high-quality care for the thousands of individuals residing in their facilities a top priority.”

Casual for a Cause

Florida Health Care Association staff raises funds for local charity

Florida Health Care Association recently kicked off a staff fundraiser to raise money for and awareness about heart disease in women. The “Casual for a Cause” program gives staff the opportunity to make a charitable contribution and dress-down on Fridays whenever the Legislature is convened (committee weeks and session).

The fundraising program is one that hits close to home for the Association. Last year, the daughter of FHCA Government Affairs Support Coordinator Teresa Hamlin passed away at the young age of 29. FHCA’s Casual for a Cause program honors the memory of Ramsey Brown, who worked as a legislative coordinator in Tallahassee. Ramsey was a vibrant spirit and will always be remembered for her passion for life.

In February (Heart Month), FHCA Senior Vice President Joe Mitchell (right) and Executive Director Emmett Reed joined Teresa Hamlin (right) to present a $500 check to the founders of Broken Hearts of Florida, Karen Chavez and Kim Rooks (pictured from left to right). Ramsey and Teresa were involved with the Tallahassee-based non-profit which supports, educates and connects families affected by congenital heart defects and other pediatric heart diseases.

“Life is precious, and FHCA is so pleased to be able to give back to an organization that recognizes that and does incredible work for local families,” said Emmett Reed.

FHCA Applauds Governor for Protecting Medicaid Funding for Nursing Home Care in State Budget

Stable Medicaid funding means access to critical services and stability of long term care workforce

Florida Health Care Association today (FHCA) applauded Governor Rick Scott for his leadership in protecting critical Medicaid funding for Florida’s seniors and persons with disabilities who are cared for in nursing homes.

“We recognize that Florida’s leaders must find ways to reduce spending and fund a wide variety of critically important programs, and we’re thankful the Governor has heard our concerns over facilities’ ability to operate effectively as a result of the state and federal funding reductions we’ve endured in recent years,” said Emmett Reed, Executive Director of FHCA, the state’s first and largest advocacy organization for long term care providers and the residents under their care.

Florida’s long term care providers have made great strides in quality, yet many are struggling to meet the growing demand of aging baby boomers in light of diminishing government funding. Nursing homes devote a full 70 percent of operating expenses to labor – nurses, Certified Nursing Assistants and other staff required to care for nearly 71,000 frail elders who require complex medical care, 24-hours a day. With the 2013 legislative session set to begin in just over a month, topping the list of the Association’s priorities will be to ask legislators to begin restoring Medicaid funding that has been cut from nursing home quality care over the past several years.

“Our hope is that as the state continues to grow back its revenues, the Legislature examines its priorities and ensures that the care of frail elders and people with disabilities are at the top of their list,” Reed continued. “Florida Health Care Association and the long term care providers we represent look forward to working with the Governor and state legislators throughout the session to ensure that our residents and patients have access to critical services and that our caregiver workforce remains stable.”

Medicaid is a vital resource for nursing homes, with over 60 percent of residents relying on the program to pay for their daily care. Since 2008, Medicaid rates for nursing home care have been reduced by $696.4 million, with facilities losing an average of $22.81 per patient per day ($550,000 annually). In 2013, nursing homes will also experience a loss of over $370 million in Medicare funding through health care reform, government regulations, and Congressional legislation.

Nursing Homes Recognized for Gold Seal Excellence in Long Term Care

The Florida Agency for Health Care Administration (AHCA) recognized nine Florida nursing homes this week for receiving the Governor's Gold Seal Award, which recognizes nursing homes that demonstrate the highest standards of quality of life and care for their residents.

 

Governor Rick Scott said, "We owe it to Florida's elders to provide the best care we can. I would like to congratulate and recognize the nine nursing homes that are receiving the Governor's Gold Seal Award. Through their hard work, Florida families can know that their loved ones are getting the best care possible."

 

Award recipients include six new recipients*and three renewal recipients. They are as follow:

• Joseph L Morse Geriatric Center Inc., West Palm Beach (FHCA member)
• Life Care St. Johns, Inc., St. Augustine* (FHCA member)
• Tierra Pines Center, Largo* (FHCA member)
• Tuskawilla Nursing and Rehab Center, Winter Springs* (FHCA member)
• Ayers Health and Rehabilitation Center, Trenton
• Bear Creek Nursing Center, Hudson*
• Bon Secours Maria Manor Nursing Care Center, St. Petersburg*
• Harbour's Edge, Delray Beach
• The Pavilion for Health Care, Penney Farms

"Florida's Health Care Association (FHCA) is pleased that the Agency for Health Care Administration has recognized these facilities with the Gold Seal. Florida's nursing facilities continue to deliver high quality care," said Emmett Reed, Executive Director of FHCA. "Recognition programs like these are important to helping give the public a clear picture of the positive care outcomes and customer service that long term care providers are delivering every day.”

 

Nursing homes that wish to be considered for the Gold Seal Award must submit an application to the Agency, which is reviewed by the Governor's Panel on Excellence in Long Term Care. The Panel considers the criteria below and makes recommendations to the Governor. Gold Seal recipients must be in operation a minimum of 30 months prior to the date of application and the facility must:

• Meet a quality of care scoring and ranking that places them in the top 10 percent in their region or top 15 percent in the state and be a 5-star facility in the Nursing Home Guide
• Have no Class I or II deficiencies within 30 months preceding application
• Provide evidence of financial soundness and stability
• Participate in a consumer satisfaction process involving residents, family members and guardians
• Involve families and members of the community in the facility on a regular basis
• Have a stable workforce
• Have an outstanding record with the State Long-Term Care Ombudsman Council within the 30 months preceding application
• Provide targeted in-service training to meet training needs identified.

The Gold Seal Award program was established in 2002 and developed and implemented by the Governor's Panel on Excellence in Long-Term Care, which is composed of persons appointed by the Governor's Office, Agency for Health Care Administration, Department of Health, Department of Elder Affairs, Florida Association of Homes for the Aging, Florida Health Care Association, Florida Life Care Residents Association and the State Long Term-Care Ombudsman.

 

For a complete listing of Gold Seal facilities, please visit FloridaHealthFinder.gov then click on Find a Facility or Provider. From here choose Search by Facility Type/Location and use the Advanced Search option when searching for Nursing Homes to find the list of Gold Seal facilities.

AHCA Selects Plans to Provide LTC for Statewide Medicaid Managed Care Program

Earlier this week, AHCA selected five health plans to provide coverage to seniors who need long term care under the Statewide Medicaid Managed Care Program. The announcement came after a bidding process that included HMOs and other types of managed-care plans competing in the state's 11 regions. AHCA states that it expects to begin using the new long term care system in August in the Orlando area and then will gradually expand to other parts of Florida.

American Eldercare was selected in all 11 regions and Sunshine State Health Plan was selected to serve 10 regions. United HealthCare of Florida was selected for nine regions, while Coventry Health Care of Florida was chosen for four and Amerigroup Florida was picked for two. HMOs not selected for contracts included Humana and WellCare.

FHCA has posted information for members in its online Medicaid Managed Care Resource Center, including AHCA's news release on this issue, the selected plans by region and the detailed Recommended Contract Award documents by region.

Florida Supreme Court Upholds Retirement Law

Today, the Florida Supreme Court upheld the Legislature's requirement that state employees contribute 3 percent of their pay toward the state pension system, overturning a lower-court decision last year that had held it was unconstitutional. The ruling allows the Legislature to avoid having to replace funds contributed by employees since the law went into effect in July 2011. The state now avoids a nearly $2 billion budget gap which would have likely affected funding decisions this session.

During the 2013 session, FHCA and its members will be advocating for the Legislature to begin working toward restoring Medicaid funding cuts that providers have experienced since 2008 - nearly $695 million in reductions. Long term care providers in Florida have been hit hard by deep cuts to Medicaid and Medicare over the past several years. As Governor Scott and House and Senate leadership begin developing their budgets for the upcoming session, we stand ready to work with them to continue acknowledging that Medicaid funding cuts are something we cannot absorb in 2013. Our sector needs a break to return as healthy contributors to economic growth while delivering high-quality long term care.

To read a copy of the Supreme Court decision, click here.