NPDA Monthly Newsletter

February 2011

 

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"Grow - Profit - Exit"

Don't Miss This MBA Program in Las Vegas!

 

Want to GROW your home care business and become more PROFITABLE?  There is still time to register for NPDA's MBA Program "Grow-Profit-Exit" scheduled for March 1, 2011 at Planet Hollywood in Las Vegas.  Designed to benefit your business for a lifetime, this special one-day program will be offered prior to the 9th Annual Leadership Conference scheduled for March 2-4.

 

During "Grow-Profit-Exit," you will learn to grow your business and increase profitability through the guidance of these advanced-level, expert speakers:

  • George Hedley of Hardhat Presentations
  • Steve LeFever of Business Resource Services
  • Dexter Braff of The Braff Group

We guarantee an executive-caliber, though provoking presentation.  Re-focus on yourself, your business and your future by attending this special event for those seeking a top-tier leadership experience.

 

Registration Information

Hotel Information

Press Release

 

Federal Legislative Report

By Dani Kehoe, DBK Consulting, Washington, D.C.

 

The 112th Congress is off to a fairly quick start, although no significant legislation has been enacted into law—or even made substantial progress towards enactment. In fact, initial Congressional activity suggests that the partisan divide—as viewed through the prism of a GOP-led House and a Democratic-controlled Senate—is deeper than ever, and that enactment of legislation will be difficult and time-consuming.


Health Reform

PPACA repeal: On January 19, the House voted (245 to 189) to repeal the Patient Protection and Affordable Care Act (PPACA) in its entirety. The repeal bill, H.R.2, now awaits action in the Senate. There is also Senate legislation pending that would repeal the PPACA. This is S.192, introduced by Sen. Jim DeMint (R-SC), with 39 cosponsors (all Republicans).

 

GOP Senators say they will continue to offer PPACA repeal, on its own or as an amendment to other pending legislation. The first such effort—which was not on H.R.2, but rather an identically-worded alternative offered by Sen. Mitch McConnell (R-KY) as an amendment to the Federal Aviation Authority (FAA) bill, was defeated. On February 2, 53 Senators voted against a procedural motion that resulted in killing the McConnell PPACA repeal amendment (47 GOP Senators voted for the proposal).

 

Piece-by-piece repeal: Concurrent with overall PPACA repeal attempts are efforts to repeal pieces of the health reform law. The first such effort was introduction in the House of H.R.4, a bill to repeal the PPACA’s rule that requires businesses to report, via form 1099, aggregate expenditures of $600 or more, annually, per vendor. That measure is still pending in the House, where leadership says it will be among the first “piece-by-piece” repeal measures on which the House will vote. 

 

The Senate did vote on—and pass—a 1099 reporting repeal proposal. On February 2, 81 Senators voted in favor of an amendment to the FAA bill. The repeal amendment was offered by Sen. Debbie Stabenow (D-MI). Seventeen Senators voted against the amendment.

 

Other efforts aimed at repealing the PPACA, piece-by-piece if not in its entirety, are also underway. These include:

 

• Repeal of the PPACA’s employer responsibility rules—S.20, introduced by Sen. Orrin Hatch (R-UT), with 23 cosponsors.

 

• Repeal of the PPACA’s individual mandate—S.19, introduced by Sen. Orrin Hatch (R-UT), with 23 cosponsors

 

• Numerous hearings on various aspects of the PPACA—including one at the House Ways & Means Committee on January 26 to which NPDA submitted a statement for the record. The Ways & Means hearing focused on the PPACA’s impact on jobs, employers and the economy. NPDA wrote in its statement that labor-intensive, low-margin businesses like the private duty industry are particularly hard-hit by the new and substantial costs imposed by the PPACA. NPDA asked Congress to repeal or change the employer responsibility rules to avoid the potential for jobs loss, higher costs to those who use companion care services, and/or diminution of private duty jobs from full-time to part-time.

 

• Amendments to “defund” the PPACA to the continuing resolution (CR) that is required, by March 4, to keep the government funded. (Current funding authority expires at midnight on March 3.) House GOP leadership promises multiple floor amendments to the new CR. These amendments are structured to prevent the federal government from using any funds to implement the PPACA.   The “defunding” amendments may well succeed in the House version of the CR. That will set up an intense debate with the Senate, where Democrats probably have the votes to block those defunding amendments from a final version of the CR.


Worker Classification

Worker classification (independent contractor) issues have fallen down considerably on the 112th Congress’ priority issues list. Because worker classification is widely viewed, in Washington, as a labor (unions) issue, it is not a high priority for the GOP. However, it is also widely acknowledged that how an employer classifies its workforce is a revenue issue—the federal government would collect significantly more in taxes were more workers to be characterized as employees rather than as independent contractors. Thus, the issue is not dead, despite its characterization (by the GOP) as a union issue. Rather, it awaits a tax-focused effort to reduce the deficit. Because Congress is starting on this year’s deficit reduction efforts with spending cuts rather than with tax proposals, this effort is unlikely prior to the summer, or even the fall.

 

However, Washington insiders do anticipate a worker classification proposal in President Obama’s fiscal year 2012 budget—that is due to go to Congress on or around February 14. If such a proposal is in fact in the budget, it is likely to mirror last year’s proposal—a repeal of the “safe harbor” (industry practice to classify workers as independent contractors), a repeal of the current law moratorium on IRS regulations to clarify independent contractor rules, and instructions to the IRS to issue clarifying regulations and to conduct more audits to determine whether workers are properly classified.

 

Also possible later this year is reintroduction of legislation that would require companies to keep more and better records on their workers’ classification status, and to inform workers of their status. There is also an ongoing joint state-federal initiative aimed at helping States to identify companies with workforces that may be improperly classified.

NPDA Welcomes New Associate Members


Lamb, Little & Co., Inc.  established in 1947, enjoys a unique position in the insurance marketplace.  We have evolved our client base, developing from a local to regional agency representing a national client base.  We have a broad range of expertise in varied industries, including home health care, information technology, manufacturing, constructions, non-profits and professional services, to name a few.  We represent a broad mix of national and regional insurers, along with our various consulting services, which enables us to custom-build your program.  We offer all lines of coverage.  Property/Casualty, Life, Disability, 401(k), Group and Individual Health and bonding.

 

Website: www.lamblittle.com

Contact: Brian Kernan - bkernan@lamblittle.com

 

The Waterford Group, Inc.  provides merger and acquisition consulting services, business evaluations and exit strategy planning for middle-market businesses.  We focus solely on the healthcare segment of the marketplace, which we believe gives us an edge when it comes to marketing your healthcare company.

 

Website: www.thewaterfordgroupinc.com

Contact:  Kevin Taggart - kevin@thewaterfordgroupinc.com


  

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Announcements

 

February Webinar

 

February 17, 2011

12:00 - 1:30 p.m. Eastern

"Turn-key Levels of Care & Medication Administration Training Programs"

 

This webinar will provide you with all you need to implement a successful training program for Levels of Care I, II, and III and a Medication Administration training program.  This presentation will be a fast-paced “Train the Trainer” format to cover 7 ½ hours of materials in 1 ½ hours and will include training manuals and study guides to use in your agency. Register here

 

 

Upcoming Education -Save the Dates!

 

April 12, 2011

12:00  p.m. Eastern

Developing A Winning Strategic Marketing Plan

 

May 24, 2011

12:00  p.m. Eastern

Unemployment Insurance

 

 

 2011 Private Duty Benchmarking Study

 

The 2011 Private Duty Benchmarking Study, co-sponsored by the NPDA and Home Care Pulse, is now ready for survey participants!  

 

Because hundreds of our members benefited from the 2010 Private Duty Benchmarking Study, we are not only continuing this annual study going forward, but want to  expand its reach and influence.

 

Our goal is to try and increase the participation numbers to over 1,000 agencies this year.  The greater the participation, the greater the depth and detail of the Final Report.  Those who take the time to participate will be well rewarded.   For your participation, you will receive the Final hard-copy 100+ page report for $29.95, which is about 90% off the $299 regular price!   (The report will only be available as a full color hard-copy).


Lastly, to increase participation, we are asking you to share this information and link with as many other private duty home care owners as you can, whether or not they are NPDA members.   Also, please forward it onto to your local state home care associations so they can get the word out to their private duty members.  Your help in this important effort will help our industry to continue to mature and grow.

 

Click here to participate and take the study.

 

 

 Mark Your Calendar

May 11-12, 2011

NPDA Annual Fly-In

 

Join your voice with other members of the NPDA as we meet with members of Congress to discuss such issues as changes to the employer share responsibility contained in the health insurance reform law, issues concerning misclassification of workers and keeping home care affordable.


May 11, 2011

3:30 - 5:00 p.m.

Briefing with NPDA Federal Lobbyists from DBK Consulting at the Holiday Inn Crowne Plaza (Arlington, VA)

 

6:30 p.m.

Dinner with other Fly-In Attendees

 

May 12, 2011

Capitol Hill visits with Members of Congress

 

Please join us for this educational and worthwhile event.  Professional Lobbyists and staff will prepare you for everything you need to know to have a worthwhile visit to Capitol Hill.

 


NPDA Reminders

 

National Private Duty Association on Facebook

 

Please join us and show us your support on Facebook.  Search for National Private Duty Association (not NPDA).

 

National Private Duty Association
941 E. 86th Street, Suite 270

Indianapolis, IN 46240
Phone:  (317) 663-3637

Fax:  (317) 663-3640

www.privatedutyhomecare.org




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National Private Duty Association
941 East 86th Street
Suite 270
Indianapolis, Indiana 46240
US

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