Tips for Reading the FAHSA Link
Welcome to this edition of the FAHSA Link.
Please note that news topics are highlighted in a brief paragraph or
two. To read the complete document related to a specific member
type, click on the link directly following the article (which will
take you to the Alerts Page for ALFs, CCRCs, HUDs, General, or
Nursing Homes) and then click on the latest ALERT. Please remember
that last year, the FAHSA Board of Trustees made the decision that
your membership dues will entitle you to access only those Web pages
that relate to the membership type your dues cover. That is, if you
pay dues for nursing home beds only then will you be able to access
all general membership and nursing home-related Web pages, but you
will be unable to access housing, ALF or CCRC topics. Suggestions/Comments
FAHSA Quick Links
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Committee of Florida Taxation and Budget Reform
Commission Votes for Review of All Sales Tax Exemptions and
Exclusions - Last week, the finance committee of Florida's
Taxation and Budget Reform Commission voted unanimously to
recommend that the Legislature review hundreds of sales-tax
exemptions and exclusions, and revamp Florida's salestax
system.
The measure opens the door for a plan suggested by former
state Senate president John McKay earlier this month. McKay's
plan calls for property taxes to be slashed by 40 percent, and
replaced by about $9 billion worth of repealed sales tax
exemptions and exclusions that have allowed hundreds of
materials and services to go untaxed for years. "Necessities
of life" items such as food, prescription drugs and health
services would remain exempt from sales tax. Since long-term
care and personal care services do not fall under the
definition of "health care," they would be subject to a sales
tax unless the legislature voted to create a specific
exemption for these services. The same is true of entrance and
monthly fees charged to residents of continuing care
communities.
McKay's proposed reform calls for $9 billion worth of
sales-tax exemptions and exclusions to be repealed. The
Legislature would have to decide whether an exemption is
justifiable and could only reenact an exemption with a
three-fifths vote - no easy feat.
Tax analysts from around the country agree that sales-
tax exemptions should be reviewed periodically, but shouldn't
be eliminated in one fell swoop. Harley Duncan, executive
director of the Washington, D.C.- based Federation of Tax
Administrators, said other states have repealed some sales-tax
exemptions over the years, but McKay's plan appears to be as
far- reaching as any he's seen.
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| District and Membership News
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FAHSA Member Testifies at
Delegation Meeting - On November 15, Luanne Reese
(Mease Manor, Dunedin) testified before the Pinellas
County Legislative Delegation. She pointed out that the
proposed constitutional amendment to automatically
repeal sales tax exclusions and exemptions is fraught
with problems and will have unintended consequences for
the public. The resulting sales on all but a few
services will be particularly troublesome for vulnerable
populations, like frail elders, who must purchase a
variety of services to maintain a decent quality of
life.
Luanne also urged local legislators not to reduce
nursing home funding if another round of budget cuts
take place as a result of the poor economy and housing
slump. Please go to FAHSA's Legislative
Issues page (click on Public Policy Priorities 2008)
for the list of these and other public policy priorities
that Luanne distributed to Delegation members.
Legislative delegation meetings are an important way
of educating lawmakers about FAHSA's public policy
concerns. Please contact Mary Ellen Early
(meearly@fahsa.org) if you are willing to represent the
association at one of these meetings.
Upcoming Membership Events:
- November 28 -- FAHSA District 3 Meeting,
Terry Conference Center, DePaul Building, St.
Vincent's Campus, Jacksonville
- December 5 -- FAHSA District 7 Meeting,
Kramer Training Room, The Tradition of the Palm
Beaches, West Palm Beach
- December 11 -- FAHSA District 5 Meeting,
Sheraton Orlando Downtown, 60 South Ivanhoe Blvd.,
Orlando
- January 8-9, 2008 - FAHSA Board of Trustees
Meeting, Boca Raton Resort & Club, Boca Raton
- January 15-16 -- FAHSA's Dynamic Directions
Advanced Nurse Leadership Workshop including QIS
Training, Safety Harbor, FL
- April 14 -- FAHSA Board of Trustees
Meeting, Wingate Inn, Tallahassee
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| Education News |
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Use FAHSA's Self-Study Training Modules to
Meet Regulatory Requirements - If your community is
looking for an efficient and cost-effective way to
ensure that new and existing staff meet mandatory
educational training requirements, consider purchasing
one or more of FAHSA's training Videos/DVDs:
- HIV/AIDS Prevention & Treatment
- Domestic Violence
- Medical Errors
- OSHA Universal Precautions & Infection Control
- Resident Abuse Prevention Program
The advantage of using the training series is that
individuals can work at their own pace and complete the
training on their own or as part of a group. For new
hires, this option in invaluable. It not only saves
time, it saves money in regulatory problems!
See a list of programs at: http
://www.fahsa.org/documentsvideos.htm -- Click on the
FAHSA Training Courses and Products Brochure.
END OF YEAR SPECIAL -- There is a 10 percent
discount if you order by 12/31/07!
MDS Coding and Care Planning Webinar --
November 27 at 2:00pm to 4:00pm.
This Webinar
will relate to the new QIS process and is specifically
designed for MDS Coordinators, RNs, LPNs, DONs, ADONs,
administrators and other nursing home direct care staff
and administrators.
The Long-Term Care Minimum Data Set (MDS) is the
single most important data instrument that can impact
resident care, care planning, financial success or
failure, legal defense, survey outcomes, quality
assurance and communication between facility staff.
Please visit the FAHSA Calendar
of Events to view the brochure or register online.
Plan to Attend - We're putting a fresh face on
FAHSA's January Dynamic Directions: Advanced Nurse
Workshop....just for you! With the help of our
dynamic planning team, we're putting together a program
that will meet the needs of not only Directors of
Nursing, but quality assurance nurses, staff development
nurses, charge nurses and CNA instructors. Nurses
practicing in nursing homes, and assisted living
settings will want to attend. Please visit the FAHSA Calendar
of Events to view the brochure or register online.
Upcoming Educational Events:
- November 27, 2007 - MDS Coding and Care Planning
Webinar
- January 15-16, 2008 -- FAHSA's Dynamic Directions
Advanced Nurse Leadership Workshop including QIS
Training, Safety Harbor
- April 15-16, 2008 -- FAHSA's Legislative Workshop,
Leon County Civic Center, Tallahassee
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| General News |
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Citizenship Department Refines Employment
Credentials - U.S. Citizenship and Immigration
Services (USCIS) has released a list of acceptable
credentials that companies can use to verify the
employment eligibility of new hires.
Employers may now accept the following documents
under "List A" of Form I-9: U.S. passport, permanent
resident card or alien registration receipt card, an
unexpired foreign passport with a temporary I-551 stamp,
an unexpired Employment Authorization Document that
contains a photograph, and an unexpired foreign passport
with an unexpired "Arrival- Departure Record."
Employers no longer can accept the following under
"List A": a certificate of U.S. citizenship, certificate
of naturalization, an alien registration receipt, an
unexpired re-entry permit, and an unexpired refugee
travel document. Nursing homes, which employ many
immigrants, are becoming increasingly concerned as the
government cracks down on employees of illegal status.
Florida Agency for Health Care Administration
Launches FloridaHealthFinder.gov - The Florida
Agency for Health Care Administration has launched a new
consumer health care Web site aimed at assisting
Floridians in search of accurate and trusted health care
information. The newly designed site
builds on past developments by combining www.Florida
HealthStat.com and www.Flori
daCompareCare.gov into one central site. It also
provides additional health care information, including a
health encyclopedia with thousands of articles and
illustrations, and a list of health care facilities,
information about insurance, medications, seniors,
medical conditions, health care data, and resources for
medical care and health care professionals.
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| Housing News |
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Senate to Vote on Housing Bill after the
Holidays -- Recently, the House of Representatives
passed the FY08 Transportation, Housing and Urban
Development, and Related Agencies (THUD) conference
report by a vote of 270- 147. The vote was short of the
two-thirds majority of those present needed to override
a presidential veto. The voter list is available by
clicking on the Web site link -- htt
p://clerk.house.gov/evs/2007/roll1102.xml.
The White House then issued a Statement of
Administration Policy (SAP), threatening a veto because
the bill exceeded the president's spending requests by
nearly $3 billion, and does not cut what the president
deemed ineffective programs. The HUD portion of the bill
contains $183.5 million in Economic Development
Initiative earmarks where the FY07 HUD spending bill did
not include Economic Development Initiative earmarks.
The Senate was to have taken up the FY08 THUD
conference report before Thanksgiving recess but failed
to do so. The Senate is expected to vote on the bill
when it returns from recess the week of December 3.
Until then, HUD is operating on a continuing resolution
that expires December 14 that is currently providing
funding for HUD program at the FY07 levels.
Other Housing News:
- HUD Supports Display of Religious Symbols During
Holiday Season
- HUD Publishes CDBG Study
- Available Grant Funding Notice
- Question of the Week: The Latest Information about
LEP
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| Home and Community-Based Services
News |
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Senate to Review Regulatory Requirements for
Home Health Agencies - A Senate Interim Project will
study the proliferation of new home health agencies and
review licensure requirements and regulatory standards
prior to the 2008 legislative session. Based on the
findings of the project, new legislation and regulations
affecting home health agencies may be proposed. While
there is currently no moratorium on new licensure of
HHAs, new licensure certification surveys have been
placed on the lowest priority level for the coming year,
and Associated Home Health Industries of Florida has
identified the issuance of a moratorium on new HHA
licensure as its top priority for the 2008 legislative
session. The findings of this study could be used to
bolster AHHIF's claims that widespread fraud exists
within the home health market, and that a moratorium
would give the legislature and regulatory agencies the
time needed to investigate the fraud and develop
stronger rules governing HHAs.
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| Legislative News
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Florida Senior Care Back on the Table -
FAHSA has been invited by AHCA Secretary Andrew Agwunobi
to participate in a panel presentation specifically on
the evaluation of Florida Senior Care. The meeting is
scheduled for Thursday, November 29. FAHSA COO Erwin
Bodo will represent the Association. He will reiterate
the importance of an independent evaluation that focuses
on quality, consumer choice, and resource adequacy. From
FAHSA's perspective, it is extremely important that
Florida Senior Care enrollees are refereed to
appropriate and good providers rather than the least
costly options. Immediately prior to the afternoon
meeting, there will be an opportunity for public comment
on the 1915 (c) waiver amendment. Dr. Bodo will also be
representing the Association at this meeting.
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| Nursing Home News
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Secretary Agwunobi Invites Administrators to
NH Roundtable - The Agency for Health Care
Administration Secretary, Dr. Andrew Agwunobi, has
invited all nursing home administrators to an informal
roundtable discussion with him. The roundtable is
scheduled for Tuesday, November 27 from 1:00 to 3:00
p.m. Read more on this and the issues listed below in
the latest Nursing Home Alert, NH 07-32.
Other Nursing Home News:
- Revisit Fees Will Continue Until Mid-December
- MDS Coding & Care Planning Webinar -- November
27 from 2:00 to 4:00 p.m.
- MDS Coding Corner
- MedWatch Warnings and Alerts
- Special Open Door Forum Conference Call: How to
Become a Quality Improvement Organization
- Providers Take Beating in Capitol Hill Hearings
- Advancing Excellence in America's Nursing Homes
Campaign
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| Preferred Business Associate
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Alternative Investments and Nonprofits: The
Danger of Oversimplifying Asset Classes - Now more
than ever, institutional investors are being urged to
allocate funds to alternative investments. The
conventional wisdom is that this kind of portfolio
diversification will improve future returns, since
returns from these non-publicly-traded investments are
not correlated with those of conventional asset classes.
While it is true that in many cases, asset classes
within the alternative investment universe have
significantly outperformed equities and fixed income
without obvious evidence of increased risk, it is also
true that there is no free lunch: Investments promising
outsized returns are always associated with significant
risks that may or may not be appropriate. The key to
deciding whether to make an allocation to an alternative
investment asset class is a strong understanding of what
is available and of the nonprofit organization's ability
to understand the product. To read the complete article
please click HERE.
This article was provided by Lancaster Pollard, one of
FAHSA Preferred Business Associates.
FAHSA's Preferred Business Associates Program
(PBAs) -- A list of PBAs can be found by on the
FAHSA Web site www.fahsa.org
and selecting Preferred Business Associates from the
left side menu bar. FAHSA members can also use the on-
line directory to search for PBAs by specialty.
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| JobMart |
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FAHSA is pleased to provide an opportunity for
you to advertise your "position wanted" or "position
available" through the FAHSA Link newsletter and
on our Web Page.
FAHSA members may use the Job Mart services at no
charge. A nominal fee of $25 will be charged to
nonmembers.
Your Job Mart advertisement will be displayed on our
Web site for approximately three months. The FAHSA
Link is published weekly and distributed to our
membership which is comprised of nursing homes, CCRCs,
HUD housing, assisted living facilities, independent
living facilities and companies/firms.
To reserve advertisement space in our Job Mart
program, please complete the application
and fax it to FAHSA at (850) 671-3790 or E-mail Erin
Steele at esteele@fahsa.org
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