Florida Association of Homes and Services for the Aging
February 7, 2008 Vol 15, Issue 9
Hands  FAHSA LINK
 
Welcome to this week's edition of the FAHSA Link.
 

FAHSA Strategy to Defend Worthwhile Sales Tax Exemptions and Exclusions -- Earlier this week, you received a Call to Action asking you to contact members of the Finance and Tax Committee of the Florida Taxation and Budget Reform Commission (TBRC) to urge them to oppose a proposal (CP0002) by Commissioner John McKay.  The proposal would amend the Florida Constitution to repeal all sales tax exemptions and exclusions other than health care, residential rent, food, prescription drugs, and fuel and utilities.  The revenue generated would be used to cut the local school portion of the property tax.  The committee is expected to vote on this proposal on February 12.

 

Since receiving the Call to Action, some of you have asked for additional details about our strategy to oppose this proposal and defend the continuation of worthwhile exemptions that benefit your organization.  Read on to learn more about what FAHSA is doing on your behalf.

 

·         FAHSA staff has been attending meetings of the Finance and Tax Committee and the full Commission.

·         FAHSA is a member of a business coalition consisting of representatives of several highly-respected and powerful statewide organizations.  The coalition, like FAHSA, supports a thoughtful review of sales tax exemptions by an independent body or the State Legislature to determine which exemption should be repealed.  They do not support a Constitutional Amendment that would repeal all but a few exemptions.

·         FAHSA is a member of Florida TaxWatch, a statewide independent, nonprofit research group that focuses mainly on the state budget and Florida's economy.  TaxWatch is working on a report on sales tax exemptions that includes a process and criteria to determine which should be repealed. This was requested by the Committee. TaxWatch also supports legislation that would allow Florida to join an interstate compact that would make it easier to collect a state sales tax on Internet sales.

·         FAHSA staff has communicated by letter with each TBRC Commissioner.  They have also spoken with several, including the chairman of the Commission.

·         Janegale Boyd testified before the Finance and Tax Committee and followed up with a letter to all committee members.  She also spoke with Commissioner McKay after she testified.

·         FAHSA staff has had several conversations with Commission staff with the goal of educating them about exemptions that are key to the affordability of long-term care and retirement housing.

·         FAHSA and the Florida Life Care Residents Association are in regular contact about this issue since it affects both providers and elder consumers.

·         FLiCRA and FAHSA representatives will be testifying at the February 12 meeting of the Finance and Tax Committee of the TBRC.

·         If CP0002 passes out of the Finance and Tax Committee, the full Commission must approve it before it can be sent to the Secretary of State as a ballot initiative (proposed constitutional amendment).  FAHSA representatives will testify before the full Commission if the proposal passes out of committee.  If time permits, you will receive another Call to Action asking you to contact commissioners who do not serve on the Finance and Tax Committee.

 

If you have questions, please call either Janegale Boyd or Mary Ellen Early.  Thank you for your help with this very important matter.

In This Issue
District and Membership News
Education News
General News
Home and Community-Based Services News
Housing News
Legislative News
Nursing Home News
Sponsor
Preferred Business Associates News
Job-Mart
FAHSA Quick Links

Governor's Proposed Budget Relies on $1.1 Billion in Trust Fund

Transfers to Balance the Budget

Governor Charlie Crist released his proposed $70.0 billion state budget for FY 2008-09 last week with education and an economic stimulus package taking center stage. We included a brief summary of the proposed budget in last Thursday's issue of the LINK.  Since that time, Florida TaxWatch (a statewide, nonprofit, nonpartisan research institute) released its analysis of the proposal, excerpts of which follow:

 

"The Governor recommends dealing with declining general revenue estimates by using $1.1 billion in 'reserves', basically transferring the money from various trust funds to the General Revenue Fund.  He also proposes using $600 million from lottery 'enhancements' and the gambling compact he signed recently with the Seminole Tribe.  His budget recommendations include only $300 in agency base budget reductions. He is also proposing more than $300 million in increased required local effort school property taxes over last year's budget.

 

By relying so heavily on trust fund transfers, the Governor's budget faces a constitutional hurdle.  The budget uses $900 million in nonrecurring revenue to fund recurring programs, which is 3.23% of total general revenue.  A 2006 constitutional amendment limits the use of such one-time money to 3%.  It requires a three-fifths vote of the legislature to exceed that limit.

 

The transfers include $740 million from various agencies' trust funds, including $180 million from housing funds and $97 million from environmental land acquisition funds.  The Governor also proposes using $400 million from the Lawton Chiles endowment, which contains the state's tobacco settlement money.

It provides $138 million to hold schools harmless from the property tax effects of Amendment 1.  He also wants to provide $26.2 million to offset any property tax losses for fiscally constrained counties (which the legislature required). 

 

This budget totals $69.962 billion, which is almost $2 billion less than the one passed by the Legislature last year.  After adjusting for the Governor's vetoes and subsequent budget cuts, this budget proposes to spend about $300 million less than the current year.  It also adds about 1,300 new positions, mostly in Corrections due to increased prisons."

 
What Happens Next?

"The Governor's recommended budget is the starting point for the Legislature to build the next state budget.  However, the Governor based his budget on the latest revenue estimates from November.  With a new estimating conference coming up, and the likelihood of more reductions, his priorities may be in danger. 

 

Additionally, oral arguments began last week in the Florida Supreme Court over the legality of the gambling compact the Governor signed with the Seminoles.  He is counting on that money for his recommendations.

 

Initial legislative reaction has been cool.  Both the House and Senate budget chiefs quickly issued statements that implied that the trust fund transfers will not fly, and that they are looking for more agency budget cuts.  CFO Alex Sink also weighed in warning that the proposed $129.5 million transfer from the Workers' Compensation Administration Trust Fund will require the state to raise Workers' Compensation assessments on Florida businesses as early as January 2009."


District and Membership News

Nominate Someone for FAHSA's Outstanding Advocacy Award -- This is your last chance to nominate a deserving member, colleague, or co-worker for the FAHSA's Outstanding Advocacy Award.  Nominations are due February 15th.  Click HERE to download a copy of the nomination form to get started on nominating a deserving candidate.  If you have further questions, contact Carole Hart, FAHSA Staff,  850-671-3700 or via e-mail chart@fahsa.org

 

Westminster Oaks Dedicates Wall of Honor - On January 24, Westminster Oaks Active Living Community honored the service of its residents and family members who served in the military with a special unveiling and dedication ceremony for the new Wall of Honor.  The Wall of Honor was a gift from Joyce Stovall in memory and honor of the life and service of her late husband, Peyton Don Stovall, who was decorated with the Purple Heart after the Korean War. The Wall of Honor is a legacy to the lives of Americans who have had a rendezvous with the destiny of our country.  The legacy continues.

 

Ambassadors for Aging Day 2008 -- Florida Sport Foundation and the Florida Department of Elder Affairs will host Ambassadors for Aging Day 2008 on February 20, 2008 at the courtyard of the state Capitol building in Tallahassee.   The Ambassadors for Aging Day is designed for elders and advocates from throughout the state to showcase the special contributions of older adults. The event will include exhibitors, health screens, performing arts, tours of the Historic Capitol and lunch, all at no charge to participants.  For information on this event, visit the Florida Department of Elder Affairs Web site.

 

Upcoming FAHSA Regional Meetings - Register Now

  • February 27- Southwest Florida Regional Meeting (Districts 9, 10, 11 and 12)
    11:00 a.m. to 3:15 p.m., Shell Point Retirement Community, Ft. Myers
  • February 28-  Central Florida Regional Meeting (Districts 4, 5, 6, and 13)
    11:00 a.m. to 3:15 p.m., Village on the Green, 500 Village Place, Longwood
  • February 29-  North Florida Regional Meeting (Districts 1, 2, 3, and 14)
    11:00 a.m. to 3:15 p.m., River Garden Hebrew Home for the Aged, Jacksonville
  • March 4-Southeast Florida Regional Meeting (Districts 7 & 8) 
    11:00 a.m. to 3:15 p.m., John Knox Village of Florida, Pompano Beach

 

FAHSA would like to welcome the following new members:

 
Communities/HCBS

The Veranda

 

Kramer Senior Services Agency

 

Individuals

Kevin McElroy

 

Companies

RehabCare

 

Cuhaci & Peterson Architects

 

Integrity Pharmacy Services, LLC

 

Aaron Corporate Furnishings

 

JSA

 

Onsite Health Care Services

 

Hertz Supply Company

 

Healthsense, Inc.

 

Aurora Ministries/AudioBiblesForTheBlind.org

 

Wolfe Flooring, Inc.

 

Admin Temps, Inc. dba MedBest Recruiting

 

LarsonAllen LLP

Education News

You Can Make a Difference - Plan to Attend FAHSA's Legislative Workshop! -- Join your colleagues in Tallahassee on April 15 & 16 for FAHSA's 2008 Legislative Workshop. Because of the sluggish economy and a deficit that continues to grow, the 2008 Legislative Session may be one of the most important in recent memory.  You can be part of the solution.  It's your opportunity to talk to your legislators about legislative proposals to plug a $2 million dollar deficit, repeal sales tax exemptions and exclusions, further reform property taxes, and jump start the economy. Depending on how these issues are handled, the solutions could hurt or help your organization. It's very important that you attend the workshop so you can share your concerns directly with your legislators.  Make hotel reservations now by calling the Wingate Hotel (850) 553-4400 and mention that you will be attending FAHSA's meeting to receive the discounted group rate.

 

Upcoming Educational Events:

  • February 25, 2008 -- Webinar - Use Current Marketing Challenges as an Opportunity to Rethink and Retool your Product and Rejuvenate your Marketing Staff at 2:00 p.m. EST.  A panel of marketing experts from three different companies will provide you with ideas that you can use to revitalize your marketing efforts and improve occupancy rates.
  • March 18 - Webinar - Paper Claim Training for Florida Medicaid LTC Billing on UB04
  • April 14 -- FAHSA Board of Trustees Meeting, Wingate Inn, Tallahassee
  • April 15-16 -- FAHSA Legislative Workshop, Leon County Civic Center, Tallahassee
  • May 19, 2008 - Webinar - Submitting Medicaid Claims through EDS's new Web Portal
  • July 27, 2008 - FAHSA's 5th Annual Strategic Visioning Workshop, Boca Raton Resort
  •  July 28-31, 2008 - FAHSA's 45th Annual Convention and Exposition, Boca Raton Resort

 FAHSA Calendar of Events

General News

Where's My Refund? - IRS is introducing an online refund-tracking tool, Where's My Refund? The service is available in English and Spanish. Taxpayers can access the Spanish version through either the Where's My Refund page on IRS.gov or the Spanish-language portal. The goal of this new feature is to make tax information available to taxpayers who don't speak English or those who know English as a second language. Taxpayers without Internet access can get the same information about their refunds by calling the IRS Refund Hotline at 1-800-829-1954.

Multifacility Compensation Report is Now Available - The 2007-2008 Multifacility Corporate Compensation Report, just published by Hospital and Healthcare Compensation Service (HCS), details salary information gathered from long-term care, home health, and hospital multifacility companies. 

 

Corporate salary information is reported nationally according to organization revenue size.   Also covered are data on pay policies and benefits.  The complete 160-page study is available for $595.  There is a 50% discount on the Report if another HCS Report is purchased simultaneously.

 

For compensation at the facility level, HCS publishes separate studies for Assisted Living, CCRCs, and Nursing Homes.  The Reports cover compensation levels on management, nursing, therapy, dietary, and clerical jobs. Data are reported according to unit-size, revenue size, state, geographic region, and principal city.  The Reports are endorsed by the American Association of Homes & Services for Aging (AAHSA), and supported by the American Health Care Association (AHCA) and the National Center for Assisted Living (NCAL). 

 

To view press releases on the studies, or to order, go to www.hhcsinc.com  or call HCS at (201) 405-0075.

 

Senator Nelson Reports on Economy and Stimulus Proposal -- In January, Senator Nelson held town hall meetings across the state and heard Floridians' concerns about the economy and their own financial well-being. The price of groceries, gasoline, property taxes, and insurance premiums have increased in recent years, and problems in the stock market and housing industry have gutted the main sources of wealth for the middle class.

The House of Representatives recently passed an economic stimulus proposal, and the Senate Finance Committee has released its own version. The Senate package would include a $500 rebate to any American with $3,000 of qualifying income to report on a 2007 tax return--including seniors living on Social Security. It would also extend unemployment insurance benefits and provide tax incentives for renewable energy.

 

Home and Community-Based Services News

Budget Increases May Only Help a Few State- funded Home and Community-based Service Programs - Last week, Mary Ellen Early, Sr. Vice President of Public Policy, participated in a FAHSA District 7 meeting hosted by Morris Funk at Joseph L. Morse Geriatric Center, West Palm Beach.  During the meeting, several service coordinators stated they were having more difficulty than ever getting frail elders enrolled in state-funded home and community-based service programs.  These are elders with limited incomes who do not have money to pay market price for in-home services or transportation. 

 

After the meeting, Mary Ellen contacted Darrick D. McGhee, Director, Office of Legislative Affairs, Florida Department of Elder Affairs, and asked him for an update on 2008 funding for Community Care for the Elderly (CCE) program, Waivers and Diversion Slots. Below is Mr. McGhee's response:

 

"Since February of 2007, the Aged and Disabled Adult (ADA) Medicaid Waiver and the Assisted Living for the Frail Elderly (ALE) Medicaid Waivers have been frozen.  The department attempted to get additional funding for the waivers during the 2007 Legislative Session but to no avail.  Beginning July 1, 2007, the Nursing Home Diversion Program was frozen to new enrollees because no additional funding or slots were allocated during the 2007 Legislative Session either.  Any clients enrolled after the freeze entered because of attrition.  However, during Special Session C, the Legislature appropriated some additional funding for the program effective January 1, 2008.  The funding allocated was only sufficient to cover 300 individuals.  Subsequently, the 300 individuals added to the program were classified as "Medicaid pending" according to section 430.705 (5), Florida Statutes.  This means that the individuals were already receiving services, but were pending financial eligibility for Medicaid.  When the additional funding became available, these individuals received money because of the retroactive payment of services."

 

"For the 2008 Legislative Session, the department submitted several legislative budget requests (LBRs). It was DOEA's attempt to secure additional funding for programs providing direct services to elders.  The Governor's recommended budget for state fiscal year 2008-2009 highlights the following funding for the Department of Elder Affairs' (DOEA) section of the Recommended Budget, but these figures could change based on what the Legislature decides to do during Session:"

 

1.     $931,136 to be used by the Department of Elder Affairs for Technology in the Comprehensive Assessment and Review for Long Term Care Services (CARES) Program. Prior to the release of funds, the department shall submit a work plan no later than September 1, 2008 and provide quarterly status updates to the Executive Office of the Governor.

2.     An additional $837,233 from nonrecurring Tobacco Settlement Trust Fund to provide respite services for 200 seniors in the Alzheimer's disease Initiative (ADI) Program.

3.     An increase of $2,070,000 from nonrecurring Tobacco Settlement Trust Fund to provide community-based services to 575 additional seniors in the Community Care for the Elderly (CCE) Program.

4.     A $8,500,000 reduction in General Revenue for the J. Byrd Alzheimer's Center and Research Institute.

5.     An increase of $6,292,534 ($2,802,695 from nonrecurring Tobacco Settlement Trust Fund and $3,489,839 from the Operations and Maintenance Trust Fund) to serve 770 additional crisis clients in the Aged and Disabled Adult Medicaid Waiver.

6.     $729,658 toward the Long-Term Care Ombudsman Program.  The Ombudsman Program is a volunteer-based organization through which more than 300 Ombudsmen investigate and resolve complaints made by, or on behalf of, the state's 160,000 long-term care residents. Governor Crist has proposed 16 additional staff positions to assess licensed facilities to ensure residents' health, safety and welfare.

7.     There were no new slots added to the Governor's budget recommendation for the Nursing Home Diversion portion under the Agency for Health Care Administration's (AHCA) section of the budget, however, the overall budget amount for diversion increased from the 2007 General Appropriations Act.   The Diversion amount as a result of the 2007 General Appropriations Act was $217,549,106 (included in this amount was money for PACE Projects in Miami-Dade, Martin/St. Lucie and Lee Counties).  The Diversion amount in the recommended budget, according to my calculations, is $246,389,408.  This is a $22,044,912 increase, possibly annualization.  

Housing News

Update on Sadowski Coalition - Housing Trust Fund - This week, the Sadowski Coalition held a meeting to discuss the Housing Trust Fund and the cap placed on funds that can be used for the development of new and existing housing programs for 2008.  Unfortunately, a large amount of the housing trust fund dollars are being placed into the general revenue funding line item of the state's budget to fill gaps generated from shortfalls.  According to committee member Mark Hendrickson, last year, the legislature placed $96 million from the trust fund into general revenue, and more is expected to be swept from the trust fund this year.

 

In the Housing Alert this week, a copy of the "Follow the Money" chart that was created by Mr. Hendrickson reflects a more accurate balance of the trust funds and the amount placed in general revenue. The degree to which affordable housing monies are being taken for other purposes in this proposed budget is substantial. FAHSA will continue to participate in the Coalition's efforts in 2008 and will keep you informed on any changes.

 

Other Housing Alert Issues:

 

·         Your Advocacy Efforts Are Helping!

·         How to Terminate a Tenant's Assistance

·         Solicitation Policy - Do You Have One?

·         Available Grants Posted on Grants.gov

·         2008 LIHTC Application Deadline

·         HUD Rescinds Notice of Increase in Mortgage Insurance Premium

·         HUD Issues New Memorandum on FSL

·         National Housing Trust Fund Legislation Introduced in the Senate

·         New U.S. Housing Market Conditions Published

·         Question of the Week:  More Comments Regarding Unruly Resident Council

 
 

FAHSA Housing Alert Page

 

Legislative News

2008 Pre-Session Update

 

Week in Review at the Legislature

 

Automated External Defibrillators (AED) -- SB 564 by Sen. Lee Constantine (HB 243 by Rep. Thom Anderson) passed the Senate Health Regulation Committee this week with one technical amendment to conform it to the House bill. The bill is intended to reduce the civil liability of having on AED available at a business.  Although the bill passed the committee unanimously, there were some questions. The Florida Trial Bar testified that they have concerns about this bill but will continue to work with the sponsor.

 

Committee on Healthy Seniors Hears Nursing Facilities Bill - HB 247 by Rep. Murzin passed out of the House Healthy Seniors Committee on Tuesday.  The bill contains several provisions related to licensure, regulations, and maintenance of state nursing home facilities.  Originally, the bill reduced the frequency of visits made by Quality of Care Monitors to nursing home facilities from quarterly to annually.  The bill was amended in committee so that monitor visits will continue quarterly.  Another amendment was adopted in committee that assures state law would not affect federal reporting requirements. 

 

Elderly Persons and Disabled Adults - SB 366 by Senator Gwen Margolis passed the Criminal Justice Committee.  The bill reclassifies offenses of aggravated abuse of elderly persons or disabled adults from second-degree felony to first-degree felony and requires certified law enforcement officers to complete training in identifying and investigating elder abuse and neglect before June 30, 2011.  In addition, the identical bill, HB 233 by Rep. Thomas Anderson passed the Homeland Security and Public Safety Committee and was referred to the Safety and Security Council.

 

HIV/AIDS Education - SB 646 by Sen. Gwen Margolis (HB 153 by Rep. Joyce Cusack) passed unanimously the Senate Health Regulation Committee with an amendment to conform it to the house companion.  This is a priority bill filed for FAHSA.  It revises the HIV/AIDS educational course requirements for employees and clients of specified health and social service facilities. Employees of the facilities will be required to take the HIV/AIDS course once rather than every two years.

 

Hospitalized Patients/Safe Lifting - HB 471 by Rep. Jimmy Patronis (SB 508 by Sen. Mike Fasano) passed out of the House Health Innovation committee.  The bill requires that hospitals, ambulatory surgical centers, and mobile surgical facilities establish a policy on the safe lifting of patients by their employees.  By December of 2008, each hospital must establish a policy addressing safe lifting and associated handling of patients by hospital employees which minimize the risk of injuries to patients and employees.  After the committee met, FAHSA staff met with Rep. Maria Sachs to address her concern about why nursing homes were not included.  FAHSA was able to satisfy her concerns by explaining that nursing homes are already providing safeguards and policies concerning the safe lifting of patients. 

 

Practice of Pharmacy - SB 334 by Sen. Burt Saunders passed the Senate Health Regulations Committee. The bill revises pharmacy licensure by endorsement requirements. Specifically, it deletes the current requirement that an applicant for licensure as a pharmacist must obtain a passing score on the licensure exam prior to 12 years of application. Also, effective July 2010, a pharmacist may supervise up to four, rather than three pharmacy technicians under guidelines as approved by the Board of Pharmacy.  A pharmacy technician must be a t least 16 years of age. Furthermore, a person who had a pharmacy license suspended, denied or restricted is prohibited from registering as pharmacy technician.

 

Senate Select Committee on Property Insurance Accountability Meets - The Senate Select Committee on Insurance Accountability met this week. During the two-day meeting, the committee heard testimony and responses from various representatives of the property insurance industry.  It is not clear which direction the select committee will be headed since some lawmakers recommended reversing last year's reforms while others suggested mitigating homes, or finding ways to sell off policies from the state- administered Citizens Property Insurance Corp.
Nursing Home News

CMS Preliminary Evaluation of the Quality Indicator Survey - FAHSA has received a preliminary draft of the Centers for Medicare and Medicaid Services (CMS) evaluation of the Quality Indicator Survey (QIS).  To read more about this and the issues listed below, please access the latest Nursing Home Alert, NH 08-06.    

Other Nursing Home Alert Issues:

 

·         AHCA Report on Nursing Home QIS Florida Rollout Plan

·         Revisit User Fee Questions and Answers

·         Changes to PASSRR/MI

·         Medicare Solicitations for QIO 9th Statement of Work

·         OSCAR Data Reports for Fourth  Quarter of 2007

·         NPI - March 1st is a Critical Date!

·         CMS Modifications to HCPCS Code Set

·         MedWatch Alerts and Warnings

·         CMS Forum Shows Positive Improvements in the MDS 3.0

 

FAHSA Nursing Home Alert Page

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Preferred Business Associates News
 

CoupleWithDollarFAHSA'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 or clicking on the FAHSA Preferred Business Associates Page hyperlink. FAHSA members can also use the on-line directory to search for PBAs by specialty.

 
Job-Mart
 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

Copyright 2008 -- Publication of the Florida Association of Homes and Services for the Aging (FAHSA).

  • FAHSA Chair: Alma Ballard
  • FAHSA President/CEO: Janegale Boyd
  • Managing Editor: Gail Matillo
Copyright Information: Copies of the articles and other information in this publication may be noncommercially reproduced for the purpose of educational or scientific advancement. Otherwise, no part of this publication may be reproduced or utilized in any form or by any means, mechanical or electronic, including photocopying, microfilm and recording, or by any information storage and retrieval system, without the written permission of the editor.

Correspondence: Should be addressed to: Editor, 1812 Riggins Road, Tallahassee, FL 32308. For telephone inquiries, call (850) 671-3700. Or E-mail FAHSA at info@fahsa.org. © 2008 FAHSA. All rights reserved.

Disclaimer: The information contained in this correspondence is not intended as a substitute for legal advice. Please discuss any information gathered from this or any other FAHSA publications with your legal counsel in the context of your particular situation before implementing any new policies or procedures.

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Florida Association of Homes and Services for the Aging | 1812 Riggins Rd | Tallahassee | FL | 32308