| February 7, 2008 |
Vol 15, Issue
9 | |
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FAHSA
LINK | |
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| 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repealed.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criteria to determine which should be repealed.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.
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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."
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| 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:
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
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| Education News |
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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.
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March
18 -
Webinar - Paper Claim Training for Florida Medicaid LTC
Billing on UB04
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April
14 -- FAHSA
Board of Trustees Meeting, Wingate Inn,
Tallahassee
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April
15-16
-- FAHSA Legislative Workshop, Leon County Civic Center,
Tallahassee
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May
19, 2008 -
Webinar - Submitting Medicaid Claims through EDS's new Web
Portal
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July
27, 2008 -
FAHSA's 5th Annual Strategic Visioning Workshop,
Boca Raton Resort
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July
28-31, 2008 -
FAHSA's 45th Annual Convention and Exposition,
Boca Raton Resort
FAHSA Calendar of
Events |
| General
News |
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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.
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| 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
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| Legislative News |
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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 |
|
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 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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