Florida Association of Homes and Services for the Aging
May 8, 2008 Vol 15, Issue 21
Hands  FAHSA LINK
 
Welcome to this week's edition of the FAHSA Link.
 

What's Next with PC 0002 - The Proposed Tax Swap Constitutional Amendment? -- Now that the Florida Taxation and Budget Reform Commission has concluded its work, some of you are wondering about the process that follows.

 

The Commission adopted seven proposed constitutional amendments which have been sent to the Secretary of State. Legislative approval of the proposed amendments is not needed.  Unless an organization or group of organizations successfully files a legal challenge, the proposed amendments will appear on the November 2008 ballot.  Depending on how the amendments are classified, either a 60 or 66% approval vote will be required for passage. (Any constitutional amendment that results in higher taxes requires a 66% approval rate.)

 

The now infamous CP 0002 will be amendment 5 on the November ballot.  It has been dubbed the Tax Swap amendment by the press and business community.  Amendment 5 would reduce the maximum annual change in assessments for non-homestead properties to 5% from 10% effective January 1, 2009.  It also would reduce the authorized ad valorem millage for school purposes from 5 mills to 10 mills effective January 1, 2010.  If the amendment passes in November, the 2009 Legislature would be required to replace the revenue lost as a result of the tax relief with: (1) a repeal of sales tax exemptions that do not advance or serve a public purpose, (2) an increase of up to one percentage point in the State sales tax, and (3) other revenues identified or created by the Legislature.  The tax relief provided by amendment 5 will result in the loss of approximately $9.8 billion in revenues (possible as much as $12 billion) that would have to be replaced with monies raised in part from the repeal of current sales tax exemptions and exclusions and other initiatives. 

 

Constitutional amendment 5 creates an exemption from the repeal of sales tax exemptions for: food; prescription drugs; health services; charitable organizations; religious organizations; residential rent, electricity and heating fuels; sales of tangible personal property purchased for resale or import, produced or manufactured in the State for export; sales of real property; and sales of intangible personal property. The language was amended for FAHSA to separate charitable and religious so that an entity does not have to be both charitable and religious to qualify for the exemption.  This was a very important and noteworthy victory. Unfortunately, the commission rejected our suggestion to define "heath care" and " charitable." Therefore, if the amendment passes, the Legislature and Department of Revenue must take on the task.  Depending on the definitions, it is possible that some of the exemptions nonprofit organizations, and "homes for the aged" and their residents now receive will be in jeopardy.

 

FAHSA and our members will have an opportunity during the 2009 Legislative Session, and the months leading up to it, to make a case that our exemptions do in fact serve a public purpose. We will need your help in making that case and educating lawmakers and candidates for the Legislature about the value of nonprofit organizations and "homes for the aged." The task will be complicated by the fact that many of our friends in the Legislature will not be returning in 2009 because of term limits.

 

If you have any questions, please feel free to contact either Mary Ellen Early or Janegale Boyd.

 

In This Issue
ALF News
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
FAHSA's Innovation Exchange Corner Feature
 

"Activities on Wheels"--

FAHSA's Innovation Exchange Program provides members with an opportunity to share ideas and best practices with others and to recognize their staff for extraordinary performance. Through the LINK, we hope to encourage more members to share what they do best and to increase awareness about the Innovation Exchange Web site, an important but little known resource. This month, we are showcasing "Activities on Wheels", which adds a new spin on activities programs.  This program was submitted by Sunnyside Nursing Home in Sarasota.

 

"Activities on Wheels" features a variety of activities placed on two rolling carts. The rolling carts travel throughout the nursing home and visit resident's rooms several times per day.  This allows the activities staff to interact with the residents who choose to stay in their rooms.  This also works well for residents who don't have the energy to participate in group activities after an intensive day of therapy.  Some of the activities on the carts include: CD players with a variety of music choices, books on tape, crossword puzzles, trivia sheets, word search puzzles, mini jigsaw puzzles, magazines of all types and large print books.  There are decks of cards, dominoes, and checkers for residents who wish to play board games, and water color painting for the artistic minded.  The cart also contains snacks like granola bars, cereal fruit bars, chocolate bars and cheese and crackers, for those who would like a small snack.  To read more about the program, please visit the FAHSA Innovation Exchange page on the FAHSA web site.

 

May is Older Americans Month

Older Americans Month materials from the U.S. Administration on Aging (AoA) are available online. The theme for Older Americans Month 2008 is "Working Together for Strong, Healthy and Supportive Communities." Materials include logos, posters, a sample proclamation and a sample article. Please download information in order to obtain materials for Older Americans Month.

 

ALF News

Failure to Test Staff for TB Tops ALF Deficiency List -- The following deficiencies were the most common citations for assisted living facilities (ALFs) from July 1, 2006 through June 30, 2007. Please share with your staff so they can check for problems in these areas when doing mock surveys or a risk management review.

  1. Tag 1103: The facilities failed to have staff TB annual check documentation.
  2. Tag 223: The facilities failed to document the elopement drills.
  3. Tag 1101: Personnel records did not contain TB verification.
  4. Tag 1104: HIV and AIDS update training were not documented.
  5. Tag: 1115: Employee background screening requests were not retained.
  6. Tag 222: Facilities failed to conduct two elopement drills.
  7. Tag 615: Facilities failed to maintain records for medications which serve as chemical restraints.
  8. Tag 309: Residents' records did not include the residents' contracts and addendums.
  9. Tag 511: Facilities failed to perform Level 1 background screenings.
  10. Tag 509: Managers failed to attend update training (core).
District and Membership News

Make Plans for AAHSA's Homecoming Week -- By now, you have probably heard about AAHSA's First Annual Homecoming Week: Community Treasures-Celebrating the Gift of Age. During the week of May 26-30, AAHSA is asking all members nationwide to open their doors to invite their greater community in and to discover how their organization and the people they serve make the community a better place to live. This is a wonderful opportunity to showcase your community and to help improve the image of nursing home providers. It is a way to demonstrate why our members stand apart from the others. Only a few FAHSA members have signed up so far to participate.

 

When you plan for the Homecoming Week, don't forget to make AAHSA a part of your Homecoming celebration by visiting AAHSA's online registration to provide the details of your event.  Please make sure to share your plans with FAHSA.  For your preparation, you may access the Toolkit.  If you have further questions, please feel free to contact Keesha Atkins at 202.508.9440.

 

Make Plans to Attend FAHSA's Next Regional Meeting -"Disaster Preparedness" -- Disaster Preparednesswill be the next featured educational topic at FAHSA's regional meetings in early June.  The meeting will be from 10:30 a.m. to 2:30 p.m., and include lunch and roundtable discussions.  If you have any discussion topics for this meeting, please e-mail them to Susan Tobin, FAHSA staff,  stobin@fahsa.org   Watch your e-mail for more information on these programs and mark your calendar to attend one or more of the dates listed below: 

 

FAHSA's Upcoming Regional Meeting Schedule

 

June 3   SE Florida Region          Jacob Building at the Douglas Gardens Campus,

June 4   SW Florida Region         Sunnyside Village, Sarasota

June 5   Central Florida Region    The Mayflower Retirement Community, Winter Park

June 6   North Florida                  Copeland Community Center, Advent Christian Village

FAHSA Calendar of Events

Education News

Register Now for FAHSA's Complimentary End of Session Wrap-Up - Register now and plan to join us on Wednesday, May 14, 2008 at 2:00 p.m. for FAHSA's 2008 End of Session Wrap-Up.  In addition to hearing a legislative wrap-up from the FAHSA public policy staff, David Daniel, Vice President of Governmental Affairs with the Florida Chamber of Commerce, will provide a summary of important legislation including:   

  • The state budget for FY 2008-09 and the dynamics that went into creating it;
  • The economic stimulus package;
  • Health insurance for the uninsured ;
  • TBRC proposals likely to be on the November ballot; and
  • Number of state Senate and House seats up for grabs in November and what it means to FAHSA members.

How to Submit Medicaid Claims through EDS New Web Portal - There's still time to register for this webinar, featuring Lori Hahn, Program Director, EDS.  The webinar will be held on May 19, 2008.  Register online from the FAHSA Web site.

 

Don't Miss your Chance to be a Part of the Leadership AAHSA Class of 2009! -- Leadership AAHSA offers a challenging and engaging year-long learning experience, designed to help aging services professionals accelerate their leadership development. Tuition waivers are available - so please apply!!!  To fill out an application, please click on the online application form.  The application deadline is May 15, 2008.

 
Upcoming Educational Events:

 

May 14, 2008 - Webinar - FAHSA's End of Session Wrap-Up -- FREE

May 19, 2008 - Webinar -- How to Submit Medicaid Claims through EDS New Web Portal

June 10, 2008 - Webinar - Changes in Eligibility Requirements for LTC Programs

July 27, 2008 - FAHSA's 5th Annual Strategic Visioning Workshop, Boca Raton Resort

July 27, 2008 - FAHSA's Preceptor Training Program, Boca Raton Resort

July 28-31, 2008 - FAHSA's 45th Annual Convention and Exposition, Boca Raton Resort

 

FAHSA Calendar of Events

General News

FAHSA Award Nominations Due May 26th -- It is time once more to acknowledge that special individual, organization or entity that has made an "Outstanding" contribution to the field of housing/retirement communities/or health care for seniors.  The nomination brochure and forms have been mailed to FAHSA members, however, the brochure and nomination form are now online for your review.  Go to the FAHSA website, click on Calendar of Events, then click on the Awards Program links.

 

If you have any questions, contact the FAHSA Office at (850) 671-3700 or if you wish to submit a letter of nomination, please send it to chart@fahsa.org or via FAX to (850) 671-3790.

 

Wal-Mart Expands Drug Discounts - According to as recent article in the Miami Herald, Wal-Mart announced that it was expanding its four dollar prescription-drug program to include more than 1,000 over-the-counter drugs and adding 90-day prescriptions for $10.  Target stores immediately said it would match all aspects of the program.

 

What's New on the Quality First Web Site? -- Subscribe to the Quality First RSS feed to learn when new resources are added to the Web site. See the "Quality First RSS Feed" section on the Quality First home page to subscribe to this RSS feed. Contact: Maggie Flowers, at mflowers@aahsa.org or (202) 508-9421.

 

New Aging in Place Reports Released -- Two reports, one from AARP and the other from the Center for Aging Service Technologies (CAST) of the American Association of Homes and Services for the Aging, concluded that seniors want to use technology to age safely in place. The studies also found that caregivers believe some challenges can be eased through technology. The reports also found that both seniors and caregivers raised concerns that factors associated with the technology such as installation and maintenance costs act as barriers to the use of these new products. "Our study shows that we can create a network of technology-driven services to help elders stay at home and achieve better outcomes," said Majd Alwan, Ph.D., Director, CAST. To find out more about CAST and to read its reports, please visit the CAST Web site as well as review the entire article.

 

 

Home and Community-Based Services News

CMS Posts "Refinement of Medicare's Home Health Prospective Payment System- Final Report" -- Recently, CMS posted the Abt Associates Technical report titled, "Refinement of Medicare's Home Health Prospective Payment System: Final Report," describing results of research and analysis conducted to address Medicare's information and program administration needs pertaining to the home health prospective payment system (HH PPS) that was implemented in October 2000. The report provides details on the data analysis and simulations used by CMS in the development of the May 4, 2007 Notice of Proposed Rulemaking (CMS-1451-P) and the August 29, 2007 Final Rule w/ Comment (CMS-1541-FC) for the Home Health Prospective Payment System Refinement and Rate Update for Calendar Year 2008.

 

The report is available in two parts: the Technical report and the Appendix containing associated tables.For more information, please visit the CMS Home Health Agency (HHA) Center website.

 

Checkout May 1 Issue of AAHSA Home and Community-Based Services Report --

The May 1 issue of AAHSA's Home and Community-Based Services Report contains a number of articles related to the regulation in reimbursement of home health services.  If you have not read the publication, it is available by clicking on AAHSA's web site.
Housing News

Temporary Interruption in Service -- There will be a temporary interruption in the service of the Enterprise Income Verification (EIV) Multifamily Help Desk until approximately May 16, 2008, due to contractual issues.  EIV apologizes for this inconvenience and requests that all contact with the Multifamily Help Desk be by e-mail to Mf_EIV@hud.gov.  Once the contractual issues have been resolved, the Multifamily Help Desk will respond to the e-mails in the order in which they were received.

Affordable Housing Study Commission to Resume - The Affordable Housing Study Commission (AHSC) will resume in 2008 for its quarterly meetings beginning on June 19th, 2008 when they will select and discuss which study topic(s) to choose for the 2008-2009 study year.  If you have any suggestions for a new study topic or to serve on the AHSC board of directors, please send your e-mail to Odetta MacLeish-White at Odetta.MacLeish-White@floridahousing.org.

 

Representatives who are experienced in housing and knowledgeable about the constituency are needed to serve on the AHSC board of directors.  The open seats that are currently available include: 

  1. A member who represents statewide growth management
  2. A member who represents elders
  3. A member who represents very low and low income persons
  4. A member who represents homeless interests

HUD Issues Memo Indicating Economic Stimulus Checks Will Not Impact Income Calculations -- HUD has issued a new memo noting that the economic stimulus payments authorized by Congress in February 2008 should not be used for income calculations determining tenant eligibility and rents.  

FAHSA Housing Alert Page

Legislative News
 

Elevator Safety Bill Extending Timeframes Did Not Pass --

Substantial legislation that would have been beneficial for some FAHSA members extending the deadlines for an alternative power source in place to operate an elevator during a power outage in residential multifamily dwellings and for verification of compliance with installation and operational capability requirements did not pass during session.  The bill, HB 253/SB 550, sponsored by Rep. Frishe / Sen. Jones would have extended those deadlines by at least two years. The House passed their version of the bill, sent it to the Senate, but it died in messages.

 

Please make sure that you are in compliance with legislation in s. 553.509 that passed in 2006 and that your disaster plan includes the following information:

  • Multistory affordable residential dwellings for persons age 62 and older that are financed or insured by the United States Department of Housing and Urban Development must make every effort to obtain grant funding from the Federal Government or the Florida Housing Finance Corporation (FHFC) to comply with this subsection. FAHSA requested a letter from Steve Auger, Executive Director with Florida Housing Finance Corporation stating that grant funds for generators are not available at this time.  The letter is posted on the FAHSA website for your records.

  • If an owner of a residential dwelling cannot comply with the requirements of this subsection, the owner must develop a plan with the local emergency management agency to ensure that residents are evacuated to a place of safety in the event of a power outage resulting from a natural or manmade disaster or other emergency situation that disrupts the normal supply of electricity for an extended period of time. A place of safety may include, but is not limited to, relocation to an alternative site within the building or evacuation to a local shelter.
Nursing Home News

 

Proposed Rule Would Cut Medicare Payments to Skilled Nursing Facilities (From AAHSA) -- 

A technical "recalibration" of Medicare rates just proposed by the Centers for Medicare and Medicaid Services (CMS) would cut payments to skilled nursing facilities by $770 million, or 3.3 percent, in fiscal year 2009. CMS claims that nursing facilities would see only a net 0.3 percent cut in payments because of the annual market basket update the agency has recommended for next year. However, President Bush's budget called for the market basket update to be withheld for next year and Medicare legislation which Congress must pass this year could affect the update. We strongly oppose any reduction in Medicare payment rates and we are making our objections known to both CMS and Congress. We will issue a special report later this week with more information and steps you can take to prevent this cut. For more information, please contact Barbara Manard at 202-508-9435.

 

Other Nursing Home News:

  • Posting Nursing Home Guide and Watchlist
  • Ramifications of Corrections/Supplements to Clinical Records
  • Advancing Excellence Campaign Schedules Teleconference

FAHSA Nursing Home Alert Page

AAHSA/MedAssets GPO

Now's the Time to Enroll in AAHSA/MedAssets Group Purchasing Program --  It's no secret that AAHSA's new partnership with MedAssets means more savings for our members. Don't miss out on this expanded member benefit. Please complete, sign and return the Group Purchasing Enrollment Documents by May 31. When you enroll, you are under no obligation to use any of our contracts. All of the options are up to you. Don't leave money on the table. Enroll today. Contact: Toni Lindsay (202) 508-9494. Read More

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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