Subject:
FAHSA LINK
|
|
| February 28,
2008 |
Vol 15, Issue
12 | |
|
FAHSA
LINK | |
|
| Dear Julie,
|
| Welcome to this
week's edition of the FAHSA Link.
Members
Rally to the Cause
-- The Florida Taxation and Budget Reform
Commission (TBRC) members have argued that even
though Amendment 1 on the property tax issue
passed, it did not go far enough in offering tax
relief in the minds of voters. The
appointed members of this powerful commission have
the unique ability to place constitutional
proposals (CP) directly on the November ballot and
are moving ahead with a series of deeper property
tax reductions. Although
this sounds like wonderful news for property
owners, it could have some devastating effects for
FAHSA members depending on where these cuts are
made!
Thanks
to everyone for your efforts leading up to
Monday's TBRC Finance & Tax Committee
meeting. While we did
not see the total demise of CP0002, however,
the
services tax portion of the proposal has been
removed. The elimination
of tax exemptions and the taxing of services would
have been a double whammy on FAHSA members. So one
might say we had a partial victory!
We are
now tracking three constitutional proposals (CPs)
that all address the elimination of sales tax
exemptions - CP0002, CP0007, and CP0050 (this is
CP0002, as amended). Please see
below for a summary of all pertinent proposals
taken up by the Committees and the full TBRC
Commission this past week.
TBRC
Finance and Tax Committee:
CP0002
was heard again this week. This
constitutional proposal would reduce property
taxes by 27% and shift the required local effort
(RLE) for school funding off of property tax. This
measure will require the Legislature to make up at
least $8 billion and as high as $9.5 billion in
revenue offsets with this revenue shift. The
majority of this revenue offset will have to come
from the Legislature removing existing sales tax
exemptions, although it remains to be seen which
exemptions would stay intact if any!
Twenty-five
speakers testified before the Committee on CP0002.
Only two of the speakers spoke in favor of the
proposal. Of the 23 that testified against the
proposal, three of them were, Roger Stevens, COO,
Westminster Services, Janegale Boyd,
President/CEO, FAHSA, and Bennett Napier, CAE,
FLiCRA. Additionally, 16 residents were present
from Westminster Oaks (CCRC) and Georgia Belle
Apartments (affordable housing) along with Don
Wilson, Administrator, Westminster
Oaks.
- CP0002 -
RLE
Replacement/Sales
Tax
After
lengthy presentations from two economists,
the committee approved an amendment to
CP0002 sponsored by Commissioner Levesque
(amendment 12) that was left pending at
the previous meeting. The
amendment barely passed by a 6-5 vote. As amended,
CP0002 passed by a unanimous vote of
11-0.
Amendment
#12 by Commissioner Levesque is similar to
CP0002 in that it requires the legislature to
repeal the RLE and replace the
$8 billion with a combination of three
revenue sources. Both require:
1.
Up to
a one-cent sales tax increase
2.
Repealing
sales tax exemptions
3.
Spending
reductions in the state budget and increases in
revenues
You
can find the full text of Amendment #12 that was
added to CP0002 at: http://www.floridatbrc.com/pdf/CP0002Amendment12_2.pdf
The next stop for this proposal is the full
commission.
We
understand that CP0002 (the amended McKay
proposal) will likely be heard at the full TBRC
meeting on Friday, April 4, so please mark your
calendars and assume that the services tax
provision that was stripped out this week will
likely come back up in the form of an
amendment.
- CP0050
- Elimination of RLE Property Taxes for
Education
This
proposal by Commissioner Levesque is nearly the
same language as what was included in her
amendment 12 to CP0002. The committee passed
this proposal by a unanimous vote of 10-0. The
full text can be viewed at: http://www.floridatbrc.com/pdf/CP0050.pdf
The
full TBRC met and debated several issues
including:
- SR0029
(joint legislative sales and use tax exemption
review committee) was reported on as passing the
GPS Committee and will come to the full
commission for
consideration.
- The
next TBRC meetings will be held at the
Department of Transportation (DOT) building on
the following dates:
- March 6
(committees) - March 7 (full commission) -
March 17 (full commission) - March 26 (full
commission) - April 4 (full commission) -
May 2 (full commission)
Thanks
again for an amazing show of resident, community,
and overall team effort the last couple of
weeks!
| |
 |
|
|
|
District
and Membership News |
|
Regional Meetings Bring Value to
FAHSA Members -- One More Opportunity to
Participate -- This week, FAHSA held
three of four regional meetings in Ft. Myers,
Orlando and Jacksonville. Close to 200
people attended the four-hour session, which
included a presentation on "The Silent
Generation", an overview of a comprehensive
demographic study that is being done in
partnership with Morrison Senior Dining, and round
table discussions tailored to the diverse needs of
FAHSA members. The speakers were
outstanding.
The fourth and last
meeting will be held on Tuesday, March 4 at John
Knox Village of Florida in Pompano Beach from
11:00 am to 3:15 pm. Don't miss out on this
great opportunity to network with your peers and
learn more about the current senior
market.
FAHSA Calendar of
Events |
| Education
News |
New
Ideas Shared During FAHSA's Occupancy Webinar --
This
week, more than 66 members participated in FAHSA's
Webinar, "Use
Current Marketing Challenges as an Opportunity to
Rethink and Retool your Product and Rejuvenate
your Marketing Staff". The
webinar featured four presenters -- Gayle Welsh
from Life Care Services; Rob Love and Lynn
Scrivner from Love and Company; and Bobby Sumner
from Retirement Dynamics. Each
presenter offered a 20
-minute overview of current and future economic
and housing market trends, suggested new ideas for
evaluating your organization's performance; and
shared many best practices. FAHSA
would like to thank the presenters for their
expertise and FAHSA staff, Mary Ellen Early, for
suggesting the topic and subject material.
Register
Now for FAHSA's Next Webinar -- On
March 18 at 2:00 to 3:30pm, Lori Hahn, Program
Manager with EDS, the state's new Medicaid fiscal
agent, will explain in detail, how to use the new
Medicaid Paper Claim Billing UB04 form.
Upcoming
Educational Events:
·
March
18 --
Webinar - Paper Claim Training for Florida
Medicaid LTC Billing on UB04 (2:00 to
3:30pm)
·
April
14 --
FAHSA
Board of Trustees Meeting, Wingate by Wyndham,
Tallahassee
·
April
15-16
-- FAHSA Legislative Workshop, Leon County Civic
Center, Tallahassee
·
May
19 --
Webinar - Submitting Medicaid Claims through EDS's
New Web Portal (2:00 to 3:30pm)
·
July
27 --
FAHSA's 5th Annual Strategic Visioning
Workshop, Boca Raton Resort
·
July
28-31 --
FAHSA's 45th Annual Convention and
Exposition, Boca Raton Resort
FAHSA Calendar
of
Events |
| General
News |
|
New
Technical Assistance Bulletin Distributed to
Members -- A
technical assistance bulletin on "Preventing Sex
Offenses in Long-Term Care Settings" was sent to
all members this week. The
bulletin was prepared at the request of several of
FAHSA's long-term care community members.
FAHSA's
public policy staff expects policy makers this
year to consider responding to recent news reports
by proposing stricter standards in nursing homes
and assisted living facilities. One proposal is to
require providers to screen all of their residents
and staff for sex-related crimes. As a result,
this technical assistance bulletin encourages
long-term care communities to review current
policies and consider adding relevant updates.
Consideration should be given to such factors as
identifying who the sex offender is; potential
indicators of sexual abuse; strategies for
prevention; and appropriate responses.
Although
this document was prepared specifically for
long-term care settings, the resources and
recommendations may be very helpful for providers
of independent living. The Technical
Assistance Bulletin has also
been posted to the Members Only Page of FAHSA's
Web site.
If you
have sample policies on background screening for
residents or employees and if you would be willing
to share these policies with other FAHSA members
please send to Carol Berkowitz via E-mail at: cberkowitz@FAHSA.org.
Elder
Law Pro Bono Seminar Scheduled --
Stetson University College of Law will be holding
a seminar on March 29th, 2008, from 9:00 a.m.
-Noon in the fellowship hall of Gulfport United
Methodist Church, 2728 53rd Street South,
Gulfport.
Stetson law students, under the supervision
of a local elder law attorney, will be drafting
Florida Bar-approved living wills and designation
of health care surrogate documents will be
available free-of-charge for all attendees . (If you
will be taking advantage of the free designation
of health care surrogate please make sure you have
the designee's name, address and phone number.)
All
are encouraged to attend this informative seminar
on vital issues affecting seniors. For more
information please contact: Casey
Stoutamire, at cstoutam@law.stetson.edu
Governors
Object to Proposed Medicaid Rules --
During the National Governor's Conference last
week, Governors opposed six new federal Medicaid
regulations that could shift billions of dollars
in costs to the states, forcing them to consider
cutbacks in services. The rules, scheduled to take
effect in the next few months, would reduce
federal payments for public hospitals, teaching
hospitals and services for the disabled, among
others.
Federal health officials said the new rules
were needed to end creative financing techniques
that states had used to obtain excessive amounts
of federal Medicaid money.
Try
These New Board Education Tools for Nonprofits --
Some
of you have asked for resources on board
governance. AAHSA has prepared a PowerPoint for
board education based on the 33 principles in Principles for
Good Governance and Ethical Practice: A Guide for
Charities and Foundations. The guidebook,
published late last year, is an outgrowth of the
work of the Panel on the Nonprofit Sector convened
by Independent Sector, an umbrella group of
national nonprofits.
The
PowerPoint can be used with the guidebook to
review with boards their responsibilities in four
areas: (1) legal compliance and public disclosure,
(2) effective governance, (3) strong financial
oversight, and (4) responsible fundraising. The CEO or
guest facilitator can show the Principles on
screen, pausing to discuss them more fully with
the board, while using the guidebook as a lesson
guide and talking points. Both tools are organized
in four stand-alone sections, making it easy to
cover the principles in a series of one or two
modules at a time over successive board meetings.
Access the PowerPoint and
Guidebook.
Read
a more detailed reference edition of the
guidebook
|
| Home and
Community-Based Services
News |
Dementia-Specific Adult
Day Center: A
model for the future --
More than 5 million Americans have Alzheimer's
disease. This disease has progressive symptoms
that are a major challenge for caregivers. Many
times, the purpose of Adult Day Centers is
misunderstood by caregivers and sometimes health
care professionals. Some people may equate adult
day with a child-day or child sitting service.
This false understanding of adult day has been a
barrier for developing these cost-effective,
quality community services. Specialization in
adult day services has been an effective way of
demonstrating how adult day services can make a
difference in preventing nursing home placement
for people with chronic diseases, such as
Alzheimer's. Recreational activities, nursing
services and even the building design of the adult
day center can be specifically designed to deal
with the symptoms of memory loss, short attention
span and wandering. In an article in The
Providence Journal, the reporter tells about the
specialized program at Hope Alzheimer's Center.
The Center has used fundraising and creative
programming to combat limited state and federal
funding. READ
MORE on this specialized adult day services
program. |
| Housing News
|
|
SHINE
Representatives Help Residents Prepare Taxes -
This
week, representatives from the Department of Elder
Affairs SHINE program helped residents from
Evangeline Booth Towers prepare their tax
returns.
According to Milo Ayen, Administrator, the
SHINE representatives completed taxes for all of
his residents in a couple of hours, making them
all eligible for stimulus package checks. For more
information, please contact SHINE directly at
1-800-963-5337.
DOEA
and AARP to Hold Community Forums - The
Florida Department of Elder Affairs, in
conjunction with AARP, has planned three community
forums around the state to provide technical
assistance and address the benefits and challenges
of an increasing elder population. In
addition, the forum will enlighten individuals on
methods for improving networking collaborations
among local, state and government agencies,
including civic, business, faith-based and
grassroots efforts, and presents an opportunity to
showcase best practices identified in
participating communities. The
community forums are scheduled on Friday, February
29 at the Renaissance Senior Center in Orlando;
Wednesday, April 9 at the Hale Activity Center in
Dunedin; and Thursday, April 17 at the Florida
Farm Bureau in Gainesville. For
locations and more information, please contact
Janine Rogers-Harris, DOEA, at (850) 414-2000 or
at the DOEA
Communities for a Lifetime Web
site. |
| Legislative
News |
|
2008
Pre-Session Update
Bill
Expands Background Screening Requirements for NHs
and ALFs -- SB
2216 by Senator Ronda Storms, Chair of the
Committee on Children, Families and Elder Affairs,
extends background screening to contractors,
contract employees and prospective residents of
nursing homes and assisted living facilities. The
bill also increases the frequency of regulatory
inspections and fines for ALFs with serious
deficiencies and creates an added fine of $160 per
bed to cover the costs of each additional
inspection.
SB
2216 was filed in response to a request by the
Ombudsman Council for background screening of
contractors and a family member whose relative was
sexually abused by another resident several years
ago.
This family member has been
lobbying for background screening of residents. It
also addresses concerns raised by Senator Storms
about a much-publicized incident involving an ALF
resident with facial cancer that went untreated.
Before the bill was filed, FAHSA staff met with
Senator Storms and staff of the Committee on
Children, Families & Elder Affairs. Some of
our comments were taken into consideration.
Nonetheless, the bill still contains regulatory
changes that will create compliance problems for
even the best providers. Please be sure to read
the upcoming 2008 Legislative Session Preview for
more on this bill and others that affect your
organization. |
| Nursing
Home News |
|
Medicare
Overpayments for Nursing Home Services Could Reach
$130 Million --
The
Medicare program might have paid nearly $130
million too much for hospital and laboratory
services from 2001 to 2003, a federal
investigation has discovered. HHS'
Office of Inspector General examined outlays for
outpatient hospital, lab and radiology services
included in Medicare Part A payments made to
skilled nursing facilities, hoping to learn
whether those services also had been paid for by
the Part B program. Auditors found that Medicare
Part B potentially overpaid more than $107 million
for such services in 2001 and 2002. In addition,
even after certain corrective measures were put in
place, potential overpayments were still about $23
million in 2003, the OIG said.
As a
result of its findings, OIG recommended that the
Centers for Medicare & Medicaid Services
instruct payment contractors to re-examine records
for the possibility of overpayments and then move
to recover them where appropriate. It also
suggested CMS test and refine payment system
protocols designed to identify such
overpayments. READ
THE FULL AUDIT
REPORT.
|
| Sponsor |
|
A
"PERSONAL" THANK YOU...The
focus of the upcoming AAHSA Future of Aging
Services Conference & Exposition (March
31-April 2) is Solving the Workforce Challenge.
Read the conference agenda and you'll see a series
of sessions focused on finding solutions to
workforce challenges, from supervisory and
leadership challenges to recruitment challenges.
"The solutions must be daring-"...says the
brochure. "We need bold, innovative answers that
are dramatic enough to create a lasting change in
our field."
Educational
sessions that provide answers are, by definition,
academic. Their content, though, when implemented
can bring life-changing results. "Life-changing"
is what my family has experienced and will provide
encouragement, I hope, to the efforts of so many
providers who have signed on to AAHSA's Quality
First initiative. To read the entire article from
FAHSA's PBA Ziegler click here. |
| 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.
|
 | |
|
| |
|
|
Florida Association of
Homes and Services for the Aging | 1812 Riggins Rd |
Tallahassee | FL |
32308 | | |