Subject: FAHSA LINK
Florida Association of Homes and Services for the Aging
February 28, 2008 Vol 15, Issue 12
Hands  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:

  • Rules Revision: the commission approved several rule revisions including clarifying the process for which a proposal that receives 17 yes votes must go through to get to the ballot. If a proposal receives 17 votes, it will then be sent to the style and drafting committee to ensure that the 15-word title, 75-word summary and proposal is drafted correctly.
  •  CP0007 (sales tax exemption review) was reported on as passing the Governmental Procedures and Structural Committee (GPS) and will come to the full commission for consideration. 
  • 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!  

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

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

Ziegler and CompanyA "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
 

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