Tags Posts tagged with "congress"


The Medicare Payment Advisory Committee (MedPAC) voted last week and unanimously recommended a five percent payment reduction for inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and home health agencies (HHAs). There was no additional feedback provided with this recommendation; however, additional information should be provided in their upcoming March 2022 report to Congress.

Also worth noting was that MedPAC discussed its mandated report related to designing a value incentive program (VIP) for post-acute care (PAC). This report is required under the Consolidated Appropriations Act of 2021, and this was the commission’s second session dedicated to development of the PAC VIP. The report is due to Congress by March 15, 2022. Due to the limited time to develop the report, MedPAC asserted it would not be making a formal recommendation in the March Report to Congress. Also during this session, MedPAC shared its plan to submit its separate report on a unified post-acute care payment prototype to Congress in 2023.

Message from ANCOR: 

The White House just released its framework for the Build Back Better Agenda this morning. The framework includes $150 billion for Medicaid Home and Community-Based Services. There is still no legislative text available for the budget reconciliation bill, which is how Congress will move forward this framework. Negotiations are still ongoing. We will continue to update you as we know more.

We are encouraged that reports indicate that HCBS funding will be included in the final bill. But we want to make sure we don’t let up on our advocacy in this final stretch!

Please join us TODAY as we participate in a Day of Action along with our coalition partners from disability, aging, and labor groups.

  • Please take action with our latest action alert and ask your members of Congress to support increased funding for HCBS. And please continue to share this widely with your networks!
  • Take a moment to engage on social media. You can tweet your members of Congress by using the directory linked here. Sample social media posts are below.

Here are some sample tweets you can use:

  • #Medicaid #HCBS is key to including ppl w/ #disabilities in the community, but the direct support workforce is in crisis. Read more from ANCOR about this devastating crisis and why #CareCantWait:bit.ly/3ASgUH9
  • Funding for home & community-based services is essential to the health and well-being of people w/ disabilities, but the #HCBS direct care workforce has been underfunded for too long. Congress must invest now because #CareCantwait bit.ly/3ASgUH9
  • Without funding for #Medicaid #HCBS, it’s only a matter of time before people w/ disabilities completely lose access to the options and resources needed to remain in their homes and in the community. Fund HCBS because #CareCantWait
  • 81% of American voters support increased funding for home & community-based services. Support funding for #Medicaid #HCBS now. #CareCantWait
  • “We have to look at how we are going to provide services for our most vulnerable adults and children in the coming decades, and we need to create a long-term, sustainable solution for that.” #HCBSCantWait bit.ly/3jDoS0b
  • Please support including HCBS funding in the Build Back Better Act to ensure people w/ disabilities & their families do not lose access to the options and resources needed to remain in their homes and in the community. #CareCantWait
  • Congress must include funding for HCBS in the budget reconciliation bill. People like Brandon depend on it. #HCBSCantWait RT twitter.com/POTUS/status/1451544259992203266

You are also encouraged to tweet your own stories. Below are additional hashtags to use:

  • #CareCantWait
  • #BuildBackBetter
  • #HCBSCantWait

We also wanted to make sure we shared with you ANCOR’s letter sent to Congressional leadership yesterday in a final push to support increased funding for HCBS.

Thanks for all of your hard work and please keep it going!

Here are the resources from the White House:


The Build Back Better Framework: President Biden’s Plan to Rebuild the Middle Class

Elise Aguilar
Director of Advocacy
Alexandria, VA
(703) 535-7850

Donna Martin
Director for State Partnerships and Special Projects
1101 King Street, Suite 380
Alexandria, VA 22314
Office: 703.535.7850 x116
Direct Line: 571.781.0456

ANCOR Urges All Members to Take the Following Action:

The Ask: Use our action tool to insist that your members of Congress fully fund the $400 billion investment in Medicaid Home and Community-Based Services (HCBS) in the budget reconciliation package.

The Details: Congress is currently negotiating its budget reconciliation bill, which could include an investment of billions of dollars in the HCBS program. The House version of the bill included $190 billion in the HCBS program, falling far short of the promise President Biden made in his American Jobs Plan to invest $400 billion in HCBS and failing to meet the funding level outlined in the Better Care Better Jobs Act.

While we celebrate this historic investment in the HCBS program, the level of financing is insufficient to sustain access and stabilize the direct care workforce. The dire conditions facing our nation’s direct care workforce demand a greater investment.

Why It Matters: A $400 billion investment in dedicated support for HCBS is essential for building a sustainable HCBS infrastructure that can begin addressing the magnitude of unmet need in our communities, and frankly, increased funding for HCBS can’t wait any longer. Not only does investing in this program enjoy wide bipartisan support—81% of voters want to see this funding in the reconciliation bill—but ANCOR’s recent research shows how badly community services need resources to stabilize a workforce in crisis.

Our new report, The State of America’s Direct Support Workforce Crisis 2021, reveals deep concerns from our providers, including:

  • 92% of providers report that the pandemic continues to inhibit their ability to recruit and retain workers; the majority of these respondents point to the fact that industries that previously paid comparable wages now pay employees more than they can afford to do.
  • 77% of providers have had to stop accepting new referrals due to high turnover or lack of staff.
  • 58% of providers have had to discontinue programs or services due to high turnover or lack of staff.
  • 84% of providers have had to delay the launch of new programs or the opening of new homes due to high turnover or lack of staff.
  • 81% of providers report difficulties achieving required quality standards due to high turnover or lack of staff.

The findings of this survey reveal the significant need for an immediate federal response. As the House and Senate continue to move this historic legislation and enter negotiations on the final package, it’s essential that every member of Congress hears from you now.