On January 3, statewide constitutional officers – including governor, lieutenant governor, attorney general, secretary of state and treasurer – and newly-elected state legislators were sworn in.  In addition, the 2023-2024 session of the Wisconsin State Legislature began.  Republicans will continue to have majorities in both the Assembly and Senate. 

In December, Assembly and Senate leadership announced the members of the various legislative committees.  The following is a list of the legislators who are now members of the health-focused committees for the 2023-2024 legislative session: 

Assembly Health, Aging and Long-Term Care Committee

• Rep. Clint Moses (R-Menomonie), Chair
• Rep. Donna Rozar (R-Marshfield), Vice-Chair
• Rep. Rob Brooks (R-Saukville)
• Rep. Barbara Dittrich (R-Oconomowoc)
• Rep. Rick Gundrum (R-Slinger)
• Rep. Gae Magnafici (R-Dresser)
• Rep. Dave Murphy (R-Greenville)
• Rep. Angie Sapik (R-Lake Nebagamon)
• Rep. Ellen Schutt (R-Clinton)
• Rep. Rob Summerfield (R-Bloomer)
• Rep. Nancy VanderMeer (R-Tomah)
• Rep. Lisa Subeck (D-Madison), Ranking Democratic Member
• Rep. Daniel Riemer (D-Milwaukee)
• Rep. Jimmy Anderson (D-Fitchburg)
• Rep. Robyn Vining (D-Wauwatosa)
• Rep. Dora Drake (D-Milwaukee)

Senate Committee on Health

• Sen. Rachael Cabral-Guevara (R-Appleton), Chair
• Sen. Patrick Testin (R-Stevens Point), Vice Chair
• Sen. Mary Felzkowski (R-Tomahawk)
• Sen. André Jacque (R-DePere)
• Sen. Dianne Hesselbein (D-Middleton), Ranking Democratic Member
• Sen. Tim Carpenter (D-Milwaukee)

·         Legislative Session

Both the State Senate and the State Assembly were on the floor this month, but only dealt with limited calendars. Both houses adopted an amendment to the constitution relating to bail imposed on defendants awaiting trial, as well as a resolution to create an advisory referendum to be held at the April non-partisan election on the issue of whether individuals receiving public assistance should be subject to a work requirement. The proposed constitutional amendment will also go before voters (to approve or deny) in April.

·         Protasiewicz with Early Supreme Court Fundraising Lead

The first campaign finance reports for WI Supreme Court candidates were due earlier this month, and Milwaukee County Circuit Court Judge Janet Protasiewicz reported raising $756,000 in the last 6 months of last year, more than doubling her next closest competitors.  Waukesha County Circuit Court Judge Jennifer Dorow raised $306,000, former Supreme Court Justice Dan Kelly raised $312,000 and Dane County Circuit Court Judge Everett Mitchell raised $115,000.  The four face off in a primary in February, with the top two vote getters moving on to the April General Election.  While the Supreme Court is nonpartisan, its members do loosely line up along ideological lines, with Conservatives holding a 4-3 advantage. For Conservatives to maintain their majority, either Dorow or Kelly would need to win the April Election.

·         Legislative Republicans circulate Tax Proposals

Legislative Republicans have proposed two bills early this session focusing on tax cuts, fulfilling campaign promises from last fall.  Earlier this month, Senate Majority Leader Devin LeMahieu circulated a bill that would phase in a flat tax over the next four years.  The State currently has four income tax brackets, and if this bill were to pass, everyone in Wisconsin would be paying a rate of 3.25%, down from 7.65%, which is what taxpayers in the upper bracket are currently paying.  Governor Evers has said he does not support this proposal, although he is likely to introduce his own income tax relief proposal in his budget bill.

Republicans have also re-introduced legislation to eliminate the personal property tax in Wisconsin.  While Evers vetoed a bill to repeal the personal property tax last session, Republicans hope a compromise on the issue can be reached this session.

WiAHC Legislative Outreach Program

Grassroots advocacy is the most powerful tool WiAHC has at its disposal to shape public policy – and building relationships with lawmakers is the most important aspect of grassroots advocacy. In effort to capitalize on our greatest advocacy resource – our membership – WiAHC has established our Coffee Conversations with Legislators advocacy program.

The initiative is designed  to help connect members with their local legislators. Under the program, the WiAHC Government Affairs Team will set-up in-district meetings between WiAHC members and state lawmakers who represent them in the Legislature. These meetings, which can be located at your facility, or a local coffee shop provide a tremendous opportunity for WiAHC members to build or strengthen their relationships with local legislators and to educate them on home health care and on policy issues important to home health care professionals and their patients.

Again, WiAHC encourages all members to participate in this critical grassroots advocacy program. If you’re interested in participating, please contact the WiAHC office at wiahc@badgerbay.co.

WiAHC is happy to remind members about and provide links to the latest articles and information on the home health care industry from Home Health Care News and other publications:

·         Home Care Providers Keep Cautious Eye On Medicare Advantage: NAHC President

Home Health Care News - By Patrick Filbin | January 19, 2023

Home health providers should keep a close eye on the rise and popularity of managed care plans under Medicare Advantage in 2023. That was one of the many messages from Bill Dombi, president of the National Association for Home Care & Hospice (NAHC), during Wednesday’s webinar with Netsmart. Read more…

·         The Potentially Dire Long-Term Impact Of Home Health Agency Closures

Home Health Care News - By Patrick Filbin | January 17 2022

Back in October, Hospice and Home Care of Juneau closed after 20 years in business. A month earlier, Trinity Health At Home in Springfield, Illinois, shut its doors and laid off 60 employees. At the start of the new year, Oahu Home Healthcare announced it was shutting down, leaving just eight at-home care agencies on the most populated island in Hawaii. Read more…

·         MedPAC Unanimously Recommends Home Health Payment Rate Cuts

Home Health Care News - By Patrick Filbin | January 12, 2023

In a unanimous vote Thursday, the Medicare Payment Advisory Commission (MedPAC) recommended that the Medicare base payment rate for home health care be reduced by 7% for CY 2024.

This recommendation is in line with previous recommendations by the commission over the years. Read More…

·         Top Home Health Trends For 2023

Home Health Care News - By Andrew Dolan | January 6, 2023

Home health care’s 2022 was dimmed by the dark cloud of Medicare rate cuts. That cloud still hangs overhead in 2023. To weather the storm, providers are scrambling to find answers to persistent problems, namely staffing shortages. At the same time, they’re renegotiating arrangements with Medicare Advantage (MA) plans and pivoting from certain service lines to others. They’re attempting to become more efficient – in any way possible. Read more…

·         FTC Proposes Rule that Would Ban Employee Noncompete Clauses

Associated Press – Alexandra Olson and Michelle Chapman| January 6, 2023

The Federal Trade Commission proposed a rule Thursday that would ban U.S. employers from imposing noncompete clauses on workers, a sweeping measure that could make it easier for people to switch jobs and deepen competition for labor across a wide range of industries. The proposed rule would prevent employers from imposing contract clauses that prohibit their employees from joining a competitor, typically for a period of time, after they leave the company. Read more…

Home Health Care News, which is part of the Aging Media Network, is a leading source for news and information covering the home health industry.

Several important updates and policy changes are included in the 4,100 page Omnibus bill released at the end of 2022. National Association for Home Care & Hospice (NAHC) has distilled those provisions that directly or indirectly affect home care and hospice. Those include both policy changes and funding actions through federal appropriations. NAHC will continue to keep the community aware of and understanding the implications of this end-of-the-year legislation. More information available on the NAHC website.  Additional links:

·           Bill Text

·           Explanation of Senate Finance Committee

·           Summary of LHHS Bills

·           Explanatory Statement of Health-Related Bills

WiAHC Legislative Outreach Program

Grassroots advocacy is the most powerful tool WiAHC has at its disposal to shape public policy – and building relationships with lawmakers is the most important aspect of grassroots advocacy. In effort to capitalize on our greatest advocacy resource – our membership – WiAHC has established our Coffee Conversations with Legislators advocacy program.

The initiative is designed  to help connect members with their local legislators. Under the program, the WiAHC Government Affairs Team will set-up in-district meetings between WiAHC members and state lawmakers who represent them in the Legislature. These meetings, which can be located at your facility, or a local coffee shop provide a tremendous opportunity for WiAHC members to build or strengthen their relationships with local legislators and to educate them on home health care and on policy issues important to home health care professionals and their patients.

On December 6, WiAHC Board Chair Jayne Thill is hosting State Representative Jesse James (R-Altoona) at the Compassus office in Marshfield, WI. Rep. James was elected to the state Senate on Nov. 8 and will be sworn in next year as the new senator from Wisconsin’s 23^rd Senate District, which covers Chippewa County, as well as portions of Eau Claire, Dunn, Clark, Wood, and Marathon Counties. The meeting will provide a great opportunity for Jayne and WiAHC to establish a strong working relationship with a newly elected senator. However, this meeting alone is not going to raise WiAHC’s profile in the State Capitol. We need numerous members from many communities across the state to host a legislative visit. It’s key to our advocacy success…

Again, WiAHC encourages all members to participate in this critical grassroots advocacy program. If you’re interested in participating, please contact the WiAHC office at wiahc@badgerbay.co.

WiAHC Legislative Key Contact Program

If you were not yet aware, we would like to remined you about WiAHC’s Legislative Key Contact Program, which can be a highly effective grassroots advocacy tool to help build and nurture strong on-going relationships between WiAHC members and lawmakers in Wisconsin. Ultimately, the program can help us help shape new policies important to our members.

The program is now live on the WiAHC website and members can easily and quickly sign-up as a Key Contact. With the campaign season winding down, and the 2023-24 legislative session right around the corner, it’s more important than ever for WiAHC to have a robust Key Contact Program. It is essential to raising our profile in the State Capitol and beyond.

As a Key Contact, you can help influence the legislative process by cultivating relationships with elected officials. By taking advantage of existing relationships and making new contact with members of the Wisconsin Legislature (as well as the Wisconsin Congressional  Delegation), you can help us educate lawmakers on industry issues and influence legislation.

But the program will not succeed without strong member participation, so please take a few moments to read more about it – and learn how simple it is to “enlist” and participate as a Key Contact. The time commitment is minimal and your responsibility as a key contact depends on your level of comfort and willingness to engage.

Remember, lawmakers are often eager to hear input from their constituents, and as an expert in the home health care field, you can make a real difference in the policy process as a Key Contact. CLICK HERE to sign-up by filling out and submitting a brief online survey.

WISCNEWS – Oct. 27, 2022

The Wisconsin Association for Home Health Care presented Sen. Joan Ballweg (R-Markesan) with the organization’s 2022 Champion of Home Health Care legislative award for her leadership on policies to advance home health care in Wisconsin and improve the delivery of patient care provided by home health professionals, according to an Oct. 25 press release. Read more…

WiAHC is happy to remind members about and provide links to the latest articles and information on the home health care industry from Home Health Care News and other publications:

·         22 States Petition For CMS To Repeal Vaccine Mandate For Health Care Workers

Home Health Care News - By Joyce Famakinwa | November 18, 2022

A group of 22 states — led by Montana Attorney General Austin Knudsen — have urged the Centers for Medicare & Medicaid Services (CMS) to lift the COVID-19 vaccine mandate for health care workers in the Medicare and Medicaid space. The 22 states include Montana, Louisiana, Tennessee, Arizona, Alabama, Alaska, Arkansas, Florida, Indiana, Kansas, Kentucky, Mississippi, Missouri, Nebraska, New Hampshire, Ohio, Oklahoma, South Carolina, Texas, Utah, Virginia and Wyoming. Read More…

·         Home Care Provider Leaders Get Candid About Survival Amid Rising Costs

Home Health Care News - By Patrick Filbin | November 18, 2022

While the tailwinds in the market remain, personal home care provider leaders have a lot more to consider about their futures than they did just five years ago. Their thought processes are still resetting. And as they do, their organizations’ strategies will reflect that. Read more…

·         DOL Recovers $28 Million In Back Wages For Home Health Workers, Others

Home Health Care News - By Patrick Filbin | November 16, 2022

The U.S. Department of Labor announced this week that it has recovered more than $28 million in back wages and damages for nearly 25,000 workers in the home health, skilled nursing facility (SNF) and residential care settings. Specifically, the DOL reported that it had recovered $1.2 million in back wages for 600 home health care workers in Texas and Louisiana. Read more…

·         Final home health rule gives industry a fright

McKnights Health Care – By Liza Berger | November 4, 2022

Just in time for Halloween, the federal government released a final home health rule. While it may not have risen to the level of horror, it still managed to spook the industry.  In its final rule revealed Monday, the Centers for Medicare & Medicaid Services presented an expansion of Medicare payments for calendar year 2023 of 0.7%, or $125 million, compared to 2022. This figure reflects a 4% market-basket update, or $725 million; a behavioral adjustment of -3.925%, a $635 million decrease; and a small uptick of 0.2%, or $35 million increase. Read more…

·         In Case You Missed It: CMS Backs Off Severe Cuts, Finalizes 0.7% Increase To 2023 Provider Payments

Home Health Care News - By Andrew Donlan | October 31, 2022

The U.S. Centers for Medicare & Medicaid Services (CMS) released its FY 2023 home health final payment rule late Monday. It comes with an estimated increase to 2023 home health payments of 0.7%, or $125 million, compared to 2022 aggregate payments. Although it sets up certain financial challenges moving forward, the final rule is better news for providers than what was previously expected. Read more…

Home Health Care News, which is part of the Aging Media Network, is a leading source for news and information covering the home health industry.

A previous edition of the WiAHC Advocacy Newsletter reported the association’s 2023-24 Policy Agenda was pending final approval. We are now pleased to unveil the final document, which will be used to guide the association’s advocacy efforts over the next two years.

In addition to using member input to develop the association’s advocacy roadmap, the WiAHC Legislative Committee considered the following criteria when developing the Policy Agenda and individual issue priorities: 1.) The benefit to WiAHC members; 3.) The extent to which it will improve home health care in Wisconsin; and 3.) The likelihood of legislative/regulatory success.

The WiAHC Policy Agenda provides a broad policy vision for advancing home health care in Wisconsin and identifies the following specific legislative and regulatory goals for 2023-24:

• Regulatory reform legislation to modernize DHS 133, including provisions to better align Wisconsin home care regulations with federal home care regulations.

• Promote public awareness and increase policy influence of home health care, such as the creation of a Home Health Care Advisory Council at the Wisconsin Department of Health Services.

• Grow/strengthen Wisconsin’s home health care workforce: Secure additional state funding to support    increasing the supply of nurse educators in Wisconsin.
• Expand home health telehealth flexibility to leverage the effective delivery of virtual care, which ultimately benefits patients and helps to alleviate industry-wide workforce challenges.

CLICK HERE to review the full 2023-24 WiAHC Policy Agenda.

Although the home health care industry recently received a reprieve from drastic Medicare cuts, the financial threat to the industry is far from over.

In June 2022, CMS issued their proposed 2023 Home Health Payment Rule, which carried with it a proposed cut to Medicare payments of 4.2% , or $810 million. Fortunately, the final rule issued by CMS wasn’t quite as devastating, as it ultimately provided a Medicare payment increase of 0.7%, or $125 million, for 2023.

But as was mentioned above, we are still not out of the woods. The final rule also authorizes CMS to claw back, starting in 2024, $2.1 billion in what they say are overpayments from 2020 and 2021.

To maintain access to home health care services and prevent harm to the Medicare patients across Wisconsin that depend on essential health care provided in their homes, it’s critical to urge Congress to fix the potential chaos created by CMS by passing the Preserving Access to Home Health Act of 2022 (H.R. 8581 and S. 4605) before the end of the year.

The bipartisan bill would delay the 2023 payment cut and the $2 billion claw back efforts, allowing time for home health care to  negotiate with CMS on a better outcome. With that in mind, WiAHC would urge you to contact your Members of Congress TODAY and ask them to support this highly important legislative proposal. 

Of course, when advocating for home health with your Members of Congress, it is important to ensure your message is both compelling and clearly presented. Thankfully, our national partner, the National Association for Home Care and Hospice (NAHC), has made connecting with your elected representatives as easy as a few clicks on your computer or mobile device.

Simply CLICK HERE to contact your federal lawmakers on the Preserving Access to Home Health Act of 2022. All you need to do is fill in your name and contact information and hit SEND.