2018 Public Policy Agenda
LeadingAge New York will work on the state and federal level to ensure funding and policies that support long term/
post-acute care (LTPAC) and senior services providers, focusing efforts on the areas identified below.
All Long Term and Post-Acute Care Providers and Plans
• Advocate for funding to address impact of employer mandates including increased minimum wage, 24 hour/live-
in requirements and call-in pay.
• Advocate for flexible operating certificates, staff credentials and reimbursement to creatively serve seniors and
individuals with disabilities in various settings, taking full advantage of current infrastructure.
• Support viable value-based payment (VBP) models, data sharing and stimulus VBP funding for managed long
term care (MLTC) plans and providers that serve Medicaid beneficiaries.
• Focus on implementation of managed care initiatives relative to seniors and persons with disabilities, including
payment policies, regulatory relief and smooth transition of populations and benefits into managed care.
• Advocate for expansion of the continuing care workforce and support efficient utilization of direct care workers,
including allowing medication technicians, funding education and training and permitting cross-certification.
• Advocate for LTPAC infrastructure investments in building upgrades, restructuring of services, health
information technology and health information exchange to support VBP and the “Triple Aim.”
• Work with DOH to ensure survey consistency across regions and service lines, and advocate for quality control in
the survey system.
• Advocate with the Congressional Delegation to oppose block grants and ensure any Medicaid/Medicare reform
efforts do not negatively impact providers.
• Work to minimize the impact of federal tax reform on providers, including tax-exempt bond financing, medical
expense deductions and charitable contribution deductions.
Adult Care Facility/Assisted Living
• Increase the state portion of the SSI Congregate Care Level Three Rate.
• Work to prepare Assisted Living Programs (A