March 22, 2013
In This Issue
*National HCBS Conference: Call for Sessions
*Volunteers Matter: Excellence in Volunteer Services Award
*Older Americans Month Website Updated for 2013
*Unleash the Power of Age in Your Community Challenge
*Federal and State Oversight of Medicaid Expenditures
*HHS Seeking Nominations for Alzheimer's Advisory Council
*House Adopts Ryan Budget Plan, Senate to Vote on Murray Plan This Weekend
*Funding Levels Set for the Remainder of FY13
*AIRS Conference Registration Open
*How Healthy is Your County?
*Alzheimer's Disease Facts and Figures Report
*Two Focus Groups for Consumers
*New Resource on Dementia Care
*Nationwide Program for National and State Background Checks for Direct Patient Access Employees of Long Term Care Facilities and Providers - 9th Announcement

Check out NASUAD iQ!

National HCBS Conference: Call for Sessions Deadline Approaching! 

The National Home and Community-Based Services (HCBS) Conference is the premier event showcasing promising practices in long-term services and supports. It has earned a stellar reputation for bringing together our nation's leaders in the field while offering exceptional learning and networking opportunities for professionals who administer home and community based services throughout the country.  


NASUAD, together with the District of Columbia Office on Aging, Maryland Department of Aging, Virginia Department for Aging and Rehabilitative Services, and an outstanding national committee, has opened the  CALL FOR SESSIONS for this year's National HCBS Conference, September 9-12, 2013, in Arlington, VA.  Those working on home and community-based programming for people of any age or ability are invited to submit their session's description now through March 29th.


Click here to submit your presentation for consideration.


Click here to learn more about the conference.

Volunteers Matter: Excellence in Volunteer Services Award

NASUAD, with funding from the Volunteer Collaborative, is proud to announce the 2013 Volunteers Matter: Excellence in Volunteer Services Awards. This initiative is designed to highlight successful state-run programs that are leading the way in the creative use of volunteers in the long-term services and supports network.  The award is open to programs that help older adults and persons with disabilities in the long-term services and supports system. Programs must be statewide in scope and operation.  Winning programs will demonstrate innovations in one or more of the following:

  • Promoting intergenerational interaction
  • Incorporating Baby Boomers as volunteers
  • Including Veterans as volunteers or recipients
  • Creative strategies for recruitment and retention of volunteers of varying backgrounds, ages and abilities 

Three awards will be given at the 2013 HCBS Conference.  Winners will receive:

  • A cash prize of $1,000 to be used to strengthen the winning volunteer program
  • An all-expenses paid trip to the 2013 HCBS conference, September 9-12 in Washington, D.C. where each winner will be recognized and highlight their program's success with the other winners in a joint workshop
  • A NASUAD press release highlighting the program along with recognition on the NASUAD website

Submissions will be accepted from January 31st through May 30th, 2013.  Winners will be notified in June, 2013 to prepare for formal announcement at the 2013 HCBS conference.    


Submit your organization's entry for the service award.

Click here for descriptions from the 2012 winning programs.   

Click here for a copy of the invitation to submit.

From the Administration
Administration for Community Living

Older Americans Month Website Updated for 2013

Each May our nation celebrates Older Americans Month.  To help communities get ready for this year's celebration-now it its 50th year-the Administration for Community Living (ACL) has updated its Older Americans Month website for 2013.  The website contains resources and ways to help spread the word about Older Americans Month and plan an event in your community.  On the website, you will find information on:

  • "Unleash the Power" Challenge: A contest in which organizations can nominate individuals who have used their talents and expertise to make a positive impact in their communities.
  • Activity Ideas: Get inspirations and ideas on how you can celebrate Older Americans Month locally by unleashing the power of age through community and creativity.
  • Social Media Gallery: Get content you can use to promote Older Americans Month to your social media networks.
  • Download Center: Access a collection of images for your organization's website, and text for newsletters. 

Click here for more information.

Unleash the Power of Age in Your Community Challenge

The Administration for Community Living recently announced the "Unleash the Power in Your Community Challenge." This challenge, in celebration of Older Americans Month 2013, invites organizations to recognize older Americans by nominating people 60 or older who are putting their talents and expertise toward inspirational achievements in their communities and beyond.


Nominees can be volunteers or paid professionals whose contributions are improving society as a whole. Examples of eligible activities include civic engagement, creative arts, and technology and innovation.


After an initial screening process nominations will be evaluated by a panel of judges who will then select the top 10 entries. These finalists will be posted on, and the public will be invited to vote to select the most inspirational individuals. 


Click here to nominate and for more information. 

Centers for Medicare & Medicaid Services

Federal and State Oversight of Medicaid Expenditures

On March 18, CMS released a letter to State Medicaid Directors (SMD) discussing mutual obligations and accountability on the part of the state and federal governments for the integrity of the Medicaid program and the development, application, and improvement of safeguards necessary to ensure proper and appropriate use of both federal and state dollars. The letter also discusses a new requirement that states submit upper payment limit (UPL) demonstrations on an annual basis, and guidance on the format and method of UPL demonstration, which is available online here.


Click here to access the SMD letter.

Department of Health and Human Services

HHS Seeking Nominations for Alzheimer's Advisory Council

The Department of Health and Human Services (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) is soliciting nominations for a new, non-Federal member of the Advisory Council on Alzheimer's Research, Care, and Services to fill the position of representative of a voluntary health association as described in Public Law 111-375 (42 U.S.C. 11225).

The Advisory Council consists of at least 22 members and meets quarterly to discuss the efficacy of government programs targeting the needs of individuals and caregivers coping with the consequences of Alzheimer's Disease and Related Dementias (ADRD).  This Advisory Council provided comments on the National Plan for ADRD which was developed by HHS.  On an annual basis, the Advisory Council shall evaluate the implementation of the recommendations through an updated National Plan.

Nominations must be submitted on April 12, 2013 before close of business to Helen Lamont, PhD at  

From Congress

House Adopts Ryan Budget Plan, Senate to Vote on Murray Plan This Weekend

Last week, the House and Senate Budget Committee chairs Paul Ryan (R-WI) and Patty Murray (D-WA) unveiled their respective FY14 budget resolutions.  As anticipated, the two chambers lay out vastly different approaches to long-term deficit reduction.  Yesterday, the House passed Rep. Ryan's FY14 budget, sending it to the democratically-controlled Senate for approval, where it was rejected 40-59.  The upper chamber is expected to vote on Sen. Murray's blueprint this weekend.


The House plan seeks to balance the budget over ten years without any revenue increases.  Accordingly, Rep. Ryan's plan relies heavily on reductions to projected spending, including $4.6 trillion in cuts to domestic programs over this time frame, relative to the Congressional Budget Office's (CBO) current-law baseline.  Like last year's version, the FY14 House budget resolution would also repeal the Affordable Care Act (ACA), turn Medicare into a defined contribution system for individuals currently under the age of 55, and convert Medicaid into a block grant program to states - tying the federal contribution to inflation and population growth, but not actual health care costs. The committee's various documents related to the FY14 budget resolution can be found here. 


Senate Democrats' framework, meanwhile, does not attempt to balance the federal budget.  Instead, Sen. Murray's plan would reduce the deficit by $1.85 trillion over the next decade through a one-to-one ratio of spending cuts and revenue increases.  Accordingly, the Senate plan consists of $975 billion in new tax revenue and $975 billion in spending cuts over ten years.  Of the spending cuts, $275 billion would come from health care - $265 billion in savings to be found in Medicare, and $10 billion in Medicaid.  Though Sen. Murray is clear to say that any such reductions should harm beneficiaries or jeopardize the ACA's Medicaid expansion, she leaves the specific decisions about how the proposed cuts would be made to the committees of jurisdiction. The Senate's budget plan and supporting documents are available here.


Since sequestration was created by Congress, it will take another act of Congress to undo it.  Notably, budget resolutions do not have the force of law, meaning the blueprints introduced last week lack the necessary authority to address the automatic cuts.  Recognizing that additional legislation must be enacted to replace sequestration, Sen. Murray's plan calls on lawmakers to do so, based on the balanced approach in the Senate's budget resolution.  In contrast, the House budget resolution would keep sequestration in place, meaning Rep. Ryan's proposed domestic savings would be on top of the $1.2 trillion currently scheduled to be achieved through sequestration.


Given the stark differences between the House and Senate FY14 budget plans, the two chambers are not expected to reach a compromise agreement, or joint resolution, to guide congressional spending decisions in the next fiscal year.  The President's budget request to Congress for FY14 is tentatively set for release in early April, nearly two months after the February deadline.

Funding Levels Set for the Remainder of FY13

With the Continuing Resolution (CR) currently funding the federal government set to expire on March 27 - and Congress set to leave town for a two week recess beginning Monday - both chambers have been working on proposals to fund federal programs for the remainder of FY13.


On Wednesday, the Senate passed an amended version of the six-month CR (HR 933) that the House cleared two weeks ago.  The upper chamber made several changes to the original measure, but did so with bicameral and bipartisan support, so as to ensure smooth passage.  Accordingly, yesterday, the House swiftly approved the final FY13 spending measure.  The package includes new appropriations bills for FY13 Agriculture; Commerce-Justice-Science; Defense; Homeland Security; and Military Construction-Veterans Affairs programs, but continues the current CR's funding levels for other appropriations categories, including Labor, HHS, and Education.


Importantly, the CR maintains the BCA's sequester for the rest of FY13.  Therefore, additional legislation must be passed to retroactively address these cuts.   This was expected, as leadership in both parties sought to decouple sequestration from the funding bill in order to avoid the threat of a government shutdown. For more information, on HR 933, please follow this link.


With funding levels now set through September, federal agencies will soon be able to calculate the exact reductions that each of their sequesterable programs are facing in the remaining months of FY13.   Once the applicable across-the-board (ATB) cuts are applied at the program level, agencies will then be able to determine what this means for states and other stakeholders.   Given the complexity of this task, it will likely take several weeks before any updated information is available.   For more details about the potential impact of sequestration on OAA state formula grant programs, please see ACL's recently-released impact estimates, which are subject to change based on the final FY13 CR.



From Other Organizations

Alliance for Information and Referral (AIRS)  

AIRS Conference Registration Open
The Alliance of Information and Referral Systems (AIRS) Conference will be held June 2-5, in Portland, Oregon. In partnership with the Administration for Community Living (ACL) and the National Association of Area Agencies on Aging (n4a), NASUAD's I&R/A Support Center is coordinating the Aging and Disability Track for the AIRS Conference. Join us for the Aging and Disability Symposium including a pre-conference I&R/A Summit for Aging and Disability Professionals, and a full complement of workshops, panel discussions and lively conversation throughout the week.

The Aging and Disability Pre-Conference Summit on Sunday June 2, 9a-3p, will be different from pre-conference gatherings in past years and will include:

  • A networking breakfast
  • A discussion focused on state-to-state interaction and technical assistance where participants will share their experiences and ask questions about current trends, new initiatives and upcoming national events in I&R/A service delivery.
  • The kick-off of the National I&R/A Support Center's Train-the-Trainer Initiative for the National coordination of CIRS-A (Certification for I&R Specialists in Aging) and Aging/Disability-related CRS (Certification for Resource Specialists) training. 

There is no charge to attend this pre-conference event, though pre-registration is requested. Please contact Support Center coordinator, Sara Tribe at 202-898-2578 x305 or, to register, and to suggest topics that you would like to discuss at the Aging and Disability I&R/A Pre-Conference Summit.

More Information about the Aging and Disability Symposium  

Register for the AIRS Conference.
Robert Wood Johnson Foundation 

How Healthy is Your County?

The annual County Health Rankings, a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute, has been released. These rankings rate the health of nearly every county in the nation and show that much of what affects health occurs outside of the doctor's office. Some improvements to the rankings include interactive maps and new county-level trend graphs detailing changes over time for several measures, including children in poverty, unemployment, and quality of care. 

Click here to find out how your country ranks.

Alzheimer's Association

Alzheimer's Disease Facts and Figures Report

The Alzheimer's Association has released the 2013 Alzheimer's Disease Facts and Figures report which reveals the increasing burden of Alzheimer's disease and dementia on individuals, caregivers, government and the nation's health care system. These facts and figure include: someone develops Alzheimer's every 68 seconds, one out of three seniors in the United States who die this year has Alzheimer's or another dementia, and 450,000 Americans will die with Alzheimer's disease this year. This fatal disease will cost the nation an estimated $203 billion, with government programs like Medicare and Medicaid shouldering over two thirds of this cost. By the year 2050, these costs are expected to rise.


The Alzheimer's Association is gathering stories from individuals affected by Alzheimer's to influence Congress. Click here to share your story.


Click here for the report. 

National Consumer Voice for Quality Long-Term Care 

Two Focus Groups for Consumers 

The Consumer Voice is hosting two focus groups - one for nursing home residents and one for home care consumers - to get consumers' input and thoughts on issues related to their care and services. The Home Care Consumer Focus Group is ONLY open to individuals who receive long-term services and supports in their home. The Nursing Home Resident Focus Group is ONLY open to nursing home residents. Participants will have the opportunity to respond and react to ideas and suggestions for changes in long-term care, as well as share feedback about their care experiences. The feedback received will then be used to guide the Consumer Voice in their policy work.


The Home Care Consumer Focus Group will meet by telephone on a toll-free conference line on Monday, April 1st, 2013 from 2:00-3:30pm ET. Click here to register.


The Nursing Home Resident Focus Group will meet by telephone on a toll-free conference line on Monday, April 8th, 2013 from 2:00-3:30 pm ET. Click here  to register. 


For more information about the focus groups, click here for the Consumer Voice's website.

Long Term Care Community Coalition

New Resource on Dementia Care 

Alzheimer's Disease and other forms of dementia are among the most significant issues facing the elderly and their loved ones.  Because people with dementia often lose the ability to communicate over time, they are especially vulnerable and need special care.

To help improve care and the public's understanding of dementia care standards, the Long Term Care Community Coalition (LTCCC) has developed a new brochure designed especially for families and individuals affected by Alzheimer's Disease and other dementias. This resource, Get the Facts about Antipsychotic Drugs and Dementia Caredeveloped with support from the Centers for Medicare and Medicaid Services, will help people understand important issues surrounding the use of antipsychotic medications in people with dementia, know what kinds of questions to ask and where to go for further help and information.

For other dementia-related resources, click here to visit the LTCC website and here for it's Nursing Home 411 website.


Grant Opportunities

Grant Title: Nationwide Program for National and State Background Checks for Direct Patient Access Employees of Long Term Care Facilities and Providers - 9th Announcement

Agency Issuing Grant: Centers for Medicare & Medicaid Services

Eligible Applicants: State governments

Close Date: May 30, 2013

Funding Opportunity Number: CMS-1A1-13-002

CDFA Number: 93.506

Grant Amount: $15,000,000 for 5 awards

Description: This opportunity invites proposals from all States and U.S. territories to be considered for inclusion in this National Background Check Program. Federal matching funds are available to all who meet the requirements described in section 6201 of the Affordable Care Act. CMS has awarded a technical support contract to support the States that are selected to participate in the program.



Click here for more information on this funding opportunity.


Applicants must apply for this grant through

March Observances

Developmental Disabilities Awareness Month

"Look Beyond" is the theme for Develop­mental Disabilities Awareness Month 2013. Click here to read a blog post from Sharon Lewis, Commissioner at the Administration on Intellectual and Developmental Disabilities in the Administration on Community Living.


National Nutrition Month 

The 2013 theme, "Eat Right, Your Way, Every Day," encourages personalized healthy eating styles* and recognizes that food preferences, lifestyle, cultural and ethnic traditions and health concerns all impact individual food choices. . This year is the 40th anniversary of National Nutrition Month® find resources at the Academy of Nutrition and Dietetics.

Women's History Month 

This year's theme is "Women Inspiring Innovation Through Imagination: Celebrating Women in Science, Technology, Engineering and Mathematics"


Click here to read the Presidential Proclamation.

Click here to read a statement from Secretary Sebelius.

Click here to learn more about Women's History Month.

Traumatic Brain Injury Awareness Month

This year U.S. Representatives Bill Pascrell, Jr. (D-NJ) and Thomas J. Rooney (R-FL) have announced the reintroduction of the Traumatic Brain Injury (TBI) Act, which is legislation that advances both treatment and prevention of TBI. 


Click here and here to learn more about Traumatic Brain Injury.

Click here for more information the TBI Act.



Job Opportunities

Additional Job Opportunities


To see more job postings, please visit the NASUAD website.