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Federal Priorities

The top issues HCAOA is fighting for in Washington.
1
Companionship Exemption
Restoring home care agencies' ability to use the federal companionship and live-in exemptions.
2
Medicaid 80/20 Mandate
Opposing an arbitrary spending formula in favor of Medicaid reimbursement that reflects the real cost of care.
3
VA Reimbursement Rates
Pushing back on steep VA rate cuts in Texas and New Mexico and advocating for sustainable reimbursement for veterans' care.
4
Credit for Caring Act
A federal tax credit to help family caregivers offset their out-of-pocket costs.
5
Continuous Skilled Nursing Quality Improvement Act
Modernizes outdated Medicaid policy for medically fragile individuals who rely on continuous skilled nursing at home.
6
Reframing "Unskilled" Terminology
Working to remove this outdated and inaccurate language describing home care workers from federal policy.

Take Action

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Follow a Bill

See what's moving in your state and at the federal level with the interactive Legislative and Regulatory Tracker.

Home Care by the Numbers

1.4M+
people work in the home care industry
10,000
people in the U.S. turn 65 each day, a trend continuing through 2030
90%+
of seniors would prefer to age in place
70%+
of seniors will need assistance with daily living activities as they age
40%
of seniors 65+ need help with daily activities

Featured Resources

TAX POLICY

Credit for Caring Act

Explainer on the federal bill that would provide a tax credit to family caregivers to offset the cost of caring for a loved one.

MEDICAID FRAUD

Program Integrity One-Pager

​​HCAOA promotes accountability while preserving access through targeted, risk-based oversight.

CARE AT HOME

Who We Are

industry overview of home care services, and our role in supporting older adults, individuals with disabilities, and veterans.

Help Power HCAOA's Policy Wins

Contribute to the Advocacy Fund to ensure HCAOA's unified voice continues to be heard by policymakers.

Advocacy and Policy News

Phone: 202-519-2960​ | 444 N. Capitol Street NW, Suite 428 |  Washington, DC 20001
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