Adviser Winter 2019-20 LeadingAge New York Adviser LeadingAge NewYork Winter 2019-20 | Page 5

#WIN4Seniors W I N S Long-Term Care Workforce Strategies Eliminate Statutory Barriers Eliminate Regulatory and Administrative Barriers to Expansion and Effective Use of LTC Workforce 8 Enable nurses to practice nursing in adult care facilities and assisted living (S.1788, Rivera). 8 Enable aides to obtain and retain multiple certifications by aligning credentialing with experience and competencies and eliminating duplicative training requirements for CNAs, HHAs, PCAs. 8 Enable nurses in adult care facility and assisted living settings to provide influenza and pneumococcal immunizations to residents and staff. 8 Clarify that CNAs who work in nursing homes, like CNAs in hospitals, are eligible to complete a competency evaluation to be certified as HHAs, in lieu of the standard training. 8 Authorize Advanced CNAs (Medication Technicians) in nursing homes. 8 Align HHA training program requirements with federal requirements by allowing LPNs to conduct training under general supervision of RN. Invest State Funds in LTC Workforce 8 Fully utilize DOH Civil Monetary Penalties funds for workforce recruitment and retention program. 8 Support implementation of AHHA by reducing nurse supervision requirements. 8 Expand Patient Care Technician title to enhance career ladder for CNAs. 8 Reduce processing time and expand access points for criminal history record checks for aides. 8 Clarify that NPs and PAs are permitted to conduct the initial health history and physical and to sign nursing home admission orders for new nursing home residents initiating Medicaid stays. (continued below) WORKFORCE W 8 Permit NPs and PAs to conduct medical evaluations for assisted living program (ALP) residents. 8 Eliminate barriers to creating CNA/HHA/ PCA apprenticeship programs. I N S 8 Allow the nursing home medical director to issue orders for continued services in the adult day health care program, in lieu of a community physician. INVESTMENT 8 Align state requirements with federal regulations for nursing home feeding assistants training. 8 Fund adult learning/certification programs at BOCES and community colleges. 8 Expand financial aid available at community colleges for students engaged in LTC workforce programs. 8 Ensure dedicated LTC workforce funding through the DOH DSRIP program. 8 Provide funding and administrative relief for LTC apprenticeship programs. 8 Provide job-related supports and wage subsidies for LTC workers (e.g., transportation, peer mentoring, child care, training stipends). 8 Develop and launch a public relations campaign to encourage participation in LTC careers SENIORS Support Federal Legislation to Expand LTC Workforce 8 Nursing Home Workforce Quality Act (H.R. 1265) (Provides greater flexibility in imposing CNA training program lock-out and reinstating programs after lock-out). 8 Geriatric Workforce Improvement Act (S. 299) (Reauthorizes the Geriatric Workforce Enhancement Program for another five years, with authorized funding increased to $45 million per year). Contact: Ami Schnauber, [email protected] and Karen Lipson, [email protected] 1.16.20 leadingageny.org 4