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
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