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Member Update

Posted By Jennifer Gill, Friday, December 6, 2019
Updated: Thursday, December 5, 2019
December 6, 2019

The LeadingAge North Carolina Member Update is published twice monthly. Click on a section header to view that section.

Advocacy & Policy | On the Road | Strategic Thinking
Position Papers  |  Member Questions  |  News & Notes  
*NEW Leadership Academy  | Value First

Congress Needs Calls for Housing Action
On December 2, LeadingAge issued a call to action, urging our members to call and email their representatives and senators in support of funding for new homes in HUD’s Section 202 Housing for the Elderly program. Just before Thanksgiving, Congress made progress on year-end spending negotiations and is now finalizing details of HUD’s fiscal year 2020 appropriations bill.
The House and Senate spending bills are far apart on a key LeadingAge priority: funding for new housing under the Section 202 Housing for the Elderly program. The House bill includes $140 million for new Section 202 homes. The Senate bill includes $0 (zero) funds for new Section 202 homes. And, the current Continuing Resolution is funding HUD programs at fiscal year 2019 levels through December 20. Funding at FY19 levels past December 20 could be inadequate for some HUD programs, including Section 202 communities with Project Rental Assistance Contracts. LeadingAge members are asked to contact their representative and senators with these key messages:

  • Retain the House bill’s $140 million for new Section 202 homes in the final FY20 HUD bill.
  • Enact a final FY20 HUD bill before December 20 to avoid additional Continuing Resolutions.

Click here to access the easy-to-use "Contact Congress" tool for this issue.

New Incentives for Charitable Giving Could Help Offset Reductions in Middle-Class Giving
Because of the structural federal tax changes in the "2017 Tax Cuts and Jobs Act", more than 21 million Americans stopped using the charitable deduction last year. Preliminary data suggests that this tax law change has led to a small reduction in individual donations supporting the work of charitable nonprofits. In a new blog post, the North Carolina Center for Nonprofits analyzes the latest trends in charitable giving and explains why new federal or state incentives for charitable giving – such as a universal, non-itemizer charitable deduction – are critical to sustaining the work of nonprofits in communities.

State Judges Review NC Congressional Maps
Earlier this week, a panel of North Carolina judges ordered a new U.S. House district map that Republican state legislators drew last month be used in the 2020 elections. The Associated Press reports that the Court decided that there was not time to scrutinize the boundaries further for any left-over extreme partisan bias. The judges agreed it was too late in the election cycle to receive evidence and testimony that would be necessary to consider detailed redistricting arguments from the lawmakers and from Democratic and independent voters who challenged the latest congressional maps. The North Carolina primary for hundreds of state and local elected positions is March 3, and candidate filing opened Monday. The judges had suspended congressional filings for all 13 seats while they reviewed the case, but the judges’ unanimous order said the State Board of Elections should now start receiving filings from U.S. House hopefuls based on the new district seats.

Aging Advocates Need to Know About These Bills
The North Carolina Coalition on Aging (of which LeadingAge North Carolina is a member) has pulled together a list of legislation that was passed in 2019 that is likely of most relevance to aging interests in the state. Click here for a look at this comprehensive recap.

Governor Signs Legislation Making Absentee Ballot and Early Voting Changes
Governor Roy Cooper has signed into law a bill (S.683) that makes several changes to election laws to help prevent absentee ballot fraud and to increase access to early voting. The bill would permanently restore the last Saturday of the early voting period. The bill also ensures that many nonprofits that serve homebound seniors and individuals with disabilities can continue to provide assistance with absentee ballot requests to the people they serve.

Legislature Returns
The General Assembly will return on January 14, 2020 for what is expected to be a brief session. A budget veto override and health care legislation could possibly be considered at that time. The General Assembly’s short session will start in late spring.

Certificate of Need Lawsuit Allowed to Proceed
A Wake County Superior Court judge is allowing a lawsuit to proceed that could dramatically change how doctors and hospitals operate in the open market. The suit, filed by Dr. Gajendra Singh, a general surgeon in Winston-Salem, challenges the constitutionality of North Carolina's CON provisions, the process through which state regulators approve granting a license to provide certain medical services. The Department of Health and Human Services and the North Carolina Healthcare Association are named as defendants in the case, and jointly filed a motion to dismiss. The motion was denied just before Thanksgiving, thus allowing the case to proceed. According to the DHHS website, the CON law "restricts unnecessary increases in health care costs and limits unnecessary health services and facilities based on geographic, demographic and economic considerations." Dr. Singh's issue emanates from his desire to purchase a new MRI machine for his practice. Singh, though, cannot legally do that without a CON, and the state thus far has not determined there is sufficient need for a new MRI machine in Singh's area. In a lawsuit filed in July 2018, Singh's attorneys label the law "arbitrary, irrational, and protectionist legislation" because it infringes on his right "to participate in the health-care market."

CMS Updates Emergency Preparedness Requirements
Effective November 29, 2019 CMS has made two revisions to emergency preparedness requirements for nursing facilities. Read a summary of the rule’s impact prepared by LeadingAge National.

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LeadingAge North Carolina staff travels the state offering education, advocacy, and networking. Here’s where we've been recently:

  • Member visit - Arbor Acres, Winston-Salem
  • Member visit - Piedmont Crossing, Thomasville
  • Member visit - Salemtowne, Winston-Salem
  • Member visit - The Presbyterian Homes, Colfax

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The Unending Indignities of Alzheimer’s
The New York Times; December 1, 2019
Be sure to read this heart-wrenchingly honest account of one family's struggle to care for a loved one living with Alzheimer's.

Fertility Rate in U.S. Hit a Record Low in 2018
The New York Times; November 27, 2019
The rate of births fell again last year, according to new government data, extending a lengthy decline as women wait until they are older to have children.

We Need a Major Redesign of Life
The Washington Post; November 29, 2019
Disruption is here. We're living longer than ever. This article takes a fascinating and creative look at how we could reshape our culture to support our longer life spans.

Preparing for Economic Uncertainty: Are Your Operations Teams Ready?
Russell Reynolds Associates; October 22, 2019
Senior operations and supply chain executives believe an economic downturn will happen within the next 18 months. Are you prepared? This article sets out the steps that you can take to get ready. Read more.

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Thanks to LeadingAge North Carolina Platinum business members BB&T Capital Markets, CliftonLarsonAllen, and WeaverCooke for sharing their position papers. Click on a title below to download a PDF.

These papers are also available from our website by clicking here. Or visit and under the Resources tab, select Position Papers.

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Thanks to everyone who responds to member questions. Click on the links below to download a spreadsheet of responses to the member question on that topic.

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Report: More Americans Dying at Younger Ages
A new report published in the Journal of the American Medical Association says more Americans are dying at younger ages despite greater spending on health care in the U.S. than in any other country. Mortality and life expectancy rates for Americans between the ages of 25 and 64 are getting worse, with increases in suicides, drug overdoses and alcohol-related liver disease, among other factors. The study estimated that there were 33,000 excess midlife deaths between 2010 and 2017, and the negative trend was found across gender, race and ethnicity. Read this insightful Washington Post article from November 26, 2019 for more detail.

Hackers Disrupt Skilled Nursing Facility Operations
More than 100 nursing homes spread across the country are having trouble paying employees and ordering necessary medications for residents due to a ransomware attack on an IT support company for long-term and post-acute providers. The attack happened last Sunday against Virtual Care Provider Inc. by Russian hackers and has affected 80,000 computers and 110 nursing homes, the Milwaukee Journal Sentinel reported. With our technology-dependent world, it’s more important than ever that our security infrastructure is up-to-date.

Have Job Openings?
Contact Jennifer Gill with the job title, description, and how to apply and she will post it for you under the Careers tab on the LeadingAge NC website. It's free!

In Case You Missed It
Click below to read newsletters from the past two weeks.

Follow @LeadingAgeNC on Social Media
Stay connected through the busy holiday season. Be sure you are following LeadingAge NC on Twitter, Facebook, and Instagram. You'll be up-to-date when the new year starts!

2019-20 LeadingAge NC Member Directory
The updated member directory is now available online! Go to and click on the Directory tab.

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Applications for the LeadingAge North Carolina
Leadership Academy Class of 2021 are now open!

Build tomorrow’s leaders and invest in our field's workforce.
Apply to the LeadingAge North Carolina Leadership Academy.
Applications are due online by January 31, 2020.

Selected Academy fellows will:

  • Read, reflect, and discuss leadership principles
  • Engage with emerging leaders across the state
  • Visit the General Assembly and the Department of Insurance
  • Meet leaders in the field 
  • Tour other communities
  • Present an action learning project
  • Grow under the guidance of our coaches and facilitator
  • Become even stronger contributors at their communities
  • Gain confidence
  • Question established thinking
  • And much more!

One applicant per community, please, from any department with any amount of experience. A nomination from your community must be approved by your CEO/Executive Director.

Academy fellows meet four times a year, starting and ending with the LeadingAge NC Annual Conference. Kick off for the 2020-21 class is this May 18-21, 2020 in Asheville. Tuition for the program is $2,000 and includes conference registration. Scholarship assistance is available.

For more information, check out our updated Academy webpage which includes:

  • Application and Letter of Commitment
  • Brochure
  • Curriculum
  • 2020-21 Meeting Schedule
  • Core Themes
  • Faculty
  • Action Learning Projects
  • Alumni
  • Testimonials
  • Current Fellows

Please feel free to contact us at 919-571-8333 with any questions. Enrich your leadership skills and apply today! We look forward to hearing from you.

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Value First

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LeadingAge North Carolina
222 N. Person Street Suite 205 | Raleigh, NC  27601
Ph. 919.571.8333 | Fax 919.869.1811 |

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