Advocacy In Action: Why Your Voice Matters More Than Ever

by Jamie Daugherty, Executive Director

Every day, home-based care providers make decisions that improve lives. We help patients recover at home, support families through difficult moments, and provide care where people overwhelmingly want to receive it.

But there is another kind of work that is just as important—making sure policymakers understand the value of what we do.

Advocacy isn't just about lobbying. It's about protecting access to care, improving regulations, securing appropriate reimbursement, and ensuring lawmakers hear directly from the professionals serving patients every day. 

Advocacy Doesn't Happen by Accident

Many of the policies affecting home health, hospice, and in-home care begin long before they become law or regulation.

Proposed Medicare payment rules.

State licensing requirements.

Quality reporting programs.

Workforce legislation.

Medicaid policy changes.

Each one has the potential to affect your organization, your employees, and most importantly, your patients.

Without provider input, policymakers often make decisions using incomplete information. That's why it is so important for providers to have a seat at the table. 

What Advocacy Looks Like

Advocacy isn't always testifying before a legislative committee.

Sometimes it's:

  • Responding to a request for comments on a proposed CMS rule.
  • Meeting with your local legislator.
  • Hosting an elected official for a ride-along or agency visit.
  • Sharing a patient story (with appropriate permission).
  • Answering a survey that helps quantify workforce challenges.
  • Contacting your representatives when urgent legislation is being considered.

These seemingly small actions add up to meaningful influence. 

OAHC Is Working Every Day 

One of OAHC's core responsibilities is representing Oregon's home-based care community where decisions are being made.

That includes:

  • Monitoring state legislation throughout the legislative session.
  • Working with state agencies on regulatory issues.
  • Collaborating with national organizations on federal policy.
  • Submitting formal comment letters on proposed Medicare and Medicaid rules.
  • Meeting with legislators and policymakers.
  • Keeping members informed about emerging issues before they become major challenges.

Advocacy often happens behind the scenes, but its impact is felt across the entire industry.

Your Voice Carries More Weight Than Ours Alone

Association staff can explain policy.

Lobbyists can explain legislation.

But nothing is more powerful than hearing directly from the people caring for patients every day.

When a legislator hears how a reimbursement reduction could affect access to care in rural Oregon—or how unnecessary administrative requirements take clinicians away from patients—it transforms an abstract policy discussion into a real-world issue.

Those conversations matter.

Looking Ahead

Over the coming months, home-based care providers will continue to face important federal and state policy decisions. Payment updates, workforce challenges, fraud prevention initiatives, quality reporting requirements, and Medicaid reforms will all require thoughtful engagement.

OAHC will continue monitoring these developments, keeping members informed, and advocating for practical solutions that support both providers and the patients they serve.

But successful advocacy is always strongest when providers participate.

Together, our voices are louder, our message is stronger, and our impact is greater.

Get Involved

If you've ever wondered whether your voice makes a difference, the answer is yes.

Join one of our committees. Participate in advocacy alerts. Invite a legislator to visit your agency. Share your experiences when OAHC asks for member feedback.

Every conversation helps shape the future of home-based care in Oregon.

 Advocacy is not a one-time event.

It's an ongoing commitment—and together, we're making a difference.