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Marie has been a health care regulatory attorney since 1988, representing home health, hospice and hospital providers on Medicare, Medicaid, and state law issues related to licensure, certification, compliance, and enforcement actions such as surveys and licensure/termination actions, business operations and contractual relationships; and billing and reimbursement issues.  She has also represented providers in administrative appeals and negotiated settlements in administrative penalty cases.  Marie has also been a regular speaker for the Texas Association for Home Care & Hospice, and the Texas and New Mexico Hospice Organization.  She also provided regular, Texas-approved continuing education credit seminars to home health and hospice administrators. Marie has also given presentations to the New Mexico Association for Home & Hospice Care, and the Oklahoma Hospice & Palliative Care Association, and the National Association for Home Care & Hospice.

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Cindy Campbell is a nationally recognized thought-leader and management consultant to the continuum of healthcare at home. Cindy holds a Masters of Health Administration with specialty in Healthcare Informatics, and a Bachelor of Science in Nursing. She brings over 25 years of experience working across the continuum of healthcare at home in advancing levels of leadership and eighteen years with Fazzi Associates, now proud to be a fully integrated member of the WellSky family of companies. As the Director of Operational Consulting for Wellsky advisory services, Cindy and her team of highly skilled executives work nationally to help providers successfully navigate change in support of their mission and business objectives. Cindy’s Wellsky advisory services teams help agencies leverage strategic thought and operational efficiency into organizational, work-process and clinical model design for Home Health, Hospice, Advanced Illness Management, Palliative Care, Telehealth/RPM and Private Duty organizations throughout the United States. Cindy has served as a Board Member of the National Association for Homecare & Hospice, Chair of the Pediatric Homecare & Hospice Association of America, member of the Executive Committee of the American Telemedicine Association’s Homecare and Remote Monitoring Special Interest Group and Advisory Committee Member for Healthcare Unbound.



Velissa Chapa serves as legal counsel to Aaron Demerson, the Commissioner Representing Employers at the Texas Workforce Commission.  Velissa specializes in employment law and advises the Employer Commissioner on high-level unemployment claim appeals and legislative changes.  She is also responsible for answering the employer hotline and is a regular presenter at TWC’s Texas Conference for Employers, where she discusses the laws surrounding employer policies and procedures. Velissa was born and raised in McAllen, Texas, and worked in the private sector in the legal field for 7 years before joining the agency. 


Jennifer Elder started with TAHC&H in September 2019. Her experience includes Home Health and Hospice Administration, DME Management and Home Care Consulting. Prior to coming to TAHC&H she worked as a consultant from 2012 – 2017 for home health and hospice agencies and DME agencies throughout Texas.  She has hands on experience in the home care industry with the ADR process, QAPI programs, Marketing and Business Development, Licensing, Accreditation, Plans of Correction and Informal Dispute Resolutions, Human Resources, Policy Development and Strategic Planning. Jennifer has been in the home care industry since 2007.  


Melinda A. Gaboury, with more than 28 years in home care, has over 18 years of executive speaking and educating experience, including extensive day to day interaction with home care and hospice professionals. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR &TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide toOASIS-D1.


J’non Griffin is a 34 year veteran of home care as an RN. She received her Master’s Degree in Health Care Administration in 2005. She has experience as a field nurse, director and executive with home health and hospice agencies, both large and small. J’non is certified as a Homecare Coding Specialist-Diagnosis (HCS-D), Certified in OASIS competency, COS-C, Certified in Homecare Coding Specialist-Hospice (HCS-H), Home Care Specialist-Compliance (HCS-C) and is an AHIMA approved ICD-10-CM trainer/ambassador. J’non is an accredited ACHC and CHAP consultant. She has presented several webinars, and has been a nationally recognized speaker on a variety of subjects.



Rachel Hammon received her Bachelors of Science degree in Nursing from the University of Texas in Austin. She has 26 years of experience in nursing with 22 years’ experience in the home health industry. During her employment with a home health agency, she served in many roles (i.e. Pediatric Case Manager, Medicare Case Manager, DON / Administrator and Corporate Director of Clinical Services), which gave her a diverse knowledge of the industry. At the Texas Association for Home Care and Hospice Rachel assisted member agencies with compliance with state and federal laws (Medicare, Medicaid, OSHA, BON, etc.), served as a liaison with state and federal government officials, and on the Nurse Practice Advisory Committee for the Board of Nurse Examiners, the committee that developed the RN Delegation Rules we are talking about today. As the Executive Director, Rachel is responsible for implementing the mission of the association which is to advocate for ethical practices, quality, and economic viability of licensed providers of home and community support services in Texas. As part of that advocacy she routinely works with legislators and state agency staff on legislation and policy that affects the home care industry.



Representative Donna Howard has served in the Texas House of Representatives since 2006. She is a member of the House Appropriations Committee, and sits on its Article III Subcommittee which oversees education spending in the state budget. Donna serves as Vice Chair of the House Administration Committee, and is also a longtime member of the Higher Education Committee.

A native of Austin, Donna earned a Bachelor’s degree in nursing and a Master’s degree in health education from the University of Texas. She worked as a critical care nurse at Brackenridge and Seton hospitals, and served as Austin’s first hospital-based Patient Education Coordinator. Donna is a past president of the Texas Nurses Association (District 5) and was a health education instructor at UT.

Donna was elected to the Eanes ISD board in West Austin for the 1996-1999 term. She has served on the boards of Austin Area Interreligious Ministries, Common Cause Texas, Texas Freedom Network, and the Texas Campaign to Prevent Teen Pregnancy. She now serves as a board member of the Expanding Horizons Foundation, supporting low-income housing and education.

Her prior committee and workgroup appointments include: House Calendars Committee; Culture, Recreation, and Tourism Committee; Speaker’s Select Committee on Fiscal Impacts of Border Security; LCRA Upper Basin Work Group; Select Committee to Determine a Sufficient Balance of the Economic Stabilization Fund; Joint Interim Committee On Prescribing and Dispensing Controlled Substances; Joint Interim Committee on Higher Education Formula Funding; and the Joint Oversight Committee on Government Facilities.



Jeff Howell is the Director of Growth at AlayaCare and since joining Alayacare, the company has grown from 74 to 500 employees and Jeff has overseen all of AlayaCare’s growth strategies. He has presentations on a myriad of growth topics and a 30,000 foot view presentation as well.



As the Inspector General for Texas Health and Human Services, Sylvia Hernandez Kauffman leads 600 auditors, investigators, lawyers and professionals engaged in protecting the integrity of $42 billion in health and human services each year in Texas. Throughout her career Inspector General Kauffman has focused on the use of data to improve outcomes.  During her leadership, the OIG has reported record recoveries, expanded the uses of sophisticated data analytics and focused on preventing fraud, waste and abuse. Inspector General Kauffman earned a bachelor’s degree in computer science from Stanford University and a Master of Public Policy from Harvard University.



Amy L. Knight is a CPA, originally from Oklahoma and now based in Austin, Texas with over 20 years experience almost exclusively in home health and hospice.  Her CPA firm, Knight CPA Group, has extensive experience with all financial issues pertaining to home health, hospice and other healthcare providers including cost reporting, accounting & payroll issues that are specific to healthcare providers.

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Annette has been in the home health and hospice arena for nearly 30 years!  10 of those years were spent working for the CMS MAC doing reviews and education for hospice  and HH agencies.  Annette left the MAC to found Provider Insights, Inc- a consulting company that solely focuses on home health and hospice agencies.  She brings her expertise from working with CMS, and the "real world" and marries these experiences together to ensure compliance, quality and efficiency.

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Greg is a graduate of the University of Texas Health Science Center at San Antonio and has been a licensed nurse for 33 years.  He spent four years in the Air Force assigned to the Pediatric Intensive Care Unit at Wilford Hall Medical Center in San Antonio from 1982 -1986.    His nursing career includes eight years in neonatal and pediatric intensive care units and 27 years in the pediatric home health industry as a case manager, director, and administrator.  He is currently an owner/administrator with National Nursing and Rehab, SA Pediatrics overseeing 8 locations.  Greg has been on the Provider Oversight Staff Advisory Committee (POSAC) for Community First Health Plans since 2006 and has served as the committee chair from 2008 to present.  From 2006 to 2017, he co-founded and served as President of The Alliance for Pediatric Providers in San Antonio (APPSA), a local organization of pediatric home health providers.  In 2013, he was appointed to a 6 year term to the Children’s Policy Council by the Texas Health and Human Services Commissioner.  Greg has implemented numerous pediatric home health programs throughout the state of Texas and is recognized as a leader in the pediatric home health industry in Texas.

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Petria McKelvey is CEO and Founder of PMB, with 30 years of experience in the medical billing industry.  Petria's expertise runs wide and deep. She has helped hundreds of private practitioners and healthcare organizations solve their billing challenges and recover millions of dollars in lost revenues. She personally has performed over 1000 audits.



Sarah started with TAHC&H in September 2015. She has experience with Texas Medicaid programs as prior to coming to TAHC&H she worked as a Policy Advisor in the Office of Policy in the Medicaid/CHIP division from 2013-2015. She also worked for 11 years at Disability Rights Texas as a public policy analyst focusing on the community integration of people with disabilities. She has advocated to the legislature and state agencies since 2006. Sarah earned her Bachelors of Liberal Arts degree from Austin College in Sherman, TX and her Masters of Science degree from the University of North Texas in Denton, TX.



Rosalind Nelson-Gamblin is a senior policy specialist for home and community support services agencies in Texas for Long-Term Care Regulation, Policy, Rules and Training unit. She has over 30 years of experience in state government developing public policy, promulgating rules, and interpreting legislation. 


Tammy Ross is the Senior Vice President of Professional Services at Axxess, the leading home healthcare technology company. She oversees the professional services division at Axxess with a focus on practical operational solutions for the home health, home care, and hospice sectors of the post-acute care industry using technology. Prior to joining Axxess, Tammy served as an executive consultant at Fazzi and Associates, where she used her years of home health leadership experience to assist clients with clinical and operational strategic planning and development.


Angelo Spinola is a Shareholder with Littler Mendelson P.C., and is a lead attorney for the Home Care Practice Group. He represents home care employers across the country in various types of actions brought under the Fair Labor Standards Act and various state wage and hour laws. Appearing on behalf of employers in federal and state courts and administrative tribunals throughout the U.S., Angelo has litigated all types of discrimination cases, including age, disability, race, national origin, sex, harassment and retaliation. Angelo’s experience also includes helping employers respond to wage and hour investigations by the Department of Labor and state agency equivalents, conducting wage and hour practices audits, developing compliance measures that minimize wage and hour exposure, and representing management in grievance arbitrations. Additionally, Angelo assists employers with promoting an issue-free work environment through counseling, training and other preventive strategies. He also conducts training on employment-related issues for management personnel, lawyers and human resources professionals. Angelo received a J.D. from George Washington University Law School.


Joyce Stamatis is a policy specialist for home and community support services agencies in Texas for Long-Term Care Regulation, Policy, Rules and Training unit. She has over 3 years of experience in state government developing public policy, promulgating rules, and interpreting legislation. 


Belinda’s career as a licensed and registered Occupational Therapist has spanned more than 35 years. Settings include psychiatric, acute care, burns, SNF, school-based, adult, and pediatric home health.  As the Clinical Quality Director, for Thrive SPC, Belinda provides leadership, consultation, regulatory support, staff education, and program development. She frequently speaks on ethics, clinical excellence, and personal development topics for a variety of entities across the country.She is the Founder of Occupation Humanity, LLC (in launch phase), which provides DEI consultation and experiential programming committed to fighting healthcare disparity.She proudly served on the TAHCH Education and Pediatric Committees in the past and was accepted to resume service on the Pediatric Committee in 2019.  Belinda is also honored to serve as the Chair of the TAHCH DEI Task Force, which was formed in 2020.