State Priorities

10% Medicaid PAS Rate Increase

PHA is asking legislators for a 10% Medicaid rate increase for personal assistance services and to standardize the PAS rate across all regions of the state. Even with this 10% rate increase, serving people in their homes is still half the cost of paying for one person in a nursing home. Click here for a one-pager with details.

Permit Presumptive Eligibility

PHA supports legislation that would update Medicaid rules to allow presumptive eligibility for home-based care so that more people can choose to receive care at home. Click here for a one-pager with details.

Disregard Medicare Premium from Medicaid Income Rules

Legislation that will be introduced by Sen. Michele Brooks, Chair of the Aging and Youth Committee, would simplify the Medicaid financial eligibility process for seniors receiving Medicare by allowing County Assistance Offices (CAOs) to disregard as income the assistance the senior receives to pay for Medicare Part B premiums. This payment is taken directly from seniors’ social security checks, yet it is counted as income for Medicaid financial eligibility. This change will allow seniors who are just about $100 over the income limit to receive Medicaid home-based care. 

Empower Patients to Make End-of-Life Care Decisions

POLST (Pennsylvania Order for Life Sustaining Treatment) allows patients with advanced illness and frailty, as well as their healthcare professionals, to document their preferences regarding the use of life-sustaining treatment with medical orders that can be honored across care settings. The POLST form is designed to ensure that patients’ preferences to use or limit treatment are equally honored. 

Ensure Protection for Seniors

Legislation is being drafted to revise Pennsylvania’s Older Adult Protective Services Act (OAPSA), which was found to be unconstitutional in 2015. Since then, homecare agencies and nursing homes have had discretion to hire people with past convictions. It’s critical that this Act be revised to protect older Pennsylvanians now! Our providers support a 15, 10 and 5-year ban for certain offenses, with some employer discretion.