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Commonwealth of Pennsylvania House of Representatives Appropriations Committee Budget Hearing State Capitol Harrisburg, Pa Main

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Commonwealth of Pennsylvania House of Representatives Appropriations Committee Budget Hearing State Capitol Harrisburg, Pa Main COMMONWEALTH OF PENNSYLVANIA HOUSE OF REPRESENTATIVES APPROPRIATIONS COMMITTEE BUDGET HEARING STATE CAPITOL HARRISBURG, PA MAIN CAPITOL BUILDING 140 MAJORITY CAUCUS ROOM TUESDAY, FEBRUARY 18, 2020 DEPARTMENT OF AGING BEFORE: HONORABLE STAN SAYLOR, MAJORITY CHAIRMAN HONORABLE MATT BRADFORD, MINORITY CHAIRMAN HONORABLE ROSEMARY BROWN HONORABLE LYNDA SCHLEGEL-CULVER HONORABLE SHERYL M. DELOZIER HONORABLE GEORGE DUNBAR HONORABLE JONATHAN FRITZ HONORABLE MATT GABLER HONORABLE KEITH J. GREINER HONORABLE SETH GROVE HONORABLE MARCIA M. HAHN HONORABLE DOYLE HEFFLEY HONORABLE LEE JAMES HONORABLE JOHN LAWRENCE HONORABLE JASON ORTITAY HONORABLE CLINT OWLETT HONORABLE CHRIS QUINN HONORABLE GREG ROTHMAN HONORABLE JAMES STRUZZI HONORABLE JESSE TOPPER HONORABLE JEFF WHEELAND HONORABLE RYAN WARNER HONORABLE MARTINA WHITE HONORABLE DONNA BULLOCK HONORABLE MORGAN CEPHAS Pennsylvania House of Representatives Commonwealth of Pennsylvania 2 1 (Continued) 2 HONORABLE CAROLYN COMITTA HONORABLE AUSTIN DAVIS 3 HONORABLE ELIZABETH FIEDLER HONORABLE MARTY FLYNN 4 HONORABLE ED GAINEY HONORABLE PATTY KIM 5 HONORABLE STEPHEN KINSEY HONORABLE LEANNE KRUEGER 6 HONORABLE STEPHEN MCCARTER HONORABLE BENJAMIN SANCHEZ 7 HONORABLE PETER SCHWEYER 8 NON-COMMITTEE MEMBERS 9 HONORABLE MIKE PEIFER HONORABLE GARY DAY 10 HONORABLE BRIAN SIMS HONORABLE SCOTT CONKLIN 11 HONORABLE HARRY READSHAW HONORABLE JAKE WHEATLEY 12 HONORABLE STEVE SAMUELSON 13 COMMITTEE STAFF PRESENT: 14 DAVID DONLEY MAJORITY EXECUTIVE DIRECTOR 15 RITCHIE LAFAVER MAJORITY DEPUTY EXECUTIVE DIRECTOR 16 ANN BALOGA 17 MINORIT EXECUTIVE DIRECTOR TARA TREES 18 CHIEF COUNSEL 19 20 21 22 23 24 Pennsylvania House of Representatives 25 Commonwealth of Pennsylvania 3 1 I N D E X 2 TESTIFIERS 3 * * * 4 NAME PAGE 5 ROBERT TORRES, 6 SECRETARY, DEPARTMENT OF AGING.............................5 7 STEVEN HORNER, 8 DEPUTY SECRETARY, DEPARTMENT OF AGING............................15 9 TOM SNEDDEN, 10 DIRECTOR, BUREAU OF PACE.................................22 11 12 SUBMITTED WRITTEN TESTIMONY 13 * * * 14 (See submitted written testimony and handouts online.) 15 16 17 18 19 20 21 22 23 24 25 4 1 P R O C E E D I N G S 2 * * * 3 REPRESENTATIVE DUNBAR: Good afternoon, 4 everyone. I will start by apologizing for 5 Chairman Saylor's departure. If you didn't 6 notice, he coughed up a lung during Revenue. And 7 no offense to Chairman Bradford -- I do like 8 Matt -- but I am not sitting there until a 9 HAZ-MAT team comes in and fumigates that 10 completely. 11 With that being said, we are moving on 12 to the Department of Aging. 13 Secretary Torres, welcome. 14 SECRETARY TORRES: Thank you. 15 REPRESENTATIVE DUNBAR: Anyone who is 16 going to testify today, if you would stand and 17 raise your right hand and I can swear you in. 18 (Testifiers sworn en masse.) 19 REPRESENTATIVE DUNBAR: Okay. Thank 20 you. So sworn. 21 And in the interest of time, we're not 22 having any opening statements, and we're going to 23 go directly to questions, if that's all right 24 with you, Secretary. 25 SECRETARY Torres: That would be fine. 5 1 I would like to introduce -- 2 REPRESENTATIVE DUNBAR: Go right 3 ahead. 4 SECRETARY Torres: -- Deputy Secretary 5 Steve Horner, who oversees most of our Aging 6 services programs, and Director Tom Snedden, who 7 directs the PACE Pharmaceutical Program. 8 REPRESENTATIVE DUNBAR: Very good. 9 Welcome. 10 And we will start with Representative 11 Fritz. 12 REPRESENTATIVE FRITZ: Thank you, 13 esteemed Interim Chair Dunbar. And thank you, 14 Mr. Secretary, for being here. 15 SECRETARY Torres: Thank you. 16 REPRESENTATIVE FRITZ: With the 17 increasing elder population being a 18 Commonwealth-wide phenomenon, can you kindly 19 share with us your Agency's observations? Is it 20 more rural based or non-rural based? Is it more 21 pronounced in rural areas versus non-rural areas? 22 SECRETARY TORRES: I think right now, 23 the population -- we're at 3 million over the age 24 of 60, and that's pretty spread out across the 25 Commonwealth. The other point that I would make 6 1 is it's diversifying, even as the years go on. 2 So it's an issue that I've been talking about 3 most of the past year because that 3 million is 4 going to grow over the next 20 years to 4 5 million. And with that, you can anticipate a 6 large demand for services that we need to 7 position our self well for moving forward. 8 REPRESENTATIVE FRITZ: And that is in 9 contrast to the face that we have a general 10 population decline in Pennsylvania. So with that 11 in mind, what can we focus on to ensure that 12 we're taking proper care of our aging population? 13 SECRETARY TORRES: Well, we -- one of 14 the things that I'm stressing is looking for 15 partnerships. Recently this year we talked to 16 the Pennsylvania Association of Community Health 17 Centers to see what partnership opportunities 18 might be there. We're also working with the Area 19 Agencies on Aging to look at ways that we can 20 leverage the dollars that we receive now into the 21 future and expand the use of those dollars. 22 In particular, we're looking at how 23 we're performing our services, making sure that 24 we focus on core services, but also the processes 25 and procedures that we're using. So over this 7 1 past year, we've offered the services of the 2 Governor's Office of Performance Excellence, for 3 example, to take a look at procedures and 4 processes at the local level and to see, again, 5 what opportunities are there to streamline and 6 make sure that we have the capacity moving 7 forward to provide those services. 8 REPRESENTATIVE FRITZ: MR. Secretary, 9 do you share the opinion that we can drive up use 10 of our senior centers in our counties? 11 SECRETARY TORRES: I believe we can. 12 I think, you know, what I've heard when I've been 13 on the road is that some seniors do not want to 14 be part of the senior centers. I think it 15 requires us to look at, for example, the increase 16 in the baby boomers who are coming, what are they 17 really looking for? 18 And some of the AAAs have actually 19 surveyed that population to see what they want to 20 see in a senior center, as opposed to what some 21 perceive as just kind of a stereotypical senior 22 center that is perhaps not as active or as 23 engaging as they might like it to be, but I think 24 that's a conversation we've been having 25 throughout the past year. 8 1 REPRESENTATIVE FRITZ: MR. Secretary, 2 I will share an observation. I was proud and 3 lucky to spend a couple terms as a county 4 commissioner. We did have devoted staff at our 5 senior centers, but as I interacted with 6 constituents that were perhaps of that 7 demographic, they said we don't go to senior 8 centers because that's where the old people go. 9 So with that in mind, with that 10 mentality in mind, what can we do to re brand our 11 senior centers and drive up use of those 12 facilities? 13 SECRETARY TORRES: I've actually 14 talked to the Association, the Pennsylvania 15 Association of Senior Centers, and one person 16 commented, we should probably get rid of the name 17 senior center to start. But I've been to senior 18 centers, Representative, that -- I kind of joke, 19 I said, you know, some of these folks look 20 healthier and more active than me and I had a 21 good time. 22 And from talking to the seniors, 23 they're engaged. They're getting the types of 24 activities that they're looking for, in terms of 25 participating in activities to engage with other 9 1 seniors, to avoid social isolation, health and 2 wellness, state alliance of YMCA is also seeing a 3 lot of seniors, as well. So we're talking to 4 them to see if there are partnership 5 opportunities there between them and senior 6 citizens that can help better promote and better 7 engage seniors that are going. 8 REPRESENTATIVE FRITZ: Okay. A 9 continued focus on that is much appreciated. 10 Thank you very much. 11 REPRESENTATIVE DUNBAR: Thank you, 12 Representative Fritz. 13 Next will be Representative Sanchez. 14 REPRESENTATIVE SANCHEZ: Thank you, 15 Chairman Dunbar. 16 Right up here, gentlemen. How are 17 you? Welcome, Secretary, Deputy Secretary, 18 Mr. Director. 19 I wanted to get the Department's 20 thoughts and maybe positions on the issue of 21 guardianship and reimbursement for guardianship. 22 And correct me if I'm wrong on any of this, 23 please, but it's my understanding that indigent 24 individuals living in the community are not 25 eligible for reimbursement for guardian services, 10 1 meaning they, you know, need to find a 2 compassionate person that may be willing to 3 provide that for free, whereas individuals who 4 might have an income, or at least live in a 5 nursing home, they can receive up to $100 a 6 month, which is by the way a rate set back in 7 1988, so it may have not actually reflect the 8 value of that. But it still seems kind of turned 9 on its head. Maybe the -- you know, it would be 10 better served having the reimbursement for the 11 indigent population and/or an overall increase.
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