SENATE AMENDED
        PRIOR PRINTER'S NOS. 2580, 2601, 2642,        PRINTER'S NO. 3312
        2669, 3107

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2015 Session of 1987


        INTRODUCED BY RICHARDSON, DORR, PISTELLA, WAMBACH, KUKOVICH,
           JADLOWIEC, STUBAN, DOMBROWSKI, LLOYD, DAVIES, G. SNYDER,
           NOYE, BLACK, SEMMEL, LEH, FOX, LASHINGER, JOHNSON, ROBBINS,
           FARGO, S. H. SMITH, HESS, DISTLER, FARMER, COWELL, COY,
           O'DONNELL, ITKIN, FREEMAN, PRESTON, DeWEESE, ARTY AND
           BROUJOS, NOVEMBER 24, 1987

        AS AMENDED ON SECOND CONSIDERATION, IN SENATE, MAY 16, 1988

                                     AN ACT

     1  Amending the act of April 9, 1929 (P.L.177, No.175), entitled
     2     "An act providing for and reorganizing the conduct of the
     3     executive and administrative work of the Commonwealth by the
     4     Executive Department thereof and the administrative
     5     departments, boards, commissions, and officers thereof,
     6     including the boards of trustees of State Normal Schools, or
     7     Teachers Colleges; abolishing, creating, reorganizing or
     8     authorizing the reorganization of certain administrative
     9     departments, boards, and commissions; defining the powers and
    10     duties of the Governor and other executive and administrative
    11     officers, and of the several administrative departments,
    12     boards, commissions, and officers; fixing the salaries of the
    13     Governor, Lieutenant Governor, and certain other executive
    14     and administrative officers; providing for the appointment of
    15     certain administrative officers, and of all deputies and
    16     other assistants and employes in certain departments, boards,
    17     and commissions; and prescribing the manner in which the
    18     number and compensation of the deputies and all other
    19     assistants and employes of certain departments, boards and
    20     commissions shall be determined," further providing for the
    21     Department of Aging, for the Pennsylvania Council on Aging
    22     and for services and programs for older citizens; and
    23     reestablishing the Department of Aging.

    24     The General Assembly of the Commonwealth of Pennsylvania
    25  hereby enacts as follows:


     1     Section 1.  Sections 2202-A, 2203-A, 2204-A, 2205-A, 2206-A,
     2  2207-A, 2208-A, 2209-A, 2210-A and 2212-A of the act of April 9,
     3  1929 (P.L.177, No.175), known as The Administrative Code of
     4  1929, added June 20, 1978 (P.L.477, No.70), are amended to read:
     5     Section 2202-A.  Definitions.--As used in this article:
     6     "Area agency" means the single local agency designated by the
     7  department within each planning and service area to administer
     8  the delivery of a comprehensive and coordinated plan of social
     9  and other services and activities.
    10     "Area plan" means the plan submitted to the department by an
    11  area agency describing the methods by which it will ensure a
    12  coordinated and comprehensive plan of social and other services
    13  and activities in the planning and service area.
    14     ["Boarding home" means any institution or facility, however
    15  named which is operated for profit or otherwise and which is
    16  advertised, announced or maintained for the express or implied
    17  purpose of providing shelter, services or supervision for two or
    18  more persons,  unrelated to the proprietor of the facility, who
    19  require some level of supervision or assistance in carrying out
    20  daily routine activities, but who are not so ill, aged or
    21  disabled as to require institutionalization in a facility
    22  providing a higher level of care.]
    23     "Council" means the Pennsylvania Council on Aging.
    24     "Department" means the Department of Aging.
    25     "Domiciliary care" is a protected living arrangement in the
    26  community which [includes room, board and services for persons
    27  eighteen and older who cannot live independently because of
    28  their social and economic situation] provides a safe,
    29  supportive, homelike residential setting for three or less
    30  adults who are unrelated to the domiciliary care provider, who
    19870H2015B3312                  - 2 -

     1  cannot live independently in the community, and who are placed
     2  by an area agency.
     3     "Federal Older Americans Act of 1965" means Public Law 89-73,
     4  79 Stat. 218, as amended.
     5     ["Local authority" means the county commissioners.]
     6     "Long-term care" means those services designed to provide
     7  diagnostic, therapeutic, rehabilitative, supportive or
     8  maintenance services for individuals who have chronic functional
     9  impairments in a variety of institutional and noninstitutional
    10  care settings, including the home.
    11     ["Nonprofit sponsor" means any nonprofit corporation
    12  designated as an area agency on aging or as the sponsor of any
    13  aging service or activity.]
    14     "Older adults, older persons, aged, aging, elderly" [means]
    15  mean those persons residing within Pennsylvania who are age
    16  sixty or over, [or, as the secretary may determine appropriate,
    17  persons below this age] or other individuals authorized by law.
    18     ["Personal care home for adults" means any premises operated
    19  for profit in which food, shelter and personal assistance or
    20  supervision are provided for a period exceeding twenty-four
    21  hours for more than two adults who are not relatives of the
    22  operator and who require assistance or supervision in such
    23  matters as dressing, bathing, diet or medication prescribed for
    24  self administration.]
    25     "Planning and service area" means the geographic unit within
    26  the State, as authorized by the Federal Older Americans Act of
    27  1965, as amended, for allocation of funds for the delivery of
    28  social services.
    29     "Secretary" means the Secretary of Aging.
    30     "Sole State agency" means [that State agency as designated
    19870H2015B3312                  - 3 -

     1  under the Federal Older Americans Act of 1965, as amended] the
     2  Department of Aging.
     3     "Unit of general purpose local government" means, as used
     4  with reference to the designation of area agencies on aging, a
     5  county or other unit which carries general government authority
     6  for an area designated as a planning and service area under this
     7  act or a combination of such units.
     8     Section 2203-A.  Powers and Duties in General.--(a)  The
     9  Department of Aging hereinafter referred to in this article as
    10  the department shall, subject to any inconsistent provisions in
    11  this act contained, have the power and its duty shall be to:
    12     (1)  Evaluate the need for services for the aged within the
    13  State and determine the extent to which public and private
    14  programs meet such a need with special emphasis on the needs and
    15  participation of the minority elderly.
    16     (2)  [Develop, in consultation with the council and
    17  administer a comprehensive State plan for services, programs,
    18  and activities for the aging furnished by State agencies.]
    19  Assist with planning and provide consultation to State agencies
    20  with respect to services, programs and activities which they may
    21  furnish to older citizens.
    22     (2.1)  Develop and periodically update in consultation with
    23  the council and the area agencies, a comprehensive plan for
    24  coordinating all major Commonwealth services, programs and
    25  activities which are directed towards persons with chronic
    26  physical or mental impairments which necessitate long-term care.
    27     (3)  Provide for services to the aging through area agencies
    28  for the aging and other appropriate agencies, organizations and
    29  institutions authorized in accordance with the Federal Older
    30  Americans Act of 1965, related Federal acts, and applicable
    19870H2015B3312                  - 4 -

     1  State law and to stimulate services and opportunities for the
     2  aging which are not otherwise available.
     3     (4)  Function as the sole State agency to receive and
     4  disburse Federal funds under the Older Americans Act of 1965 and
     5  State funds made available for providing services to older
     6  persons.
     7     (5)  [Administer] Develop and administer the State plan for
     8  the aging required by Federal law.
     9     (5.1)  Administer the act of November 4, 1983 (P.L.217,
    10  No.63), known as the "Pharmaceutical Assistance Contract for the
    11  Elderly Act."
    12     (6)  Serve as an advocate for the aging at all levels of
    13  government and to provide consultation and assistance to the
    14  area agencies, communities and civic groups developing local
    15  services for older persons.
    16     (7)  Maintain a clearinghouse of information related to the
    17  interests of older persons and provide technical assistance and
    18  consultation to all agencies, both public and private with
    19  respect to programs and services for older persons.
    20     (8)  [Provide] Prepare for the Governor an annual budget as
    21  may be reasonably required [by] to address the needs of the
    22  Pennsylvania Council on Aging[, the four] and its regional
    23  councils [on aging and the Technical Advisory Committee].
    24     (9)  Promote, utilizing, wherever possible, the area
    25  agencies, community education regarding the problems of older
    26  persons through institutes, publications, and use of
    27  communications media.
    28     (10)  Cooperate with area agencies and agencies of the
    29  Federal Government in studies and conferences designed to
    30  examine the needs of the aging population and to assist in
    19870H2015B3312                  - 5 -

     1  preparing programs and developing facilities to meet those
     2  needs.
     3     (11)  Promote and support programs, studies and policies, in
     4  cooperation with the Departments of Labor and Industry,
     5  Education, Commerce, Public Welfare and other agencies, which
     6  will enhance the opportunity for continued work, education and
     7  training for older persons and for preretirement assistance
     8  where appropriate.
     9     (12)  Promote, through the use of area agencies and direct
    10  grants, contracts and technical assistance, the development of
    11  independent senior centers, service organizations, clubs,
    12  associations and organizations dedicated to the rights and needs
    13  of older persons [and providing activities] when these are not
    14  in conflict with State or area plans for the aging.
    15     (13)  Make recommendations for legislative action to the
    16  Governor and the General Assembly.
    17     (14)  In coordination with the area agencies and the council,
    18  develop and conduct research, demonstration programs and
    19  training programs to advance the interests of older persons.
    20     (15)  Publish a description of the organization and function
    21  of the department so that all interested agencies and
    22  individuals may be better able to solicit assistance from the
    23  department.
    24     (16)  Administer and supervise a domiciliary care program for
    25  adults.
    26     (17)  Conduct, in cooperation with appropriate State and
    27  local public and private agencies [yearly] studies and
    28  evaluations pertaining to the quality of life, health and social
    29  needs, civil rights and status of older persons residing in
    30  [boarding homes,] personal care homes and similar residencies
    19870H2015B3312                  - 6 -

     1  and report such findings and recommendations to the General
     2  Assembly [annually].
     3     (17.1)  In cooperation with the area agencies and Federal,
     4  State and local organizations and agencies, work toward the
     5  development of a continuum of community-based service and
     6  housing options for impaired and chronically ill older persons
     7  designed to maintain them in the community and avoid or delay
     8  institutional care. System development activities shall include,
     9  but not be limited to, coordinating the Commonwealth's plans for
    10  the provision, expansion and effective administration of:
    11     (i)  Personal care and health-related services provided to
    12  adults in their homes.
    13     (ii)  Housing options such as service assisted housing
    14  options and personal care homes.
    15     (iii)  Special supports to caregivers who care for impaired
    16  older persons.
    17     (iv)  Adult day-care services, respite services and other
    18  community-based services to support care by caregivers.
    19     (v)  The promotion of informal community supports.
    20     (vi)  Geriatric assessment and nursing home screening
    21  programs.
    22     (vii)  Special services to protect the health, safety and
    23  welfare of older persons who lack the capacity to protect
    24  themselves.
    25     (viii)  Special advocacy efforts to promote greater awareness
    26  of, and more effective response to, the problems of persons with
    27  Alzheimer's disease and other related brain disorders.
    28  To the extent that the needs of other adults involve and overlap
    29  the needs of older persons addressed by this paragraph, the
    30  department shall serve as an advocate for adults of any age.
    19870H2015B3312                  - 7 -

     1     (17.2)  In cooperation with the Department of Health and the
     2  Department of Public Welfare, develop WELFARE:                    <--
     3     (I)  DEVELOP and administer a system of preadmission
     4  assessment for persons who are at risk of needing institutional
     5  care, if the department finds such a system cost effective.
     6     (17.3) (II)  Develop and administer a system of managed        <--
     7  community-based long-term care for persons who are assessed as
     8  being clinically eligible for nursing home care and who can be
     9  cared for within cost of care guidelines established by the
    10  department, if the department finds such a system cost
    11  effective.
    12     (18)  Review all proposed Commonwealth program plans and
    13  policies, and administrative regulations that are published in
    14  the Pennsylvania Bulletin for their impact on older persons.
    15  Where the secretary believes that they have an impact on older
    16  persons, he shall comment in accordance with the provisions of
    17  the Commonwealth Documents Law.
    18     (19)  Make and enforce rules and regulations necessary and
    19  proper to the performance of its duties.
    20     (20)  After July 1, 1979 and at the option of the secretary,
    21  to administer those provisions of the act of January 22, 1968
    22  (P.L.42, No.8), known as the "Pennsylvania Urban Mass
    23  Transportation Assistance Law of 1967," which relate to [free
    24  local transit for the elderly] special transit programs for the
    25  elderly. The secretary shall confer with the Department of
    26  Transportation in order to insure that the regulations
    27  promulgated by the Department of Aging do not conflict with
    28  those promulgated by the Department of Transportation.
    29     (21)  Serve as an advocate for the needs of the adult
    30  handicapped as such needs involve and overlap the needs and
    19870H2015B3312                  - 8 -

     1  services of older persons.
     2     (22)  Cooperate with the Pennsylvania Office of Planning in
     3  the development of local, regional and Statewide solutions to
     4  the needs of older persons.
     5     (23)  Review the activities of regulatory [and] agencies of
     6  the Commonwealth which affect the full and fair utilization of
     7  State and community resources for programs and benefits for
     8  older persons and initiate programs which will help assure such
     9  utilization.
    10     (24)  Conduct, in cooperation with the Department of Health
    11  and the Department of Public Welfare, [yearly] periodic studies
    12  and evaluations pertaining to the quality of care and related
    13  services for [nursing home patients] consumers of long-term care
    14  services and report such findings to the General Assembly
    15  [annually].
    16     (24.1)  Conduct, in cooperation with the Department of
    17  Health, an ongoing Statewide prescription drug education program
    18  designed to inform older adults of the dangers of prescription
    19  drug abuse and misuse.
    20     (24.2)  Establish and administer a State Long Term Care
    21  Ombudsman Program, including providing resources to area
    22  agencies on aging or other contractors to investigate and
    23  resolve complaints related to the health, safety or rights of
    24  older individuals who are residents CONSUMERS of long-term care   <--
    25  facilities (such as nursing homes and personal care homes)        <--
    26  SERVICES and to prepare and submit to the General Assembly an     <--
    27  annual report containing data and findings regarding the types
    28  of problems experienced and complaints investigated.
    29     (25)  Collaborate with the Department of Community Affairs
    30  and the Pennsylvania Housing Finance Agency in the location,
    19870H2015B3312                  - 9 -

     1  design, management and services of housing built for older
     2  persons and upon request provide technical assistance to local
     3  housing authorities, nonprofit housing and community groups,
     4  redevelopment authorities, and other groups with a special
     5  emphasis on programs on utility costs, rehabilitation and
     6  maintenance of the homes of older persons.
     7     (26)  Review and comment on all rules, regulations,
     8  eligibility or payment standards issued by the Departments of
     9  Public Welfare, Environmental Resources, Health or Labor and
    10  Industry relating to the licensure and regulation of nursing
    11  homes, hospitals, and other health facilities; medical
    12  assistance, supplemental security income; homemaking and home-
    13  health care or residential care facilities for older adults.
    14  Said rules, regulations and standards shall not take effect
    15  until they have been submitted to the department for comment.
    16     (27)  Review and comment on rules, regulations, eligibility
    17  standards, or contract provisions issued by the Departments of
    18  Revenue and Transportation relating to activities financed in
    19  whole or in part by the Pennsylvania Lottery. Said rules,
    20  regulations, eligibility standards and contract provisions shall
    21  not take effect until they have been submitted to the department
    22  for comment.
    23     (28)  Review and comment on rules, regulations, eligibility
    24  standards or contract provisions issued by the Department of
    25  Transportation relating to specialized transportation needs of
    26  the elderly and the handicapped in rural and urban areas. Said
    27  rules, regulations, eligibility standards or contract provisions
    28  shall not take effect until they have been submitted to the
    29  department for comment.
    30     (29)  Provide for services to adults under age sixty whose
    19870H2015B3312                 - 10 -

     1  needs for services are similar to those for which the department
     2  is responsible with respect to older persons and as may be
     3  specifically authorized by law.
     4     (b)  In filling vacancies authorized to the department, the
     5  secretary shall assure that preference is given to persons sixty
     6  years of age or older.
     7     Section 2204-A.  Pennsylvania Council on Aging.--(a)  There
     8  is hereby created in the Office of the Governor the Pennsylvania
     9  Council on Aging which shall consist of [nineteen] twenty-one
    10  persons at least [ten] eleven of whom shall be [fifty-five]
    11  sixty years of age or older, and [of] which [four] shall [be]
    12  include the chairpersons of the regional [council] councils on
    13  aging [and twelve alternate members]. Eleven members of the
    14  Pennsylvania Council shall constitute a quorum for the conduct
    15  of matters which come before it. Absence of a member at three
    16  consecutive meetings shall result in the member forfeiting his
    17  seat, unless he requests in writing and receives approval from
    18  the chairman for an absence necessitated by illness of the
    19  member or the death of a loved one.
    20     (b)  The members of the council shall be appointed by the
    21  Governor and shall represent, as far as possible, different
    22  geographical sections of the Commonwealth. In addition, the
    23  council shall include representatives of long-term care
    24  providers such as, for example, adult day-care providers. The
    25  members shall be appointed on staggered terms of one to three
    26  years. Members shall be eligible for reappointment.
    27     (c)  The council shall provide for its organization and
    28  procedure including the selection of a chairman and such other
    29  officers as deemed necessary.
    30     (d)  The [citizen] members of the council shall receive no
    19870H2015B3312                 - 11 -

     1  compensation for their services on the council but shall be
     2  reimbursed by the department, in accordance with regulations,
     3  for any ordinary and necessary expenses incurred in the
     4  performance of their duties.
     5     (e)  The council shall meet at least six times per year to
     6  review and comment upon all reports of the Department of Aging
     7  to the Governor and the General Assembly.
     8     (f)  The council shall have the following powers and duties:
     9     (1)  Assist the department in the preparation of the [annual]
    10  State plan on aging.
    11     (2)  To review and comment on rules and regulations
    12  promulgated by the department.
    13     (3)  To prepare and submit to the Governor, the General
    14  Assembly, the Secretary of the Department of Aging and the
    15  public [an annual report] reports evaluating the level and
    16  quality of services and programs provided to the aging by
    17  Commonwealth agencies together with recommendations for
    18  improved, expanded or additional programs and services for the
    19  aging.
    20     (4)  To carry out public hearings on matters affecting the
    21  rights and interests of the aging including matters involving
    22  cases of neglect, abuse and age discrimination against older
    23  persons in the administration of the laws of the Commonwealth
    24  and its political subdivisions.
    25     (5)  To carry out [comprehensive] studies in the areas of age
    26  discrimination, health care, Medical Assistance program policies
    27  affecting the elderly, duration of stay contracts for nursing
    28  homes, health-related insurance increases and, as appropriate,
    29  other major issues affecting the aging [housing, utility costs,
    30  taxation, income support and transportation] and to report to
    19870H2015B3312                 - 12 -

     1  the Governor, the General Assembly, the secretary and the public
     2  its findings and recommendations in regard to appropriate action
     3  and a long-term strategy for [the aging in each of these
     4  respective areas of study within one year of the effective date
     5  of this act] an appropriate manner in which to address these
     6  issues. [In each succeeding year, the council shall engage in
     7  similar studies and reports on major issues affecting the
     8  aging.]
     9     (6)  Consult with the secretary regarding the operations of
    10  the department.
    11     (7)  To establish [at least four] no more than five regional
    12  councils on aging which shall consist of fifteen citizen members
    13  and concerning which the composition, members' terms of offices,
    14  organization and duties and responsibilities shall be determined
    15  by the council.
    16     (8)  Employ, with such funds as are provided by the
    17  department, sufficient staff and services to carry out these
    18  duties and powers as well as the duties and powers of the
    19  regional councils.
    20     Section 2205-A.  Planning and Service Area.--[The
    21  Commonwealth shall be divided into district planning and service
    22  areas as determined by the secretary, pursuant to the Federal
    23  Older Americans Act of 1965, as amended.] The Commonwealth is
    24  currently divided into planning and service areas. These
    25  geographical subdivisions are established by the authority of
    26  the secretary under the Federal Older Americans Act of 1965, and
    27  may only be changed by order of the secretary under provisions
    28  set forth by the department for combining or dividing
    29  geographical areas to bring about more effective and efficient
    30  planning and service delivery.
    19870H2015B3312                 - 13 -

     1     Section 2206-A.  Designated Area Agencies.--For each planning
     2  and service area there shall be an area agency [established]
     3  designated by the department in accordance with the Federal
     4  Older Americans Act of 1965, as amended, to serve as a focal
     5  point in the community for the coordination of services for
     6  older people and for the issues and concerns of aging. [Such] An
     7  area agency so designated must be (i) an established office of
     8  aging; (ii) any office or agency of the [local authority] unit
     9  of general purpose local government, which is designated for
    10  this purpose by the chief elected officials of the [local
    11  authority] unit of general purpose local government; (iii) any
    12  office or agency designated by the chief elected officials of a
    13  combination of [local authorities] units of general purpose
    14  local government to act on behalf of such combination for this
    15  purpose; or (iv) any public or nonprofit private agency in a
    16  planning and service area which is under the supervision or
    17  direction for this purpose of the designated State agency and
    18  which can engage in the planning or provision of a broad range
    19  of social services within such planning and service area; and
    20  must provide assurance, found adequate by the department, that
    21  it will have the ability to develop and administer an area plan.
    22  The secretary may [redesignate] OR designate new area agencies    <--
    23  [based on ESTABLISHED regulations [which shall be issued within   <--
    24  one hundred twenty days of the effective date of this act]. Such  <--
    25  regulations shall include criteria of efficiencies,
    26  appropriateness and equity and shall provide for public hearings
    27  on redesignation conducted in the affected planning and service
    28  areas. Any such determinations of redesignation shall be
    29  executed not less than one hundred days prior to the beginning
    30  of the fiscal year of the local authority.] A DESIGNATION OR      <--
    19870H2015B3312                 - 14 -

     1  REDESIGNATION MAY OCCUR when changes are made in established
     2  planning and service area boundaries, when a currently
     3  designated area agency is unable or unwilling to continue as the
     4  area agency, WHEN REMOVAL OF AN AREA AGENCY DESIGNATION IS        <--
     5  REQUESTED BY THE LOCAL AUTHORITY or when the department
     6  determines that a currently designated area agency is incapable
     7  of carrying out its approved area plan. The removal of an area
     8  agency designation and the designation of a new area agency
     9  shall be carried out under regulations promulgated by the
    10  department and consistent with the Federal Older Americans Act
    11  of 1965. FOR THE PURPOSE OF THIS SECTION, THE TERM "LOCAL         <--
    12  AUTHORITY" SHALL MEAN COUNTY COMMISSIONERS OR COUNTY COUNCIL.
    13     Section 2207-A.  Area Agencies; Powers and Duties.--(a)  The
    14  area agency shall have the authority to act as an advocate at
    15  all levels of government and within the community at large for
    16  the interests of older persons within the planning and service
    17  area. It shall develop a comprehensive area plan to coordinate
    18  services for older persons within its planning and service area
    19  as the department may prescribe by regulation. The area plan
    20  shall make provision for:
    21     (1)  Information and referral, advocacy programs.
    22     (2)  Social service case management and casework services
    23  including protective [placement and] services and placement
    24  services.
    25     (3)  Transportation services.
    26     (4)  Legal counseling and representation.
    27     (5)  In-home services including [residential repair,
    28  homemaker, home chore services, and congregate and home
    29  delivered meals] personal care and health-related services.
    30     (6)  Assistance to secure adequate housing and health
    19870H2015B3312                 - 15 -

     1  services.
     2     (7)  Other services required by Federal law and other such
     3  services and activities designated by the department or
     4  identified as critical needs by the area agency and the area
     5  agency advisory board. The State plan on aging and grants and
     6  contracts provided by the department shall reasonably
     7  accommodate such locally designated priorities and critical
     8  needs.
     9     (8)  The establishment of an affiliated network of
    10  multiservice centers and neighborhood centers for older persons.
    11  Each center shall provide those services required by the
    12  department in accordance with regulations adopted by the
    13  department, which regulations shall provide for the maximum
    14  involvement of members of such centers and sponsoring
    15  organizations in the identification and prioritization of
    16  services and activities to be conducted in such centers.
    17     (a.1)  The AREA AGENCY SHALL BE RESPONSIBLE FOR WORKING        <--
    18  TOWARD THE development, in cooperation with State and local
    19  organizations and agencies, of a continuum of community-based
    20  service and housing options for impaired and chronically ill
    21  older persons designated DESIGNED to maintain them in the         <--
    22  community and avoid or delay institutional care. System
    23  development activities shall include, but not be limited to,
    24  coordinating area plans for the provision, expansion and
    25  effective administration of:
    26     (1)  Personal care and health-related services provided to
    27  adults in their home.
    28     (2)  Housing options such as service-assisted housing and
    29  personal care homes.
    30     (3)  Special supports to caregivers who care for impaired
    19870H2015B3312                 - 16 -

     1  older persons.
     2     (4)  Adult day-care services, respite services and other
     3  community-based services to support care by caregivers.
     4     (5)  The promotion of informal community supports.
     5     (6)  Geriatric assessment and nursing home screening
     6  programs.
     7     (7)  Special services to protect the health, safety and
     8  welfare of older persons who lack the capacity to protect
     9  themselves.
    10     (8)  Special advocacy efforts to promote greater awareness
    11  of, and more effective response to, the problems of persons with
    12  Alzheimer's disease and other related brain disorders.
    13  To the extent that the needs of other adults involve and overlap
    14  the needs of older persons addressed by this provision, the area
    15  agency shall serve as an advocate for adults of any age.
    16     (b)  The area agency shall give priority of services to older
    17  persons with the greatest needs and least resources. Factors
    18  identifying older persons who are entitled to priority are:
    19     (1)  [Functional] MEDICALLY AT RISK OR FUNCTIONAL              <--
    20  disability[, i.e., severe restriction of ability to carry out     <--
    21  daily activities].                                                <--
    22     (2)  Aloneness, i.e., living alone in a private apartment or
    23  home unaccompanied by a related adult.
    24     (3)  Advanced age, i.e., seventy-five years of age or above.
    25     (4)  Low income.
    26     (5)  Services to minorities in proportion to their numbers
    27  consistent with the provisions of the Human Relations Act.
    28     (6)  Inadequate housing.
    29     (7)  Lack of access to recreational and social activities.
    30     (c)  In carrying out this section, the area agency shall
    19870H2015B3312                 - 17 -

     1  provide preference in filling all jobs for persons of age
     2  [fifty-five] sixty and above [and shall require such preference
     3  in all sub-contracts utilizing funds provided by the
     4  Commonwealth. The Department of Aging shall issue regulations
     5  pursuant to this section within one hundred fifty days of the
     6  effective date of this act] in accordance with the regulations
     7  promulgated by the department.
     8     (d)  [The] Consistent with the Older Americans Act of 1965,
     9  as amended, and provisions set forth by the department, the area
    10  agency may grant to or contract with any public[,] or private
    11  [or nonprofit] agency for the [provisions] provision of social
    12  services. The area agency is authorized to use, with their
    13  consent, the services, equipment, personnel and facilities of
    14  Federal and State agencies, with or without reimbursement, and
    15  on a similar basis to cooperate with other public and private
    16  agencies, and instrumentalities, in the use of services,
    17  equipment and facilities.
    18     Section 2208-A.  Area Agency Advisory [Boards] Councils.--In
    19  each planning and service area, an advisory [board] council of
    20  at least fifteen members shall be appointed to advise the area
    21  agency[. The department shall issue regulations designating the
    22  selection process, composition and powers of advisory boards
    23  within one hundred eighty days of the effective date of this
    24  act. Such regulations shall provide for a majority of such
    25  boards to be composed of persons above the age of sixty; maximum
    26  possible involvement of such boards in determining local
    27  programs and policies and advocacy roles within area agency
    28  programs and local communities as well as for administrative
    29  funds to carry out their functions.] with regard to the needs of
    30  older persons residing in the planning and service area and the
    19870H2015B3312                 - 18 -

     1  area agency's responses to those needs. The composition and
     2  responsibility of the area agency advisory council shall be
     3  consistent with the provisions of the Federal Older Americans
     4  Act of 1965 and the regulations of the department. As a minimum,
     5  these regulations shall require that each council be composed of
     6  a majority of persons above the age of sixty. Such councils
     7  shall be given the maximum possible opportunity to influence
     8  local programs and policies and advocacy roles within area
     9  agency programs and local communities. Area agencies shall
    10  provide advisory councils with the funds necessary to carry out
    11  their functions.
    12     Section 2209-A.  Area Agencies; Reports and Plans.--[(a)  The
    13  area agency shall submit to the Department of Aging an annual
    14  report describing and evaluating its programs and services
    15  within thirty days after the close of the area agency's fiscal
    16  year.
    17     (b)  The area agency shall submit to the department for
    18  approval an area plan ninety days prior to the start of the area
    19  agency's fiscal year. The area agency shall conduct, prior to
    20  the submission of the area plan to the department for approval,
    21  a public hearing on the area plan. If the department approves
    22  the area plan, or fails to act within sixty days, the area plan
    23  shall go into effect at the beginning of the fiscal year. If the
    24  department disapproves the area plan, it shall forward the
    25  reasons for disapproval to the area agency which shall have
    26  twenty days to resubmit an amended area plan. If the department
    27  approves the resubmitted area plan, it shall be effective at the
    28  beginning of the fiscal year. If the resubmitted area plan is
    29  disapproved, the department shall forward its revised area plan
    30  for implementation by the area agency at the beginning of the
    19870H2015B3312                 - 19 -

     1  fiscal year, provided that the department shall hold a hearing
     2  in the area prior to such action and that the department may
     3  authorize the continuation of the provision of services under
     4  the current area plan for a period not to exceed ninety days.]
     5  (a)  Under provisions set forth by the department, the area
     6  agency shall submit to the department a comprehensive area plan
     7  on aging which clearly explains the area agency's objectives for
     8  providing services to the aging of the planning and service
     9  area. This plan may be submitted as part of a coordinated county
    10  human service plan, provided that the format is approved by the
    11  department.
    12     (b)  Each area agency, under provisions set forth by the
    13  department, shall submit an annual report which describes and
    14  evaluates its programs and services after the close of each year
    15  of funding by the department.
    16     Section 2210-A.  Allocation of Resources.--(a)  The area
    17  agency shall receive a basic allocation of resources, consisting
    18  of State and Federal funds weighted by the proportion of older
    19  poor persons who reside in the planning and service area in
    20  relation to the total number of older poor persons who reside in
    21  the Commonwealth of Pennsylvania utilizing poverty threshold
    22  income standards as determined by the United States Office of
    23  Management and Budget except that each area agency shall be held
    24  harmless to the amount of [such] State funds received in the
    25  preceding program year [in which this act becomes effective].
    26     (b)  The department may allocate additional resources to area
    27  agencies based upon the total number of older persons who reside
    28  within the planning and service area, the availability of
    29  transportation services, the rural-urban distribution of older
    30  persons, and attendant rural program cost differentials, the
    19870H2015B3312                 - 20 -

     1  need for social and medical services, the amount of funds
     2  devoted by county commissioners for older persons and other
     3  special circumstances as determined by the secretary.
     4     (c)  Funds appropriated to carry out the purposes of this act
     5  shall be distributed to the local authorities or nonprofit
     6  agencies as grants or cost reimbursement for services to the
     7  aging, if there is an acceptable plan in accordance with section
     8  2209-A.
     9     [(d)  The Department of Public Welfare shall transfer, for
    10  three State fiscal years immediately subsequent to the effective
    11  date of this act, to the Department of Aging a proportion of the
    12  State allotment under Title XX of the Social Security Act at
    13  least equal to the proportion of such funds, including training
    14  and administrative funds, allocated to the office for the aging
    15  in relation to the State's total allotment in the same fiscal
    16  year as the effective date of this act.]
    17     Section 2212-A.  Demonstration Programs.--In recognition of
    18  the need for expanded knowledge and experience concerning the
    19  status of older persons in Pennsylvania, the Secretary of Aging
    20  may provide for research and demonstration programs for the
    21  purpose of:
    22     (1)  Studying current living conditions and needs of older
    23  persons, with special emphasis on persons with low income,
    24  MEDICAL AND functional disabilities, advanced age and isolated    <--
    25  living situations.
    26     (2)  Studying existing methods and alternatives for providing
    27  services, programs and opportunities to older persons.
    28     (3)  Identifying those factors of particular detriment or
    29  benefit to the welfare of older persons.
    30     (4)  Developing new approaches and alternatives for living
    19870H2015B3312                 - 21 -

     1  arrangements, social services, institutional care, health
     2  services, legal representation and the coordination of community
     3  services for older persons.
     4     Section 2.  All acts and parts of acts are repealed insofar
     5  as they are inconsistent with this act.
     6     Section 3.  (a)  This act shall constitute the legislation
     7  necessary to reestablish the Department of Aging under the act
     8  of December 22, 1981 (P.L.508, No.142), known as the Sunset Act.
     9     (b)  The Department of Aging shall terminate December 31,
    10  1997, unless reestablished pursuant to the Sunset Act.
    11     (c)  Persons who are members of the Pennsylvania Council on
    12  Aging, on the effective date of this act, shall serve on the
    13  council provided for in this act until their current terms
    14  expire, provided that any current members whose terms have
    15  expired on or before the effective date of this act shall serve
    16  until their successors are duly appointed and qualified, but no
    17  longer than six months after the effective date of this act.
    18     (d)  Each rule and regulation of the Department of Aging in
    19  effect on the effective date of this act shall remain in effect
    20  until amended by the department, provided that the department
    21  shall immediately initiate the repeal or amendment of a rule or
    22  regulation which is inconsistent with the provisions of this
    23  act.
    24     Section 4.  This act shall take effect immediately.




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