SENATE AMENDED
        PRIOR PRINTER'S NOS. 2580, 2601, 2642,        PRINTER'S NO. 3871
        2669, 3107, 3312

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

        SENATOR TILGHMAN, APPROPRIATIONS, IN SENATE, RE-REPORTED AS
           AMENDED, NOVEMBER 14, 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; AND FURTHER PROVIDING  <--
    24     FOR THE STATUS OF NONPROFIT CORPORATIONS WHICH LEASE
    25     FACILITIES TO THE COMMONWEALTH.

    26     The General Assembly of the Commonwealth of Pennsylvania

     1  hereby enacts as follows:
     2     Section 1.  Sections 2202-A, 2203-A, 2204-A, 2205-A, 2206-A,
     3  2207-A, 2208-A, 2209-A, 2210-A and 2212-A of the act of April 9,
     4  1929 (P.L.177, No.175), known as The Administrative Code of
     5  1929, added June 20, 1978 (P.L.477, No.70), are amended to read:
     6     Section 2202-A.  Definitions.--As used in this article:
     7     "Area agency" means the single local agency designated by the
     8  department within each planning and service area to administer
     9  the delivery of a comprehensive and coordinated plan of social
    10  and other services and activities.
    11     "Area plan" means the plan submitted to the department by an
    12  area agency describing the methods by which it will ensure a
    13  coordinated and comprehensive plan of social and other services
    14  and activities in the planning and service area.
    15     ["Boarding home" means any institution or facility, however
    16  named which is operated for profit or otherwise and which is
    17  advertised, announced or maintained for the express or implied
    18  purpose of providing shelter, services or supervision for two or
    19  more persons, unrelated to the proprietor of the facility, who
    20  require some level of supervision or assistance in carrying out
    21  daily routine activities, but who are not so ill, aged or
    22  disabled as to require institutionalization in a facility
    23  providing a higher level of care.]
    24     "Council" means the Pennsylvania Council on Aging.
    25     "Department" means the Department of Aging.
    26     "Domiciliary care" is a protected living arrangement in the
    27  community which [includes room, board and services for persons
    28  eighteen and older who cannot live independently because of
    29  their social and economic situation.] provides a safe,
    30  supportive, homelike residential setting for three or less
    19870H2015B3871                  - 2 -

     1  adults who are unrelated to the domiciliary care provider, who
     2  cannot live independently in the community, and who are placed
     3  by an area agency.
     4     "Federal Older Americans Act of 1965" means Public Law 89-73,
     5  79 Stat. 218, as amended.
     6     ["Local authority" means the county commissioners.]
     7     "Long-term care" means those services designed to provide
     8  diagnostic, therapeutic, rehabilitative, supportive or
     9  maintenance services for individuals who have chronic functional
    10  impairments in a variety of institutional and noninstitutional
    11  care settings, including the home.
    12     ["Nonprofit sponsor" means any nonprofit corporation
    13  designated as an area agency on aging or as the sponsor of any
    14  aging service or activity.]
    15     "Older adults, older persons, aged, aging, elderly" [means]
    16  mean those persons residing within Pennsylvania who are age
    17  sixty or over, [or, as the secretary may determine appropriate,
    18  persons below this age] or other individuals authorized by law.
    19     ["Personal care home for adults" means any premises operated
    20  for profit in which food, shelter and personal assistance or
    21  supervision are provided for a period exceeding twenty-four
    22  hours for more than two adults who are not relatives of the
    23  operator and who require assistance or supervision in such
    24  matters as dressing, bathing, diet or medication prescribed for
    25  self administration.]
    26     "Planning and service area" means the geographic unit within
    27  the State, as authorized by the Federal Older Americans Act of
    28  1965, as amended, for allocation of funds for the delivery of
    29  social services.
    30     "Secretary" means the Secretary of Aging.
    19870H2015B3871                  - 3 -

     1     "Sole State agency" means [that State agency as designated
     2  under the Federal Older Americans Act of 1965, as amended] the
     3  Department of Aging.
     4     "Unit of general purpose local government" means, as used
     5  with reference to the designation of area agencies on aging, a
     6  county or other unit which carries general government authority
     7  for an area designated as a planning and service area under this
     8  act or a combination of such units.
     9     Section 2203-A.  Powers and Duties in General.--(a)  The
    10  Department of Aging hereinafter referred to in this article as
    11  the department shall, subject to any inconsistent provisions in
    12  this act contained, have the power and its duty shall be to:
    13     (1)  Evaluate the need for services for the aged within the
    14  State and determine the extent to which public and private
    15  programs meet such a need with special emphasis on the needs and
    16  participation of the minority elderly.
    17     (2)  [Develop, in consultation with the council and
    18  administer a comprehensive State plan for services, programs,
    19  and activities for the aging furnished by State agencies.]
    20  Assist with planning and provide consultation to State agencies
    21  with respect to services, programs and activities which they may
    22  furnish to older citizens.
    23     (2.1)  Develop and periodically update in consultation with
    24  the council and the area agencies, a comprehensive plan for
    25  coordinating all major Commonwealth services, programs and
    26  activities which are directed towards persons with chronic
    27  physical or mental impairments which necessitate long-term care.
    28     (3)  Provide for services to the aging through area agencies
    29  for the aging and other appropriate agencies, organizations and
    30  institutions authorized in accordance with the Federal Older
    19870H2015B3871                  - 4 -

     1  Americans Act of 1965, related Federal acts, and applicable
     2  State law and to stimulate services and opportunities for the
     3  aging which are not otherwise available.
     4     (4)  Function as the sole State agency to receive and
     5  disburse Federal funds under the Older Americans Act of 1965 and
     6  State funds made available for providing services to older
     7  persons.
     8     (5)  [Administer] Develop and administer the State plan for
     9  the aging required by Federal law.
    10     (5.1)  Administer the act of November 4, 1983 (P.L.217,
    11  No.63), known as the "Pharmaceutical Assistance Contract for the
    12  Elderly Act."
    13     (6)  Serve as an advocate for the aging at all levels of
    14  government and to provide consultation and assistance to the
    15  area agencies, communities and civic groups developing local
    16  services for older persons.
    17     (7)  Maintain a clearinghouse of information related to the
    18  interests of older persons and provide technical assistance and
    19  consultation to all agencies, both public and private with
    20  respect to programs and services for older persons.
    21     (8)  [Provide] Prepare for the Governor an annual budget as
    22  may be reasonably required [by] to address the needs of the
    23  Pennsylvania Council on Aging[, the four] and its regional
    24  councils [on aging and the Technical Advisory Committee].
    25     (9)  Promote, utilizing, wherever possible, the area
    26  agencies, community education regarding the problems of older
    27  persons through institutes, publications, and use of
    28  communications media.
    29     (10)  Cooperate with area agencies and agencies of the
    30  Federal Government in studies and conferences designed to
    19870H2015B3871                  - 5 -

     1  examine the needs of the aging population and to assist in
     2  preparing programs and developing facilities to meet those
     3  needs.
     4     (11)  Promote and support programs, studies and policies, in
     5  cooperation with the Departments of Labor and Industry,
     6  Education, Commerce, Public Welfare and other agencies, which
     7  will enhance the opportunity for continued work, education and
     8  training for older persons and for preretirement assistance
     9  where appropriate.
    10     (12)  Promote, through the use of area agencies and direct
    11  grants, contracts and technical assistance, the development of
    12  independent senior centers, service organizations, clubs,
    13  associations and organizations dedicated to the rights and needs
    14  of older persons [and providing activities] when these are not
    15  in conflict with State or area plans for the aging.
    16     (13)  Make recommendations for legislative action to the
    17  Governor and the General Assembly.
    18     (14)  In coordination with the area agencies and the council,
    19  develop and conduct research, demonstration programs and
    20  training programs to advance the interests of older persons.
    21     (15)  Publish a description of the organization and function
    22  of the department so that all interested agencies and
    23  individuals may be better able to solicit assistance from the
    24  department.
    25     (16)  Administer and supervise a domiciliary care program for
    26  adults.
    27     (17)  Conduct, in cooperation with appropriate State and
    28  local public and private agencies [yearly] studies and
    29  evaluations pertaining to the quality of life, health and social
    30  needs, civil rights and status of older persons residing in
    19870H2015B3871                  - 6 -

     1  [boarding homes,] personal care homes and similar residencies
     2  and report such findings and recommendations to the General
     3  Assembly [annually].
     4     (17.1)  In cooperation with the area agencies and Federal,
     5  State and local organizations and agencies, work toward the
     6  development of a continuum of community-based service and
     7  housing options for impaired and chronically ill older persons
     8  designed to maintain them in the community and avoid or delay
     9  institutional care. System development activities shall include,
    10  but not be limited to, coordinating the Commonwealth's plans for
    11  the provision, expansion and effective administration of:
    12     (i)  Personal care and health-related services provided to
    13  adults in their homes.
    14     (ii)  Housing options such as service-assisted housing
    15  options and personal care homes.
    16     (iii)  Special supports to caregivers who care for impaired
    17  older persons.
    18     (iv)  Adult day-care services, respite services and other
    19  community-based services to support care by caregivers.
    20     (v)  The promotion of informal community supports.
    21     (vi)  Geriatric assessment and nursing home screening
    22  programs.
    23     (vii)  Special services to protect the health, safety and
    24  welfare of older persons who lack the capacity to protect
    25  themselves.
    26     (viii)  Special advocacy efforts to promote greater awareness
    27  of, and more effective response to, the problems of persons with
    28  Alzheimer's disease and other related brain disorders.
    29  To the extent that the needs of other adults involve and overlap
    30  the needs of older persons addressed by this paragraph, the
    19870H2015B3871                  - 7 -

     1  department shall serve as an advocate for adults of any age.
     2     (17.2)  In cooperation with the Department of Health and the
     3  Department of Public Welfare, develop WELFARE:                    <--
     4     (I)  DEVELOP and administer a system of preadmission
     5  assessment for persons who are at risk of needing institutional
     6  care, if the department finds such a system cost effective.
     7     (17.3) (II)  Develop and administer a system of managed        <--
     8  community-based long-term care for persons who are assessed as
     9  being clinically eligible for nursing home care and who can be
    10  cared for within cost of care guidelines established by the
    11  department, if the department finds such a system cost
    12  effective.
    13     (18)  Review all proposed Commonwealth program plans and
    14  policies, and administrative regulations that are published in
    15  the Pennsylvania Bulletin for their impact on older persons.
    16  Where the secretary believes that they have an impact on older
    17  persons, he shall comment in accordance with the provisions of
    18  the Commonwealth Documents Law.
    19     (19)  Make and enforce rules and regulations necessary and
    20  proper to the performance of its duties.
    21     (20)  After July 1, 1979 and at the option of the secretary,
    22  to administer those provisions of the act of January 22, 1968
    23  (P.L.42, No.8), known as the "Pennsylvania Urban Mass
    24  Transportation Assistance Law of 1967," which relate to [free
    25  local transit for the elderly] special transit programs for the
    26  elderly. The secretary shall confer with the Department of
    27  Transportation in order to insure that the regulations
    28  promulgated by the Department of Aging do not conflict with
    29  those promulgated by the Department of Transportation.
    30     (21)  Serve as an advocate for the needs of the adult
    19870H2015B3871                  - 8 -

     1  handicapped as such needs involve and overlap the needs and
     2  services of older persons.
     3     (22)  Cooperate with the Pennsylvania Office of Planning in
     4  the development of local, regional and Statewide solutions to
     5  the needs of older persons.
     6     (23)  Review the activities of regulatory [and] agencies of
     7  the Commonwealth which affect the full and fair utilization of
     8  State and community resources for programs and benefits for
     9  older persons and initiate programs which will help assure such
    10  utilization.
    11     (24)  Conduct, in cooperation with the Department of Health
    12  and the Department of Public Welfare, [yearly] periodic studies
    13  and evaluations pertaining to the quality of care and related
    14  services for [nursing home patients] consumers of long-term care
    15  services and report such findings to the General Assembly
    16  [annually].
    17     (24.1)  Conduct, in cooperation with the Department of
    18  Health, an ongoing Statewide prescription drug education program
    19  designed to inform older adults of the dangers of prescription
    20  drug abuse and misuse.
    21     (24.2)  Establish and administer a State Long-Term Care
    22  Ombudsman Program, including providing resources to area
    23  agencies on aging or other contractors to investigate and
    24  resolve complaints related to the health, safety or rights of
    25  older individuals who are residents CONSUMERS of long-term care   <--
    26  facilities (such as nursing homes and personal care homes)        <--
    27  SERVICES and to prepare and submit to the General Assembly an     <--
    28  annual report containing data and findings regarding the types
    29  of problems experienced and complaints investigated.
    30     (25)  Collaborate with the Department of Community Affairs
    19870H2015B3871                  - 9 -

     1  and the Pennsylvania Housing Finance Agency in the location,
     2  design, management and services of housing built for older
     3  persons and upon request provide technical assistance to local
     4  housing authorities, nonprofit housing and community groups,
     5  redevelopment authorities, and other groups with a special
     6  emphasis on programs on utility costs, rehabilitation and
     7  maintenance of the homes of older persons.
     8     (26)  Review and comment on all rules, regulations,
     9  eligibility or payment standards issued by the Departments of
    10  Public Welfare, Environmental Resources, Health or Labor and
    11  Industry relating to the licensure and regulation of nursing
    12  homes, hospitals, and other health facilities; medical
    13  assistance, supplemental security income; homemaking and home-
    14  health care or residential care facilities for older adults.
    15  Said rules, regulations and standards shall not take effect
    16  until they have been submitted to the department for comment.
    17     (27)  Review and comment on rules, regulations, eligibility
    18  standards, or contract provisions issued by the Departments of
    19  Revenue and Transportation relating to activities financed in
    20  whole or in part by the Pennsylvania Lottery. Said rules,
    21  regulations, eligibility standards and contract provisions shall
    22  not take effect until they have been submitted to the department
    23  for comment.
    24     (28)  Review and comment on rules, regulations, eligibility
    25  standards or contract provisions issued by the Department of
    26  Transportation relating to specialized transportation needs of
    27  the elderly and the handicapped in rural and urban areas. Said
    28  rules, regulations, eligibility standards or contract provisions
    29  shall not take effect until they have been submitted to the
    30  department for comment.
    19870H2015B3871                 - 10 -

     1     (29)  Provide for services to adults under age sixty whose
     2  needs for services are similar to those for which the department
     3  is responsible with respect to older persons and as may be
     4  specifically authorized by law.
     5     (b)  In filling vacancies authorized to the department, the
     6  secretary shall assure that preference is given to persons sixty
     7  years of age or older.
     8     Section 2204-A.  Pennsylvania Council on Aging.--(a)  There
     9  is hereby created in the Office of the Governor the Pennsylvania
    10  Council on Aging which shall consist of [nineteen] twenty-one
    11  persons at least [ten] eleven of whom shall be [fifty-five]
    12  sixty years of age or older, and [of] which [four] shall [be]
    13  include the chairpersons of the regional [council] councils on
    14  aging [and twelve alternate members]. Eleven members of the
    15  Pennsylvania Council shall constitute a quorum for the conduct
    16  of matters which come before it. Absence of a member at three
    17  consecutive meetings shall result in the member forfeiting his
    18  seat, unless he requests in writing and receives approval from
    19  the chairman for an absence necessitated by illness of the
    20  member or the death of a loved one.
    21     (b)  The members of the council shall be appointed by the
    22  Governor and shall represent, as far as possible, different
    23  geographical sections of the Commonwealth. In addition, the
    24  council shall include representatives of long-term care
    25  providers such as, for example, adult day-care providers. The
    26  members shall be appointed on staggered terms of one to three
    27  years. Members shall be eligible for reappointment.
    28     (c)  The council shall provide for its organization and
    29  procedure including the selection of a chairman and such other
    30  officers as deemed necessary.
    19870H2015B3871                 - 11 -

     1     (d)  The [citizen] members of the council shall receive no
     2  compensation for their services on the council but shall be
     3  reimbursed by the department, in accordance with regulations,
     4  for any ordinary and necessary expenses incurred in the
     5  performance of their duties.
     6     (e)  The council shall meet at least six times per year to
     7  review and comment upon all reports of the Department of Aging
     8  to the Governor and the General Assembly.
     9     (f)  The council shall have the following powers and duties:
    10     (1)  Assist the department in the preparation of the [annual]
    11  State plan on aging.
    12     (2)  To review and comment on rules and regulations
    13  promulgated by the department.
    14     (3)  To prepare and submit to the Governor, the General
    15  Assembly, the Secretary of the Department of Aging and the
    16  public [an annual report] reports evaluating the level and
    17  quality of services and programs provided to the aging by
    18  Commonwealth agencies together with recommendations for
    19  improved, expanded or additional programs and services for the
    20  aging.
    21     (4)  To carry out public hearings on matters affecting the
    22  rights and interests of the aging including matters involving
    23  cases of neglect, abuse and age discrimination against older
    24  persons in the administration of the laws of the Commonwealth
    25  and its political subdivisions.
    26     (5)  To carry out [comprehensive] studies in the areas of age
    27  discrimination, health care, Medical Assistance program policies
    28  affecting the elderly, duration of stay contracts for nursing
    29  homes, health-related insurance increases and, as appropriate,
    30  other major issues affecting the aging [housing, utility costs,
    19870H2015B3871                 - 12 -

     1  taxation, income support and transportation] and to report to
     2  the Governor, the General Assembly, the secretary and the public
     3  its findings and recommendations in regard to appropriate action
     4  and a long-term strategy for [the aging in each of these
     5  respective areas of study within one year of the effective date
     6  of this act] an appropriate manner in which to address these
     7  issues. [In each succeeding year, the council shall engage in
     8  similar studies and reports on major issues affecting the
     9  aging.]
    10     (6)  Consult with the secretary regarding the operations of
    11  the department.
    12     (7)  To establish [at least four] no more than five regional
    13  councils on aging which shall consist of fifteen citizen members
    14  and concerning which the composition, members' terms of offices,
    15  organization and duties and responsibilities shall be determined
    16  by the council.
    17     (8)  Employ, with such funds as are provided by the
    18  department, sufficient staff and services to carry out these
    19  duties and powers as well as the duties and powers of the
    20  regional councils.
    21     Section 2205-A.  Planning and Service Area.--[The
    22  Commonwealth shall be divided into district planning and service
    23  areas as determined by the secretary, pursuant to the Federal
    24  Older Americans Act of 1965, as amended.] The Commonwealth is
    25  currently divided into planning and service areas. These
    26  geographical subdivisions are established by the authority of
    27  the secretary under the Federal Older Americans Act of 1965, and
    28  may only be changed by order of the secretary under provisions
    29  set forth by the department for combining or dividing
    30  geographical areas to bring about more effective and efficient
    19870H2015B3871                 - 13 -

     1  planning and service delivery.
     2     Section 2206-A.  Designated Area Agencies.--For each planning
     3  and service area there shall be an area agency [established]
     4  designated by the department in accordance with the Federal
     5  Older Americans Act of 1965, as amended, to serve as a focal
     6  point in the community for the coordination of services for
     7  older people and for the issues and concerns of aging. [Such] An
     8  area agency so designated must be (i) an established office of
     9  aging; (ii) any office or agency of the [local authority] unit
    10  of general purpose local government, which is designated for
    11  this purpose by the chief elected officials of the [local
    12  authority] unit of general purpose local government; (iii) any
    13  office or agency designated by the chief elected officials of a
    14  combination of [local authorities] units of general purpose
    15  local government to act on behalf of such combination for this
    16  purpose; or (iv) any public or nonprofit private agency in a
    17  planning and service area which is under the supervision or
    18  direction for this purpose of the designated State agency and
    19  which can engage in the planning or provision of a broad range
    20  of social services within such planning and service area; and
    21  must provide assurance, found adequate by the department, that
    22  it will have the ability to develop and administer an area plan.
    23  The secretary may [redesignate] OR designate new area agencies    <--
    24  [based on ESTABLISHED regulations [which shall be issued within   <--
    25  one hundred twenty days of the effective date of this act]. Such  <--
    26  regulations shall include criteria of efficiencies,
    27  appropriateness and equity and shall provide for public hearings
    28  on redesignation conducted in the affected planning and service
    29  areas. Any such determinations of redesignation shall be
    30  executed not less than one hundred days prior to the beginning
    19870H2015B3871                 - 14 -

     1  of the fiscal year of the local authority.] A DESIGNATION OR      <--
     2  REDESIGNATION MAY OCCUR when changes are made in established
     3  planning and service area boundaries, when a currently
     4  designated area agency is unable or unwilling to continue as the
     5  area agency, WHEN REMOVAL OF AN AREA AGENCY DESIGNATION IS        <--
     6  REQUESTED BY THE LOCAL AUTHORITY or when the department
     7  determines that a currently designated area agency is incapable
     8  of carrying out its approved area plan. The removal of an area
     9  agency designation and the designation of a new area agency
    10  shall be carried out under regulations promulgated by the
    11  department and consistent with the Federal Older Americans Act
    12  of 1965. FOR THE PURPOSE OF THIS SECTION, THE TERM "LOCAL         <--
    13  AUTHORITY" SHALL MEAN COUNTY COMMISSIONERS OR COUNTY COUNCIL.
    14     Section 2207-A.  Area Agencies; Powers and Duties.--(a)  The
    15  area agency shall have the authority to act as an advocate at
    16  all levels of government and within the community at large for
    17  the interests of older persons within the planning and service
    18  area. It shall develop a comprehensive area plan to coordinate
    19  services for older persons within its planning and service area
    20  as the department may prescribe by regulation. The area plan
    21  shall make provision for:
    22     (1)  Information and referral, advocacy programs.
    23     (2)  Social service case management and casework services
    24  including protective [placement and] services and placement
    25  services.
    26     (3)  Transportation services.
    27     (4)  Legal counseling and representation.
    28     (5)  In-home services including [residential repair,
    29  homemaker, home chore services, and congregate and home
    30  delivered meals] personal care and health-related services.
    19870H2015B3871                 - 15 -

     1     (6)  Assistance to secure adequate housing and health
     2  services.
     3     (7)  Other services required by Federal law and other such
     4  services and activities designated by the department or
     5  identified as critical needs by the area agency and the area
     6  agency advisory board. The State plan on aging and grants and
     7  contracts provided by the department shall reasonably
     8  accommodate such locally designated priorities and critical
     9  needs.
    10     (8)  The establishment of an affiliated network of
    11  multiservice centers and neighborhood centers for older persons.
    12  Each center shall provide those services required by the
    13  department in accordance with regulations adopted by the
    14  department, which regulations shall provide for the maximum
    15  involvement of members of such centers and sponsoring
    16  organizations in the identification and prioritization of
    17  services and activities to be conducted in such centers.
    18     (a.1)  The AREA AGENCY SHALL BE RESPONSIBLE FOR WORKING        <--
    19  TOWARD THE development, in cooperation with State and local
    20  organizations and agencies, of a continuum of community-based
    21  service and housing options for impaired and chronically ill
    22  older persons designated DESIGNED to maintain them in the         <--
    23  community and avoid or delay institutional care. System
    24  development activities shall include, but not be limited to,
    25  coordinating area plans for the provision, expansion and
    26  effective administration of:
    27     (1)  Personal care and health-related services provided to
    28  adults in their home.
    29     (2)  Housing options such as service-assisted housing and
    30  personal care homes.
    19870H2015B3871                 - 16 -

     1     (3)  Special supports to caregivers who care for impaired
     2  older persons.
     3     (4)  Adult day-care services, respite services and other
     4  community-based services to support care by caregivers.
     5     (5)  The promotion of informal community supports.
     6     (6)  Geriatric assessment and nursing home screening
     7  programs.
     8     (7)  Special services to protect the health, safety and
     9  welfare of older persons who lack the capacity to protect
    10  themselves.
    11     (8)  Special advocacy efforts to promote greater awareness
    12  of, and more effective response to, the problems of persons with
    13  Alzheimer's disease and other related brain disorders.
    14  To the extent that the needs of other adults involve and overlap
    15  the needs of older persons addressed by this provision, the area
    16  agency shall serve as an advocate for adults of any age.
    17     (b)  The area agency shall give priority of services to older
    18  persons with the greatest needs and least resources. Factors
    19  identifying older persons who are entitled to priority are:
    20     (1)  [Functional] MEDICALLY AT RISK OR FUNCTIONAL              <--
    21  disability[, i.e., severe restriction of ability to carry out     <--
    22  daily activities].                                                <--
    23     (2)  Aloneness, i.e., living alone in a private apartment or
    24  home unaccompanied by a related adult.
    25     (3)  Advanced age, i.e., seventy-five years of age or above.
    26     (4)  Low income.
    27     (5)  Services to minorities in proportion to their numbers
    28  consistent with the provisions of the Human Relations Act.
    29     (6)  Inadequate housing.
    30     (7)  Lack of access to recreational and social activities.
    19870H2015B3871                 - 17 -

     1     (c)  In carrying out this section, the area agency shall
     2  provide preference in filling all jobs for persons of age
     3  [fifty-five] sixty and above [and shall require such preference
     4  in all sub-contracts utilizing funds provided by the
     5  Commonwealth. The Department of Aging shall issue regulations
     6  pursuant to this section within one hundred fifty days of the
     7  effective date of this act] in accordance with the regulations
     8  promulgated by the department.
     9     (d)  [The] Consistent with the Older Americans Act of 1965,
    10  as amended, and provisions set forth by the department, the area
    11  agency may grant to or contract with any public[,] or private
    12  [or nonprofit] agency for the [provisions] provision of social
    13  services. The area agency is authorized to use, with their
    14  consent, the services, equipment, personnel and facilities of
    15  Federal and State agencies, with or without reimbursement, and
    16  on a similar basis to cooperate with other public and private
    17  agencies, and instrumentalities, in the use of services,
    18  equipment and facilities.
    19     Section 2208-A.  Area Agency Advisory [Boards] Councils.--In
    20  each planning and service area, an advisory [board] council of
    21  at least fifteen members shall be appointed to advise the area
    22  agency[. The department shall issue regulations designating the
    23  selection process, composition and powers of advisory boards
    24  within one hundred eighty days of the effective date of this
    25  act. Such regulations shall provide for a majority of such
    26  boards to be composed of persons above the age of sixty; maximum
    27  possible involvement of such boards in determining local
    28  programs and policies and advocacy roles within area agency
    29  programs and local communities as well as for administrative
    30  funds to carry out their functions.] with regard to the needs of
    19870H2015B3871                 - 18 -

     1  older persons residing in the planning and service area and the
     2  area agency's responses to those needs. The composition and
     3  responsibility of the area agency advisory council shall be
     4  consistent with the provisions of the Federal Older Americans
     5  Act of 1965 and the regulations of the department. As a minimum,
     6  these regulations shall require that each council be composed of
     7  a majority of persons above the age of sixty. Such councils
     8  shall be given the maximum possible opportunity to influence
     9  local programs and policies and advocacy roles within area
    10  agency programs and local communities. Area agencies shall
    11  provide advisory councils with the funds necessary to carry out
    12  their functions.
    13     Section 2209-A.  Area Agencies; Reports and Plans.--[(a)  The
    14  area agency shall submit to the Department of Aging an annual
    15  report describing and evaluating its programs and services
    16  within thirty days after the close of the area agency's fiscal
    17  year.
    18     (b)  The area agency shall submit to the department for
    19  approval an area plan ninety days prior to the start of the area
    20  agency's fiscal year. The area agency shall conduct, prior to
    21  the submission of the area plan to the department for approval,
    22  a public hearing on the area plan. If the department approves
    23  the area plan, or fails to act within sixty days, the area plan
    24  shall go into effect at the beginning of the fiscal year. If the
    25  department disapproves the area plan, it shall forward the
    26  reasons for disapproval to the area agency which shall have
    27  twenty days to resubmit an amended area plan. If the department
    28  approves the resubmitted area plan, it shall be effective at the
    29  beginning of the fiscal year. If the resubmitted area plan is
    30  disapproved, the department shall forward its revised area plan
    19870H2015B3871                 - 19 -

     1  for implementation by the area agency at the beginning of the
     2  fiscal year, provided that the department shall hold a hearing
     3  in the area prior to such action and that the department may
     4  authorize the continuation of the provision of services under
     5  the current area plan for a period not to exceed ninety days.]
     6  (a)  Under provisions set forth by the department, the area
     7  agency shall submit to the department a comprehensive area plan
     8  on aging which clearly explains the area agency's objectives for
     9  providing services to the aging of the planning and service
    10  area. This plan may be submitted as part of a coordinated county
    11  human service plan, provided that the format is approved by the
    12  department.
    13     (b)  Each area agency, under provisions set forth by the
    14  department, shall submit an annual report which describes and
    15  evaluates its programs and services after the close of each year
    16  of funding by the department.
    17     Section 2210-A.  Allocation of Resources.--(a)  The area
    18  agency shall receive a basic allocation of resources, consisting
    19  of State and Federal funds weighted by the proportion of older
    20  poor persons who reside in the planning and service area in
    21  relation to the total number of older poor persons who reside in
    22  the Commonwealth of Pennsylvania utilizing poverty threshold
    23  income standards as determined by the United States Office of
    24  Management and Budget except that each area agency shall be held
    25  harmless to the amount of [such] State funds received in the
    26  preceding program year [in which this act becomes effective].
    27     (b)  The department may allocate additional resources to area
    28  agencies based upon the total number of older persons who reside
    29  within the planning and service area, the availability of
    30  transportation services, the rural-urban distribution of older
    19870H2015B3871                 - 20 -

     1  persons, and attendant rural program cost differentials, the
     2  need for social and medical services, the amount of funds
     3  devoted by county commissioners for older persons and other
     4  special circumstances as determined by the secretary.
     5     (c)  Funds appropriated to carry out the purposes of this act
     6  shall be distributed to the local authorities or nonprofit
     7  agencies as grants or cost reimbursement for services to the
     8  aging, if there is an acceptable plan in accordance with section
     9  2209-A.
    10     [(d)  The Department of Public Welfare shall transfer, for
    11  three State fiscal years immediately subsequent to the effective
    12  date of this act, to the Department of Aging a proportion of the
    13  State allotment under Title XX of the Social Security Act at
    14  least equal to the proportion of such funds, including training
    15  and administrative funds, allocated to the office for the aging
    16  in relation to the State's total allotment in the same fiscal
    17  year as the effective date of this act.]
    18     Section 2212-A.  Demonstration Programs.--In recognition of
    19  the need for expanded knowledge and experience concerning the
    20  status of older persons in Pennsylvania, the Secretary of Aging
    21  may provide for research and demonstration programs for the
    22  purpose of:
    23     (1)  Studying current living conditions and needs of older
    24  persons, with special emphasis on persons with low income,
    25  MEDICAL AND functional disabilities, advanced age and isolated    <--
    26  living situations.
    27     (2)  Studying existing methods and alternatives for providing
    28  services, programs and opportunities to older persons.
    29     (3)  Identifying those factors of particular detriment or
    30  benefit to the welfare of older persons.
    19870H2015B3871                 - 21 -

     1     (4)  Developing new approaches and alternatives for living
     2  arrangements, social services, institutional care, health
     3  services, legal representation and the coordination of community
     4  services for older persons.
     5     SECTION 2.  SECTION 2402(D) OF THE ACT, AMENDED OCTOBER 23,    <--
     6  1988 (P.L.    , NO.122), IS AMENDED TO READ:
     7     SECTION 2402.  GROUNDS, BUILDINGS AND MONUMENTS IN GENERAL.--
     8  * * *
     9     (D)  TO CONTRACT IN WRITING FOR AND RENT PROPER AND ADEQUATE
    10  OFFICES, ROOMS, OR OTHER ACCOMMODATIONS, OUTSIDE OF THE CAPITOL
    11  BUILDINGS, FOR ANY DEPARTMENT, BOARD, OR COMMISSION, WHICH
    12  CANNOT BE PROPERLY AND ADEQUATELY ACCOMMODATED WITH OFFICES,
    13  ROOMS, AND ACCOMMODATIONS IN THE CAPITOL BUILDINGS; AND, IN ALL
    14  CASES IN WHICH THE HEAD OF A DEPARTMENT, FOR SUCH DEPARTMENT OR
    15  FOR A DEPARTMENTAL ADMINISTRATIVE BOARD OR COMMISSION WITHIN
    16  SUCH DEPARTMENT, OR AN INDEPENDENT ADMINISTRATIVE BOARD OR
    17  COMMISSION, WITH THE APPROVAL OF THE EXECUTIVE BOARD, HAS
    18  ESTABLISHED OR IS ABOUT TO ESTABLISH A BRANCH OFFICE IN ANY CITY
    19  OR PLACE OUTSIDE OF THE CAPITAL CITY, WITH THE APPROVAL OF THE
    20  BOARD OF COMMISSIONERS OF PUBLIC GROUNDS AND BUILDINGS, TO
    21  CONTRACT IN WRITING FOR AND RENT SUCH OFFICES, ROOMS, AND OTHER
    22  ACCOMMODATIONS, AS SHALL BE PROPER AND ADEQUATE FOR SUCH
    23  DEPARTMENT, BOARD, OR COMMISSION. THE DEPARTMENT SHALL RENT SUCH
    24  GARAGES OR CONTRACT FOR SUCH GARAGE SPACE AS MAY BE NECESSARY
    25  FOR THE ACCOMMODATION OF STATE-OWNED AUTOMOBILES, EITHER IN OR
    26  OUTSIDE OF THE CAPITAL CITY, AT SUCH RENTALS OR RATES AS IT
    27  SHALL DEEM REASONABLE. THE DEPARTMENT MAY ALSO, IF THE GENERAL
    28  ASSEMBLY SHALL HAVE APPROPRIATED FUNDS THEREFOR, LEASE ANY LANDS
    29  WHICH MAY BE NECESSARY FOR USE BY ANY DEPARTMENT, BOARD, OR
    30  COMMISSION IN THE EXERCISE OF ITS POWERS OR THE PERFORMANCE OF
    19870H2015B3871                 - 22 -

     1  ITS DUTIES. IT SHALL BE UNLAWFUL FOR ANY OTHER DEPARTMENT,
     2  BOARD, COMMISSION, OR AGENCY OF THE STATE GOVERNMENT TO ENTER
     3  INTO ANY LEASES, BUT THE DEPARTMENT OF GENERAL SERVICES SHALL
     4  ACT ONLY AS AGENT IN EXECUTING LEASES FOR DEPARTMENTS, BOARDS,
     5  AND COMMISSIONS, THE EXPENSES OF WHICH ARE PAID WHOLLY OR MAINLY
     6  OUT OF SPECIAL FUNDS, AND, IN SUCH CASES, THE RENTALS SHALL BE
     7  PAID OUT OF SUCH SPECIAL FUNDS. ANY NONPROFIT CORPORATION WHICH
     8  LEASES LANDS, OFFICES OR ACCOMMODATIONS TO THE COMMONWEALTH FOR
     9  ANY DEPARTMENT, BOARD, COMMISSION OR AGENCY WITH A RENTAL AMOUNT
    10  IN EXCESS OF ONE MILLION FIVE HUNDRED THOUSAND DOLLARS
    11  ($1,500,000) PER YEAR SHALL BE DEEMED AN AGENCY AS DEFINED BY
    12  THE ACT OF JULY 3, 1986 (P.L.388, NO.84), KNOWN AS THE "SUNSHINE
    13  ACT," AND THE ACT OF JUNE 21, 1957 (P.L.390, NO.212), REFERRED
    14  TO AS THE RIGHT-TO-KNOW LAW, AND ANY SUCH NONPROFIT CORPORATION
    15  SHALL BE SUBJECT TO AND GOVERNED BY THE PROVISIONS OF THE
    16  "SUNSHINE ACT" AND THE RIGHT-TO-KNOW LAW.
    17     * * *
    18     Section 2 3.  All acts and parts of acts are repealed insofar  <--
    19  as they are inconsistent with this act.
    20     Section 3 4.  (a)  This act shall constitute the legislation   <--
    21  necessary to reestablish the Department of Aging under the act
    22  of December 22, 1981 (P.L.508, No.142), known as the Sunset Act.
    23     (b)  The Department of Aging shall terminate December 31,
    24  1997, unless reestablished pursuant to the Sunset Act.
    25     (c)  Persons who are members of the Pennsylvania Council on
    26  Aging, on the effective date of this act, shall serve on the
    27  council provided for in this act until their current terms
    28  expire, provided that any current members whose terms have
    29  expired on or before the effective date of this act shall serve
    30  until their successors are duly appointed and qualified, but no
    19870H2015B3871                 - 23 -

     1  longer than six months after the effective date of this act.
     2     (d)  Each rule and regulation of the Department of Aging in
     3  effect on the effective date of this act shall remain in effect
     4  until amended by the department, provided that the department
     5  shall immediately initiate the repeal or amendment of a rule or
     6  regulation which is inconsistent with the provisions of this
     7  act.
     8     Section 4 5.  This act shall take effect immediately.          <--















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