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06/04/2024 11:01 AM
Pennsylvania State Senate
https://www.legis.state.pa.us/cfdocs/Legis/CSM/showMemoPublic.cfm?SPick=20230&chamber=S&cosponId=40962
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Senate of Pennsylvania
Session of 2023 - 2024 Regular Session

MEMORANDUM

Posted: June 8, 2023 11:29 AM
From: Senator Rosemary M. Brown
To: All Senate members
Subject: Alzheimer’s and Dementia Infrastructure
 
In the near future, I plan to introduce legislation to enhance, expand and expedite the way in
which the Commonwealth addresses Alzheimer’s Disease and Related Disorders (ADRD), a
growing public health crisis throughout Pennsylvania.
 
There are currently 280,000 Pennsylvanians aged 65 and older living with Alzheimer’s, a
number expected to increase to 320,000 by 2025 and grow exponentially from there. ADRD is
the most expensive disease and in 2020, total Pennsylvania Medicaid costs of caring for
someone with Alzheimer’s disease was nearly $3.7 billion, a number estimated to increase to
over 10% by 2025. Of the total lifetime cost of caring for someone with dementia, 70% is borne
by families — either through out-of-pocket health and long-term care expenses or from the
value of unpaid care. The burden of caring for individuals with Alzheimer’s and other dementias
extends to millions of Americans caring for those with the disease. In 2022, 404,000 unpaid
Pennsylvania caregivers provided 646 million hours of care valued at over $10.7 billion.
Alzheimer's takes a devastating toll on caregivers. Compared with caregivers of people without
dementia, twice as many caregivers of those with dementia indicate substantial emotional,
financial and physical difficulties. In totality, these mounting financial, physical and emotional
costs threaten to bankrupt families, businesses and our health care system.
 
Pennsylvania released its first comprehensive ADRD State Plan in 2014 and a Task Force was
appointed through the Department of Aging in May 2018 to lead its implementation. Despite
these efforts however, little progress has been made in a coordinated and collaborative way to
improve the state’s overall approach to addressing ADRD throughout the Commonwealth. This
growing public health crisis drains physical, emotional and financial health of all impacted
including state government resources. Different government agencies administer programs and
initiatives that are critical to people living with dementia but these are predominately siloed, with
multiple state agencies working separately from one another. Even further, the disease remains
largely viewed as an aging issue and often defaults to the Department of Aging to remedy
instead of through a coordinated, interdepartmental approach that incorporates a broad
spectrum of public-private partnerships necessary to effectively and efficiently address the
multi-faceted challenges of this disease. The impact of this disease extends well beyond those
aged 60 and older and is why Pennsylvania must combat this disease in the same way public
health addresses other leading chronic disease and health conditions.
 
My legislation will create a permanent ADRD Division and establish an ADRD Advisory
Committee, both within the Department of Health to convene statewide stakeholders on ADRD
State Plan implementation, coordinate across state agencies, advocate policy, secure federal
funding, and leverage additional resources to better respond to the unique and complex needs
of those living with Alzheimer's and other dementia and the systems that support them. This
legislation will create a focused and strategic approach in coordinating public-private solutions,
while building in accountability measures to demonstrate progress being made to address this
rapidly evolving public health issue.
 
Please join me in cosponsoring this resolution.  If you have any questions regarding this legislation, please contact Christine Zubeck in my office at 717-787-6123 or czubeck@pasen.gov. Thank you for your consideration.



Introduced as SB840