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                                                      PRINTER'S NO. 1787

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 1289 Session of 2008


        INTRODUCED BY STACK, WONDERLING, STOUT, RAFFERTY, WOZNIAK,
           BOSCOLA, RHOADES, KITCHEN, WAUGH, PIPPY, COSTA, O'PAKE,
           WASHINGTON, LOGAN AND C. WILLIAMS, FEBRUARY 20, 2008

        REFERRED TO AGING AND YOUTH, FEBRUARY 20, 2008

                                     AN ACT

     1  Establishing naturally occurring retirement communities;
     2     providing for powers and duties of the Department of Aging;
     3     and making an appropriation.

     4     The General Assembly of the Commonwealth of Pennsylvania
     5  hereby enacts as follows:
     6  Section 1.  Short title.
     7     This act shall be known and may be cited as the Naturally
     8  Occurring Retirement Community Act.
     9  Section 2.  Declaration of policy.
    10     The General Assembly finds and declares as follows:
    11         (1)  There is an increasing need for appropriate services
    12     to senior citizens residing in houses, apartments and other
    13     dwellings not originally constructed for the elderly.
    14         (2)  Establishing and supporting naturally occurring
    15     retirement communities assures access to a continuum of
    16     necessary services and prevents or postpones the need for
    17     seniors residing in these communities to move to an
    18     institutional care setting such as a hospital, nursing home

     1     or assisted living residence.
     2  Section 3.  Definitions.
     3     The following words and phrases when used in this act shall
     4  have the meanings given to them in this section unless the
     5  context clearly indicates otherwise:
     6     "Department."  The Department of Aging of the Commonwealth.
     7     "Eligible entity."  A nonprofit health or social service
     8  organization, a community-based nonprofit organization, an area
     9  agency on aging or other local government agency or other entity
    10  that:
    11         (1)  the Secretary of Aging determines to be appropriate
    12     to carry out a project under this act; and
    13         (2)  demonstrates a record of and experience in providing
    14     or administering group and individual health and social
    15     services for senior citizens.
    16  The term does not include an entity providing housing under the
    17  congregate housing services program carried out under section
    18  802 of the Cranston-Gonzalez National Affordable Housing Act
    19  (Public Law 101-625, 42 U.S.C. 8011) or the multifamily service
    20  coordinator program carried out under section 202(g) of the
    21  National Housing Act (12 U.S.C. 1701q(g)).
    22     "Eligible services."  Services including, but not limited to,
    23  case management, care coordination, counseling, health
    24  assessment and monitoring, transportation, socialization
    25  activities, home care facilitation and monitoring, technology,
    26  assistive technology, home repairs, the eligible entity's
    27  infrastructure-related costs, home health care and assistance
    28  with daily living activities such as cooking and cleaning, and
    29  other services designed to address the needs of residents of
    30  naturally occurring retirement communities by helping them
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     1  extend their independence, improve their quality of life and
     2  avoid unnecessary hospital and nursing home stays.
     3     "Naturally occurring retirement community."  A community with
     4  a concentrated population of senior citizens, including, but not
     5  limited to, a residential building, housing complex and area,
     6  including a rural area, of single-family residences or a
     7  neighborhood composed of age-integrated housing that is not an
     8  institutional care or an assisted living residence and where:
     9         (1)  not less than 40% of the heads of households are
    10     seniors; or
    11         (2)  a critical mass of seniors exists, based on local
    12     factors that, taken in total, allow an organization to
    13     achieve efficiencies in the provision of health and social
    14     services to seniors living in the community.
    15     "Program."  The Naturally Occurring Retirement Community
    16  Program.
    17     "Secretary."  The Secretary of Aging of the Commonwealth.
    18     "Senior" or "senior citizen."  A person who is 60 years of
    19  age or older.
    20  Section 4.  Naturally Occurring Retirement Community Program.
    21     The Naturally Occurring Retirement Community Program is
    22  established and shall be administered by the department.
    23  Section 5.  Powers and duties.
    24     (a)  Rules and regulations.--The department shall promulgate
    25  rules and regulations to carry out the provisions of this act.
    26     (b)  Grants.--The department shall issue grants to eligible
    27  entities.
    28     (c)  Advisory board.--The secretary shall establish an
    29  advisory board to aid in the development of the program. The
    30  advisory board shall consist of all of the following:
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     1         (1)  The secretary, who shall serve as the chairman of
     2     the advisory group.
     3         (2)  Two representatives from existing naturally
     4     occurring retirement communities programs.
     5         (3)  Two representatives from senior citizen advocacy
     6     groups.
     7         (4)  Two representatives from long-term care service
     8     providers.
     9         (5)  One representative appointed by the Majority Leader
    10     of the Senate, the Minority Leader of the Senate, the
    11     Majority Leader of the House of Representatives and the
    12     Minority Leader of the House of Representatives.
    13     (d)  Criteria for grants.--The department shall develop
    14  criteria for the awarding of grants consistent with this section
    15  and shall include, at a minimum:
    16         (1)  The number, size, type and location of the projects
    17     to be served, except that the advisory board and the
    18     secretary shall make reasonable efforts to assure that
    19     geographic balance in the distribution of the projects is
    20     maintained, consistent with:
    21             (i)  The needs to be addressed.
    22             (ii)  Funding available.
    23             (iii)  Applications from eligible entities.
    24             (iv)  Other requirements of this section.
    25             (v)  Other criteria developed by the advisory board
    26         and the secretary.
    27         (2)  The appropriate number and concentration of senior
    28     citizens to be served by an individual project.
    29         (3)  The demographic characteristics, including the age,
    30     sex and region of the senior citizens to be served.
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     1         (4)  The financial support required to operate a
     2     naturally occurring retirement community project and the
     3     sources of the support.
     4         (5)  The scope and intensity of the services to be
     5     provided, and their appropriateness for the senior citizens
     6     proposed to be served. The criteria shall not require that
     7     the eligible entity be the sole provider of such services,
     8     but shall require that the eligible entity at a minimum
     9     actively manage the provision of the services.
    10         (6)  The experience and financial stability of the
    11     eligible entity, except that the criteria shall require that
    12     priority be given to programs already in operation.
    13         (7)  The nature and extent of requirements established
    14     for active, meaningful participation for senior citizens to
    15     be served in project design, implementation, monitoring,
    16     evaluation and governance.
    17         (8)  Documentation of the need for the project and
    18     financial commitments to it from such sources as the advisory
    19     board shall deem appropriate given the character and nature
    20     of the proposed project. The purpose of the documentation
    21     shall be to demonstrate the need for the project, support for
    22     it in the areas to be served and financial and managerial
    23     ability to sustain the project.
    24  Section 6.  Reports to General Assembly.
    25     On or before March 1 of every year, the secretary shall issue
    26  a report to the Governor, the chairman and the minority chairman
    27  of the Aging and Youth Committee of the Senate, and the chairman
    28  and minority chairman of the Aging and Older Adult Services
    29  Committee of the House of Representatives. The report shall
    30  discuss the effectiveness of the program and recommendations for
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     1  improvement. Areas that may be included in the report are:
     2         (1)  Whether the program is helping to address the needs
     3     of naturally occurring retirement community residents.
     4         (2)  Whether the program is assuring access to a
     5     continuum of necessary services.
     6         (3)  Whether the program receives private, philanthropic
     7     and other public funding.
     8         (4)  Whether the program prevents or postpones the need
     9     for seniors residing in a naturally occurring retirement
    10     community to move to an institutional care setting, such as a
    11     hospital, nursing home or assisted living residence, as
    12     measured by the time period commencing on the date a senior
    13     first meets the legal criteria for admission to such an
    14     institution and ending on the date when he or she applies for
    15     such admission.
    16         (5)  The number, size, type and location of the projects
    17     developed and funded, including the number, kinds and
    18     functions of staff in each program.
    19         (6)  The number, size, type and location of the projects
    20     proposed but not funded and the reasons for denial of funding
    21     for the projects.
    22         (7)  The age, sex, region and other appropriate
    23     demographic information concerning the seniors served.
    24         (8)  The services provided to seniors, reported in a
    25     manner to allow comparison of services by demographic group
    26     and region.
    27         (9)  A listing of the services provided by eligible
    28     entities, including the number, kind and intensity of the
    29     services.
    30  Section 7.  Appropriation.
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     1     The sum of $5,000,000 is hereby appropriated to the
     2  Department of Aging to administer, distribute and fund grants
     3  for naturally occurring retirement communities.
     4  Section 20.  Effective date.
     5     This act shall take effect in 60 days.

















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