PA Senate Democrats Hold Policy Hearing on Improving Care in Nursing Homes

Harrisburg – June 2, 2021 At the request of Senators Wayne Fontana (D- Allegheny), Senate Democratic Leader Jay Costa (D- Allegheny), Jim Brewster (D- Allegheny/Westmoreland), and Lindsey Williams (D- Allegheny), the Pennsylvania Senate Democratic Policy Committee held a virtual public hearing on how Pennsylvania can best improve care in nursing homes.

“The COVID-19 pandemic was a wakeup call for us all that certain aspects of our society are not equipped to quickly and efficiently respond to crisis, and that many sectors of our society that were already struggling suffered the greatest losses due to the pandemic,” Senator Costa said. “Our nursing homes care for some of the most vulnerable members of our society, and it is imperative that these care facilities are not only equipped to respond to crisis like pandemics, but that even in the best of times they are properly staffed and overseen.”

In her testimony today, Teresa Osborne, Manager of Advocacy & Outreach at AARP PA, said that with nearly 13,300 deaths of Pennsylvanians residing in long-long term care facilities, and with Pennsylvanians 50 and over accounting for 98% of all COVID-19 related deaths, the need for action on this issue is clear.

“Nursing homes during the pandemic struggled to maintain the health and safety of their residents, the health and safe staffing levels of their employees, and family and loved were almost completely shut out of the lives of residents in congregate care settings. We must ensure that nursing homes in the future are prepared for another health crisis, and that these facilities are operating efficiently and to the highest standards at all times,” Senator Fontana said.

Senator Lindsey Williams continued, “Our nursing home residents, their families, and their loved ones have been some of the hardest hit by COVID-19, but these problems don’t begin and end with the current pandemic. We need to do more to protect the health, safety, and emotional well-being of our seniors, and hearing directly from the people who are doing this work every day is a key part of creating legislative policy that will provide the supports needed to accomplish those goals.”

Keshia Williams, a CNA Nursing Home Worker and member of SEIU Healthcare, said today in her testimony that the residents she cares for in nursing homes almost daily become like family, and sometimes residents have no other family to support them – just her and her fellow CNAs and nurses. She said that makes it even harder to deal with the fact that the state only requires 2.7 hours of care for residents in a 24-hour period.

“For decades, we sounded the alarm on chronic and dangerous understaffing and unacceptable conditions for workers and residents. We made do with dwindling resources and demanded lifesaving reform, while the industry increasingly focused on the bottom line, and rampant, unchecked nursing home sales to irresponsible owners drove down standards,” Keshia Williams said.

Dennis Biondo, Allegheny County Executive Director of Kane Community Living Centers, said in his testimony that oversight of nursing home and community care centers is done through surveys by the Pennsylvania Department of Health. He said that this is, “not going to improve nursing home care,” because instead of creating meaningful change they are just a way to check off boxes.

“Pennsylvania Department of Health is charged with the licensure and regulation of nursing homes. The Department’s Office of Quality Assurance oversees this important regulatory oversight of monitoring compliance through surveys, commonly known to the public as facility inspections, to ensure that facilities are providing adequate resident care in compliance with all applicable laws and regulations. This applies to federal law and regulation since, in addition to the department’s role as the state survey entity, it is also contracted by the Centers for Medicare and Medicaid Services (CMS) to serve as the federal survey entity for nursing homes,” Keara Klinepeter, PA Department of Health Executive Deputy Secretary, explained.

Klinepeter said that while survey regulation was required at the federal level in Pennsylvania, and in every state across the U.S., the PA Dept of Health saw during the COVID-19 pandemic the benefits of partnerships between hospitals and medical systems to PA nursing homes through the Regional Response Program funded by CARES Act money. Klinepeter said that efforts are already in place to continue this program through federal grant funding. This will allow nursing homes in Pennsylvania to continue training staff on appropriate public health practices related to pandemic response and beyond.

In response to inquiries about nursing home complaints and surveys that result from those, Klinepeter said that the Dept of Health saw an increase of 23% in surveys in 2020. These surveys also included surveys to inspect facilities use of infection control measures.

Georgia Goodman, Leading Age PA Director of Government Affairs, reiterated the importance of maintaining employee morale and providing adequate and well-paid staff to care for residents.

“Nursing facilities can’t simply raise their prices. Two out of three residents in nursing homes are paid for by the Medical Assistance Program- the government payor that is underfunding care by an average of $80 per resident per day for our members. We are urging support for the direct allocation of $396 million to nursing facilities using the same methodology the general assembly enacted in Act 24 of 2020 to help providers with a number of financial challenges brought on by the pandemic, but none more acute than staffing,” Goodman said.

Goodman also said that her organization was grateful to collaborate on Senate Bill 1268, which offered nurse aides hired temporarily during the pandemic a path to permanent registration on the Nurse Aide registry, and they are supportive of a number of current initiatives like Senate Bill 115 to allow Pennsylvania to participate in licensure reciprocity so that nurses from other states can assist with our state’s healthcare workforce shortages.

“It is despicable that the care of our senior population in Pennsylvania seems to be an afterthought to those in charge of the oversight and guidelines for care in nursing homes and community care facilities. Nursing home complaints, oversight regulations, and the need for safe staffing levels to provide adequate care were an issue before this pandemic. Now that we have seen over 10,000 nursing home residents die of COVID-19, it is clear that Pennsylvania needs immediate and forceful action to protect our seniors and those who live in community care settings,” Sen. Kate Muth (D- Berks/Chester/Montgomery), chair of the Senate Democratic Policy Committee, said.

Below are all who participated in today’s hearing:

  • Dennis Biondo, Allegheny County, Executive Director Kane Community Living Centers
  • Keara Klinepeter, PA Department of Health, Executive Deputy Secretary
  • Dean Owrey, Chief Financial Officer, Vincentian Collaborative System
  • Georgia Goodman, Leading Age PA, Director of Government Affairs
  • Keshia Williams, CNA, Nursing Home Worker, SEIU Healthcare
  • Debbie Winn-Horvitz, President & CEO, Jewish Association on Aging
  • Jennifer Costello, Chester County Department of Aging, Long-term Care Ombudsman
  • Teresa Osborne, Manager of Advocacy & Outreach, AARP PA

Senators who also attended this hearing include Sen. Sharif Street (D- Philadelphia) and Sen. Maria Collett (D- Bucks/Montgomery).

The full recording of this roundtable, as well as the written testimony from participants, can be found at senatormuth.com/policy. A full recording of this hearing can also be found on the PA Senate Democratic Facebook page.

###

Senators Announce Funding for Pittsburgh Region Water Upgrades

HARRISBURG, April 21, 2021 – More than 2,000 water customers across the Pittsburgh region will receive new, lead-free water lines through a series of grants announced today by state Sens. Jay Costa, Wayne Fontana and Lindsey Williams.

More than $18 million will go to three regional water systems that plan to replace aging lines to customer houses as well as neighborhood supply lines.  

Costa, the Democratic Leader in the Senate, said the financing package was arranged through the Pennsylvania Infrastructure Investment Authority (PennVEST), and will also include a $39 million low-interest loan to improve system reliability and efficiency by preventing costly water main breaks.

“This funding provides a crucial boost to local efforts to modernize aging and potentially unhealthy water infrastructure,” Costa said. “It is the result of strong cooperation among all levels of government and I’m proud of the work that will result in better health and lower bills for customers.”

A massive water project by the Pittsburgh Water and Sewer Authority  (PWSA) will replace lead service lines for 592 customers while providing an upgrade to 25,000 additional feet of water line and replacement of 59 fire hydrants.

“Taking an aggressive approach to replacing aging water lines will help Pittsburgh avoid future water quality disasters and eye-opening rate hikes,” Fontana said. “This financing will help thousands of low-income customers to feel confident about the continued quality of their drinking water.”

PWSA’s system includes more than 70,000 residential customers in the region. It will receive a forgivable loan of $2,976,450 to replace lead-tainted service lines.  The lead abatement funding comes in cooperation with the federal Environmental Protection Agency. The remainder of the project will be funding through a $35,573,550 loan that will be repaid at 1 percent interest over 20 years.

West View Water Authority will receive $6.6 million for its lead abatement efforts, according to Williams.

“The dangers of lead in our water supply have been long known and families deserve to know their household water supply is safe and clean,” Williams said. “This project will provide that assurance for hundreds of families while preventing disruptions and creating jobs.”

The West View project will replace 500 lead services and associated infrastructure. It will include more than 20,000 feet of new, copper pipe, 500 curb boxes and valves, 500 pressure reducers, 500 internal shut off valves, and 500 backflow preventers.

Wilkinsburg-Penn Joint Water Authority will receive $9.3 million to boost its ongoing efforts to eliminate lead-based service lines.  The grant is expected to fund the replacement of 1,000 service lines.  Construction will consist of 40,000 feet of new 1-inch copper service lines, 1,000 curb boxes, and associated surface restoration.

###

Members of Pa Senate Democratic Caucus Request Disaster Declaration on Gun Violence

Harrisburg, Pa. − June 24, 2019 − Members of the Pennsylvania Senate Democratic Caucus today jointly sent a letter to Governor Tom Wolf requesting a disaster declaration for gun violence in the Commonwealth.

“We believe it is necessary to raise the public’s awareness of the massive loss of human life and the suffering inflicted on affected family, friends and neighbors where this tragedy is unfolding daily,” they wrote. “Just as you have signed six disaster declarations to provide every tool at the Commonwealth’s disposal to combat the opioid epidemic, the death toll and impact from illegal guns should merit immediate and coordinated attention.”

Specifically, a disaster declaration could do the following:

  • Establish a task force led by the Department of Health to create and implement a public health framework for addressing gun violence
  • Establish a command center in the Pennsylvania Emergency Management Agency to coordinate state and local law enforcement response
  • Enhance the Joint-Local State Firearm Taskforce through additional personnel and funding to take illegal guns off the street
  • Expand information gathering and sharing between all levels of law enforcement and community groups
  • Increase law enforcement presence, both local and state, in targeted areas where gun violence is most prevalent
  • Expedite and expand grants and other funding sources for community groups and nonprofit associations with a proven record of violence reduction and prevention
  • Provide additional state resources for behavioral and mental health
  • Bringing to bear the significant wealth of knowledge and experience in the Departments of Health and Human Services to provide de-escalation and de-confliction training throughout the community
  • Require the Pennsylvania Department of Education provide training and professional development on trauma-informed education

View full letter →

###

Members of Pa Senate Democratic Caucus Request Disaster Declaration on Gun Violence

 

Senate, House Members Unveil Elections Reform Proposals

Harrisburg PA – June 4, 2019 – State Sen. Vincent Hughes (D-Philadelphia/Montgomery) and Rep. Sara Innamorato (D-Pittsburgh) led House and Senate Democrats in announcing several voting reform proposals Tuesday in the Main Capitol Rotunda. 

The legislators were joined by a large group of advocates and supporters pushing for automatic voter registration, no excuse absentee voting, same day voter registration and campaign finance reform. Sen. Hughes and Rep. Innamorato are proposing similar bills that would allow those eligible to register to vote when signing up for critical state services such as renewing drivers licenses or applying for a public benefit administered by the state.  

“Our democracy depends on its voters, which is why we are fighting to ensure every eligible person has a chance to voice their opinion at the ballot box,” said Sen. Hughes, who is proposing Senate Bill 608. “We have a broad coalition of folks who understand this and are fighting for Pennsylvanians ability to have their voices at the ballot box. Expanding access and simplifying the processes will help do that for our communities across the commonwealth.” 

Pennsylvania has 8.6 million registered voters, but less than 55 percent of voting-age citizens turned out in the 2018 midterm elections, with varying reasons impeding participation including work, illness, and other unforeseen circumstances. Research shows higher voter turnout in states that have enacted some or all of the reforms the coalition is seeking. 

“Participatory government demands equal access to participation,” said Rep. Innamorato, who has proposed House Bill 1556 on automatic voter registration. “Too often, the complicated registration process we have in place poses a significant obstacle to access to the ballot. Automatic voter registration and our other proposals would make it easier for all Pennsylvanians to have a voice, get informed and be heard. We need to be removing barriers to participation, not erecting new ones. These are the first steps in the fight for a fair, secure democracy in our commonwealth and our communities.” 

Sen. Wayne Fontana (D-Allegheny) and Rep. Jennifer O’Mara (D-Springfield) discussed their proposals to expand early voting, which aim to expand voting beyond the 13-hour time frame Pennsylvania currently mandates. Both proposals would expand the time frame greatly and add options to vote on the weekend. Sen. Fontana is proposing SB 294 and Rep. O’ Mara is proposing HB 1558. 

“If people don’t vote, democracy doesn’t work,” Sen. Fontana said. “If people can’t vote, we are shortchanging our democracy. During the most recent primary election last month, many counties across the state were lucky to have even a 20 percent voter turn-out. It’s obvious we need to find ways to improve voter access and participation and to me, the task is simple. We need to find ways to make voting easier and more accommodating.”

“Introducing an early voting bill is a priority for me because voting should be easier for everyone,” Rep. O’Mara said. “When I was campaigning, I met a young woman named Kate who uses a wheelchair. She told me her polling pace is not ADA accessible, and voting is a big challenge for her. So, one reason I decided to introduce early voting is so people like Kate have the ease and access to practice their constitutional right. It’s about time Pennsylvania steps up to make voting easier for all its eligible citizens.” 

Sen. Judy Schwank (D- Berks) introduced her proposal for no-excuse absentee voting, SB 411, which would allow voters to submit absentee ballots for any reason. Currently, 27 other states and the District of Columbia have enacted no-excuse absentee voting. 

“The right to vote is the foundation of our democracy,” Schwank said. “We need to remove needless barriers that keep people from being able to vote or from having their votes counted.”   

Rep. Ryan Bizzarro (D-Erie) announced HB 101, which aims to bring same-day voter registration to Pennsylvania while also simplifying the process. His legislation would help increase voter turnout because of increased convenience, while also maintaining integrity in the voting process by not counting same-day registrant votes until the Department of State has verified eligibility.  

“The right to vote is the perfect symbol of our democracy,” Rep. Bizzarro said. “Unfortunately, it’s perfect in theory, not in practice. Our outmoded laws – including the one requiring that residents register 30 days in advance of an election to vote in that election – discourage participation by imposing unnecessary hurdles. Our legislation to streamline the process would help fix that.”

Sen. Anthony Williams (D-Philadelphia/Delaware) is proposing shifting ballot positions for candidates running for public office in Philadelphia. The goal of SB 602 is to eliminate the advantages held by candidates who draw first position on the ballot.

“A growing number of Pennsylvanians, especially young voters, are unaffiliated with major parties or uninterested in party politics,” Sen. Williams said. “Those voters still deserve to have a voice in who represents them in city council and the mayor’s office, which is why I’m offering legislation to conduct nonpartisan, ranked-choice voting in the Commonwealth’s largest city, Philadelphia.” 

Advocates in attendance included the Pennsylvania Budget and Policy Center, Common Cause, Pennsylvania for Fair Elections, Committee of 79, League of women Voters, Brennan Center for Justice, Keystone Progress, SiX.

State Senate Committee Holds Second Hearing on Global Warming

PITTSBURGH, April 23, 2019 – At the request of state Senate Democratic Leader Jay Costa (D-Forest Hills) and Senator Wayne Fontana (D-Brookline), the Senate Democratic Policy Committee held a hearing today in Pittsburgh on strategies for combatting climate change by reducing methane gas emissions.

“Methane has a huge impact on global warming,” Costa said. “As the second largest gas-producing state in the nation, it is imperative that Pennsylvania do all it can to reduce methane emissions.”

Fontana added, “While our federal government should be taking the lead on developing policies, emissions reduction goals and coordinating a national response on climate change, our president’s shameful abandonment of the Paris climate accord makes it imperative that state leaders take the helm on this critical issue.”

Methane is an odorless, colorless, flammable greenhouse gas (CH4) that is used as fuel. It is also an important source of hydrogen and part of a wide variety of organic compounds. Methane is a huge component of natural gas and can remain in the atmosphere for about 9 to 15 years.

According to the Intergovernmental Panel on Climate Change, methane warms our planet 86 times more than carbon emissions. Earlier this month, Andrew Williams, who serves as director of Regulatory and Legislative Affairs for the Environmental Defense Fund, criticized the Pennsylvania State Department of Environmental Protection’s revised draft rule because it would only mandate the capture of 21 percent of methane emissions. If the rule were adopted, Williams claims Pennsylvania would have the least protective methane rule in the nation.

Sen. Lisa Boscola (D-Northampton/Lehigh), who chairs the committee, argued that the issue should not pit Pennsylvania’s environment against its economy.

“Controlling carbon emissions and building a strong economy are not competing interests,” she said. “As alternative energy sources become more reliable, affordable and efficient, we must be ready to embrace and capitalize on the economic opportunities that accompany these promising technological advances. This doesn’t need to be framed as some dire choice between poverty and pollution.

In withdrawing from the Paris Climate Accord in 2017, President Donald Trump defended his decision by claiming he was “elected to represent the citizens of Pittsburgh, not Paris.” Costa and Fontana (D-Allegheny) immediately criticized the president’s decision.

In the accord, the United States had committed to reduce its greenhouse gas emissions by 26-28 percent below the 2005 level in 2025, and to make “best efforts” to reduce emissions by 28 percent. That would include curbs on carbon dioxide, methane, nitrous oxide, perfluorocarbons, sulfur hexafluoride and nitrogen trifluoride, all of which contribute to global warming.

Several state bills and proposals were introduced to supplement existing environmental protection efforts included in the decade-old Alternative Energy Portfolio Standard (AEPS) and Energy Efficiency and Conservation law (Act 129).

Williams urged the legislature to support Gov. Tom Wolf’s greenhouse gas reduction commitments, implement a viable methane existing source regulation and defend the Department of Environmental Protection’s authority to regulate greenhouse gases.

Rob Altenburg, Director, PennFuture Energy Center, said, “The natural gas industry is going to be part of the Pennsylvania economy for many years, but we are no longer in an era where we can ignore pollution as a natural consequence of economic growth. Avoiding the worst impacts of global warming requires that we remain under a set carbon budget – and that means that any additional emissions from the natural gas sector are emissions we will need to account for later or face the costs.

Arvind Ravikumar, an Assistant Professor of Energy Engineering for the University of Harrisburg, told the senators, “With the profusion of new technology in the methane space, falling costs for renewable energy, and competitive electric vehicle prices, protecting the environment almost becomes secondary to the potential for thousands of high-paying, clean energy jobs. The best way to give Pennsylvania businesses and industry a leg up is to help them prepare for the transition through well-crafted, cost-effective state policies.”

Today’s hearing was the second in a series of Policy Committee hearings on climate change. The committee held a hearing in Pittsburgh last November, focusing on carbon emissions.

Joining Fontana, Costa and Boscola at the hearing were Senators Lindsey Williams (D-Allegheny) and Jim Brewster (D-Allegheny/Westmoreland).

Hearing participants included the following:

  • Andrew Williams, Director of Regulatory and Legislative Affairs, Environmental Defense Fund;
  • Rebecca Kiernan, Senior Resilience Coordinator, City of Pittsburgh;
  • Arvind Ravikumar, Assistant Professor of Energy Engineering, University of Harrisburg of Science and Technology;
  • Jared Metcalf, USA Operations Manager, Target Emission Services;
  • Rob Altenburg, Director, PennFuture Energy Center; and
  • Jane Worthington and Dale Tiberie, residents of Washington County.

# # #