PENNSYLVANIA, April 1 - reported increasing difficulty securing consistent nursing

coverage, resulting in hospital readmissions, caregiver burnout,

underemployment and unemployment, out-of-home placements of

children and disruptions to patient stability and safety; and

WHEREAS, A data-driven rate study is necessary to evaluate

the adequacy of existing reimbursement structures, assess

regional and acuity-based cost variations, wages and benefits

and inform future policy and funding decisions to stabilize and

strengthen the skilled nursing workforce for the families who

rely on it; therefore be it

RESOLVED, That the Senate direct the Legislative Budget and

Finance Committee to conduct a study and issue a report on

reimbursement rates for shift nursing services provided to:

(1) individuals under 21 years of age who are eligible

for Medicaid-paid in-home shift nursing services; and

(2) individuals over 21 years of age who are eligible

for Medicaid-paid in-home shift nursing services;

and be it further

RESOLVED, That the study shall determine appropriate

reimbursement rate ranges for shift nursing services and include

consideration of the following:

(1) Analysis of the current pediatric and adult nursing

and home health aide reimbursement rates and methodologies in

each Medical Assistance funded program, including

HealthChoices, Community HealthChoices, fee-for-service and

waivers offered by the Office of Developmental Programs and

Office of Long Term Living.

(2) Review of current rates in bordering states and

additional comparable states, as appropriate.

(3) Evaluation of potential cost savings from in-home

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