1. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. CCAH Intensive Regulatory Review

2. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. Carol A. Barbour, President Friends Life Care cbarbour@friendslifecare.org 215-628-8964

3. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. Regulatory “Name”  Continuing Care at Home  Continuing Care Services without Lodging  Community Based Continuing Care  Life Care at Home

4. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. Regulatory Approaches  No regulatory oversight  Regulated as CCRC  CCRC regulations modified for CCAH  CCAH stand-alone regulations

5. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. No Regulatory Oversight  Delaware  Ohio  Kansas  Tennessee  Washington DC

6. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. CCRC Regulations Applied to CCAH  Pennsylvania  New Jersey  Michigan  South Carolina

7. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. CCRC Regulations Modified for CCAH  New Hampshire  Connecticut  Virginia  North Carolina  Florida  Maryland  Arizona

8. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. CCAH Legislation Under Consideration  Georgia  Louisiana  Illinois  New York (passed both houses/waiting for Governor to sign/lengthy regulatory process anticipated) FAILED Legislative Initiative  California (vetoed by Governor Schwarzenegger)

9. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. Universal Regulatory Requirements  Disclosure Statement  Continuing Care Contract  Annual Filing of Financial Results

10. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. Regulations Addressing Actuarial Risk  New Hampshire  Connecticut  Pennsylvania  North Carolina  Florida  Maryland

11. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. Regulations Addressing Reserves  New Hampshire  Connecticut  New Jersey  Pennsylvania  North Carolina  Florida  Maryland

12. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. Other Regulatory Hurdles  New Hampshire  New Jersey  Maryland  Florida  North Carolina

13. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. Strategies for Approaching Regulators  Demonstrate similarities between campus based CCRC and CCAH from regulatory prespective  Provide examples of regulatory approaches in other states (NOT Maryland! )  Outline benefits of CCAH from public policy perspective  Consult with your LeadingAge state affiliate  Request letter of non-applicability

14. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. Projected Income & Outgo for 100 New Members Year ($000 Omitted) Excess Deficit 2

15. Founded in 1985, Friends Life Care is a nonprofit Quaker organization serving eastern Pennsylvania and Delaware Telephone: 215-628-8964 Fax: 215-628-9089 www.friendslifecare.org. Prudent Financial Management Requires Building Up Funds Sufficient to Cover Future Liabilities….Regardless of Whether Required by Regulation