1. 1 A Word From LeadingAge PA PARCR January 14, 2015

2. 2 Agenda Agenda State State Governor-Elect Wolf’s Administration Governor-Elect Wolf’s Administration Leaders in the General Assembly Leaders in the General Assembly Fiscal Situation Fiscal Situation Healthy PA Healthy PA Federal Federal LeadingAge PA Advocacy LeadingAge PA Advocacy

3. 3 State

4. 4 Governor Elect Tom Wolf Inauguration January 20, 2015 Chief of Staff – Katie McGinty Secretary of Legislative Affairs – Mary Isenhour Secretary of Insurance – Teresa Miller Secretary of the Budget – Randy Albright Secretary of Health - ? Secretary of Aging - ? Secretary of Human Services - ?

5. 5 Leaders in the Senate President Pro Tempore – Joe Scarnati (R-Jefferson) Majority Leader – Jake Corman (R-Centre) Minority Leader – Jay Costa (D-Allegheny) Appropriation Chairs Majority – Pat Brown (R, Lehigh) Minority – Vince Hughes (D, Philadelphia)

6. 6 Senate Committee Chairs of Interest Aging and Youth – Michele Brooks (R-Crawford) Arthur Haywood (D-Montgomery) Health and Human Services Pat Vance (R-Cumberland) Shirley Kitchen (D-Philadelphia) Banking and Insurance Don White (R-Indiana) Matt Smith (D-Allegheny)

7. 7 Leaders in the House Speaker – Mike Turzai (R–Allegheny) Majority Leader – Dave Reed (R–Indiana) Minority Leader – Frank Dermody (D–Allegheny) Appropriation Chairs Majority–Bill Adolph (R-Delaware) Minority-Joe Markosek(D-Allegheny)

8. 8 House Committee Chairs of Interest Aging - Tim Hennessey (R-Montgomery) Steve Samuelson (D-Northampton) Health - Matt Baker (R-Tioga) Flo Fabrizio (D-Erie) Human Services - Gene DiGirolamo (R-Bucks) Angel Cruz (D-Philadelphia) Insurance – Tina Pickett (R-Bradford) Tony DeLuca (D-Allegheny)

9. 9 Independent Fiscal Office Report November 13, 2014 Demographic Forecast – 2010-2020 PA Residents age 19 and under will decrease by 2.6% PA Residents age 20 to 64 will remain stagnant PA Residents age 65 and over will increase by 29.4%

10. 10 Independent Fiscal Office Report November 13, 2014 Revenue Picture – Current through SFY 2019-2020 Slight increase in General Fund - average rate of 2.7% per year PIT and Sale Tax revenues will increase Cigarette, Capital Stock and other revenues will continue to decline Expenses Expenses will continue to increase with no changes in laws/policies Main Driver - Employee Pensions will increase by 4.1% per year

11. 11 Independent Fiscal Office Report November 13, 2014 Projected Budget Deficits 2014/2015 - $171M 2015/2016 – $1.679B 2016/2017 - $2.107B 2017/2018 - $2.369B 2018/2019 - $2.489B 2019/2020 - $2.554B

12. 12 Components of Healthy PA Get All Kids Insured Reform PA’s Medicaid Plan Reform PA’s Medical Liability System Institute RX drug Monitoring Program Promote Good Public Health Support Older Pennsylvanians & Persons with Disabilities Advance Telemedicine Promote Access to Primary Health Care

13. 13 PA Specific Plan Effective January 1, 2015 Medical Assistance – Vulnerable Individuals Low income parents/caretakers – income up to 44% FPL Children Medically frail/Individuals with disabilities Seniors Private Coverage Option Childless Adults Adult parents/caretakers not covered by MA Working Poor Incomes up to 133% of FPL

14. 14 Federal

15. 15 LeadingAge Advocacy Avoid Across the Board Medicare Cuts Avoid Across the Board Medicare Cuts Fix Medicare Observation Days & Repeal Therapy Caps Fix Medicare Observation Days & Repeal Therapy Caps Preserve Tax-Exempt Status of Not-For-Profit Aging Services Providers Preserve Tax-Exempt Status of Not-For-Profit Aging Services Providers Reauthorize the Older Americans Act Reauthorize the Older Americans Act Strengthen the Low-Income Housing Tax Credit Strengthen the Low-Income Housing Tax Credit

16. 16 LeadingAge PA Advocacy

17. 17 Schedule of Events Grassroots Training Grassroots Training via Webinar and In Person via Webinar and In Person Breakfast for Legislative Staff in Harrisburg Breakfast for Legislative Staff in Harrisburg Breakfasts for Legislators Breakfasts for Legislators Regional Public Policy Forums Regional Public Policy Forums

18. 18 The LeadingAge PA Government Affairs Team Anne Henry, VP of Government Affairs Anne@leadingagepa.org, (717)790-3949 Ana Puig, Director of Legislative Affairs Ana@leadingagepa.org, (717)790-3948 Beth Greenberg, Director of Regulatory Affairs Beth@leadingagepa.org, (717)790-3945 Brandie Karpew, Data & Reimbursement Manager Brandie@leadingagepa.org, (717)790-3953 Amanda Cyster, Executive Assistant to CEO/Gov’t Affairs Amanda@leadingagepa.org, (717)790-3967

19. 19 Questions?