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Tags Posts tagged with "Workforce Crisis"

Workforce Crisis

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Pennsylvania Senator Bob Casey, the Chairman of the Special Committee on Aging, will be introducing new legislation on the floor of Senate titled “The Home and Community-Based Services (HCBS) Relief Act of 2023.”

The HCBS Relief Act of 2023 would provide dedicated Medicaid funds to states for two years to stabilize their HCBS service delivery networks, recruit and retain HCBS direct care workers, and meet the long-term service and support needs of people eligible for Medicaid home and community-based services. States would receive a 10-point increase in the federal match (FMAP) for Medicaid for two fiscal years to enhance HCBS. Funds could be used to increase direct care worker pay, provide benefits such as paid family leave or sick leave, and pay for transportation expenses to and from the homes of those being served. The additional funds also can be used to support family caregivers, pay for recruitment and training of additional direct care workers, and pay for technology to facilitate services. The funds can help decrease or eliminate the waiting lists for HCBS in the states.

The HCBS Relief Act of 2023 will be introduced during the fourth week of October with a House companion bill expected to be released in the near future. Please join RCPA in supporting this critical piece of legislation to create a viable and sustainable pathway for HCBS.

If you have any questions, please contact your respective RCPA Policy Director.

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Senior woman with her caregiver at home

House Resolution (HR) 165, which was introduced by Representative Kim, directs the Legislative Budget and Finance Committee (LBFC) to conduct a study on the effect of workforce shortages on State-supported Medicaid home and community-based services (HCBS) waiver programs as well as the PA lottery-funded OPTIONS programs in the state. If the Resolution passes, LBFC will have 7 months to conduct the study. RCPA will keep members apprised on the status of the resolution.

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The National Council for Mental Wellbeing is calling for support to address the ongoing mental health and substance use crises. They are organizing a virtual advocacy event called Hill Day on October 18 from 1:00 pm – 4:00 pm EST, where participants can urge elected officials to focus on key issues such as the behavioral health workforce shortage, establishing Certified Community Behavioral Health Clinics (CCBHC) into federal law, expanding access to substance use care, and investing in crisis care infrastructure. Register for the event today!

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The Pennsylvania Department of Drug and Alcohol Programs (DDAP) recently conducted a comprehensive survey and listening session to assess the state’s substance use disorder (SUD) workforce. The Workforce Climate Survey results reveal a substantial workforce shortage, with 84% of the nearly 500 respondents citing it as a significant problem. The vacancy rate for SUD positions averaged 18%, with notable variations based on organization size and location. Larger, well-established non-profit organizations in metropolitan areas reported higher vacancy rates, and critical positions, such as counselors, nurses, entry-level professionals, and peer specialists, were particularly challenging to fill. Recruitment and retention issues were attributed to limited applicant pools and difficulties in offering competitive compensation.

The survey participants offered recommendations for both short and long-term solutions. These recommendations included increasing reimbursement rates, reducing education and experience requirements, alleviating paperwork burdens, and expanding student loan forgiveness and tuition reimbursement programs. In response to these findings, DDAP plans to use the survey data to inform its state plan, regulatory reform, and the allocation of opioid settlement funding. The department’s future efforts will focus on increasing the supply of addiction professionals, leveraging technology, addressing workforce distribution across the state, and enhancing workforce resilience to support Pennsylvania’s SUD workforce better and mitigate the ongoing overdose crisis.

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RCPA members are encouraged to participate in the ID/A Workforce Compensation study conducted by and in collaboration with the Center for Healthcare Solutions described below. The Center for Healthcare Solutions performed the survey that we supported last year, as well. This study is being done jointly with several other statewide and regional associations, and we are hoping that providers across Pennsylvania will participate in order to provide adequate data for use in advocacy efforts to improve conditions for our workforce. This also presents an opportunity to have comparative data.

The scope of this survey and the report generated from it will address compensation practices for 46 positions, including Direct Support Professionals (DSP), supports coordinators, frontline supervisors, clinical positions, program specialists, facilities staff, and administrative personnel. It will also provide data on staff vacancies and turnover that continues to impact care and services across Pennsylvania.

Any ID/A employer in Pennsylvania is eligible to participate in the survey and will receive the published report, which will also be provided to the Pennsylvania Office of Developmental Programs. As always, CFHS follows all FTC/DOJ guidelines to de-identify data and maintain confidentiality. If you are a member of multiple associations, you only need to complete the survey once.

Two files are included: the input form and the general instructions for filling out the input form. Completed surveys may be emailed to Steve Forest or uploaded via SFTP (information included in the instructions) by Friday, September 22. The published report is expected to be issued on Friday, October 6.

Additionally, a workshop has been scheduled for Thursday, September 7, at 10:00 am to review the survey and assist participants in its completion. To register for this workshop, please visit here.

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