I run a 102 bed assisted living in extreme Southwest Virginia.I have ran this for 20 years.

We have a large population of poorer residents in our facility.The current rate for the poor is around $38.00 per day.The cost to provide this service is around $50.00 per day.The program that funds this is called auxiliary grant.This comes directly out of the general fund.The general assembly and government are totally aware of the rate and refuse to supplement the cost to at least a break even.Virgiinia desperately need to increase the rate for the poor.The poorer in general are more care intensive.Why is it Virginia does not get with it and include assisted living for waiver services.This would help offset a significant increase as the federal government would pay 50%.Assisted Living provides around the clock personal care Currently the auxiliary grant rate is $1.59 cents an hour.Medicaid personal care waiver program rates range $13-15 per hour,maybe a little more maybe a little less.Seems like double the rate for a assisted living waiver for disabled would be a good better value to the state.Let me make myself perfectly clear.WHY IS THE VIRGINIA POLITICIANS SO DEDICATED TO  SATISFY SPECIAL PACS OR POLITICAL ACTION  COMMITTEES AND REFUSE TO FUND A WORTHWHILE SERVICE IN ASSISTED LIVING FOR THE POOR.WHY WHY WHY ,CAN ANYONE ANSER THAT?