While we understand many of the changes being made to this program, we also oppose ANY change that makes it harder for AG receiving ALF's in VA to operate.  The residency change does just this.

Obviously, Virginia is trying to take more individuals off the AG program (by restricting border state acceptance).  This should not be a priority, as the budget for the AG Program continues to run under (due to lower numbers).  However, Virginia is attacking the "public pay" ALF segment that can weather it the least.

All ALF's in Virginia are dealing with increasing costs.  From utilities and food, to unfunded regulations, ALF's are paying more.  "Public pay" ALF's only survive by operating at 98-100% occupancy.  Accepting $1,112/month is already $800/month below the current cost of monthly care for ALF's in Virginia (JLARC). These ALF's can not afford anymore negative forces.  Restricting any residents (or making it harder to accept them) will do just this to these ALF's.  We CAN NOT do this to them.

We regularly see no respect given to "public pay" ALF's in Virginia, but where will these residents go if they close?  Will "private pay" ALF's be forced to accept the AG rate?  We already saw this Bill attempted 3 years ago.  They can no more afford it than those already doing so.  Will these residents end up on the street?  Not taking medications?

One thing is for sure.... Virginia does NOT have a plan for closings of AG ALF"s.  The "portability of the AG Rate" program is a joke and Insitutional Care will cost VA millions.....

Mike Williams, Executive Director

Virginia Long Term Care Network

888-776-7971

www.vaLTCnetwork.com