The current auxiliary grant rate is $37.00 per day.This rate only covers around 50% of the cost.This is supported by studies done by the area on aging and J.L.A.R.C done in 2005. The assisted living pay has been elliminated ,with further future cuts.The 90 day residency requirment for auxiliary grant could easily cause harm and financial hardship on ALFs  in Western Va.

We played a major impact ,downsizing from state facilities in the 80's .We help the state save millions.

The only reason I have found documented for this regulation is ,to save the bed for a virginia resident.Well you may not even have to worry about that,if this regulation goes into effect ,the facility may not even be their .

The real reason is severly mental ill being admitted to ALFs and shortly thereafter requiring hospitazation in a state facility.Regulations have been beefed up to help prevent this from occuring including facilities being more accountable for whom they admit,possible facing a fine of $10,000.

I have 37 employee's.Jobs are hardgto come by.If I was forced to close my facility due to these regs.passing  ,much more money could be paid out from the state in their basic needs.I pay a large amount back to the state  in payroll taxes,property taxes,as well everything purchased to provide the service.And last but not least ,the residentwho need this service.

Poor disabled residents should be able to go where they choose for their services needed.

The Department of Social Services prohibit discrimination against people based on disabilities or income.This seems like it is doing just that.

Virginia is 47th in the nation in the amount of funding for Medicaid.

Virginia is 1 of 9 states as of 2007 that does not have a Medicaid Waiver.It's a shame ,people who run out of money ,have to sell raffle tickets in order for them to stay in the assisted living of their choosing.

When are people going to wake up and do something about this,instead of making more rules and regulations that impact our survival.

 This is and could be a more serious problem in Virginia.Most ALFs in Virginia do not accept the low rate ,heavy documented ,Auxiliary Grant

.For myself  Example:,Say if I had 60 auxiliary grant residents,   60 private pay residents wished to be admitted to my facility.I would be forced to discharge the a.g. and admit private pays.This could be the future.

A lot of work and issues need to be done.

This is the wrong time for this regulation.I oppose the residency requirement.Our veterans need opposition to this as well.They have sacrificed a lot for us.That's the least we can do for them.

The passing of this bill could have a gegative impact and create a financial hardship on by facility .This would directly impact 37 employee's income,95 resident in care as well as tax income for the State of Virginia.

 Thank You for this opportunity,I hope my concerns and suggestions will be taken serio