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House Speaker Turzai puts forth plan to protect nursing homes with public-private partnership, regional collaboratives

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Speaker of the House Mike Turzai, R-Allegheny County, is proposing legislation that would establish a framework that he says would help nursing home facilities, personal care homes and assisted living residences keep residents safe.

“Pennsylvania needs to protect our most vulnerable citizens, our seniors, many with underlying health issues,” he said in a press release. “This proposal, developed by medical experts in our state, is a direct response to the COVID-19 crisis here. These settings are not fully equipped to protect their residents; we need the expertise of Pennsylvania’s outstanding academic medical experts, who are located in every region of the state.”

As just reported today by the Department of Health, Pennsylvania has had 3,416 deaths attributable to COVID-19. Of those 3,416 deaths, 2,355, or 69 percent, were people who lived in a nursing home or a personal care home.

In the Turzai’s home county of Allegheny, 90 of the 117 deaths occurred among residents of those facilities. That means 77 percent of those who have died of COVID-19 in Allegheny County lived in a nursing home or personal care home.

Turzai says his legislation would establish a coordinated, collaborative public-private partnership approach of regional health system collaboratives. These health collaboratives would administer/manage personnel, protocols, testing and expenditures to protect the seniors in these facilities.

According to Turzai, these health collaboratives would ensure consistency of programs, response, and study of clinical and public health outcomes.

He said he has worked with UPMC experts to develop this plan, and that UPMC experts prepared, at his request, a prototype for southwest Pennsylvania as well as developed a construct for the entire state, much of which is in his legislation.

The legislation will also provide an appropriation of $500 million from Pennsylvania’s allotment of $3.9 billion in COVID-19 money from the federal government. 
Turzai said an important component of the legislation is Turzai’s decision to use the Commonwealth Financing Authority to distribute the funds to these academic health systems.

“The key to use of these funds is to get the funding into the hands of the private sector entities that can best implement and manage protocols, personnel, testing, data collection, quarantining, cohorting and oversight in a prompt, flexible and innovative manner,” the press release said.

The money would be appropriated to the CFA for distribution to the health collaboratives. The CFA would divide the state into regions delineating all of the facilities within the parameters of a region. There are 697 nursing homes statewide, 1,143 personal care homes and 58 assisted living facilities.
After receiving proposals, the CFA would contract with health collaborative administrators (which must be academic health systems) to operate, manage and administer the program in each region to protect residents in these facilities from COVID-19.