PA Homecare Association PA Homecare Association

Home Care Works

Fund the Frontlines

Over 400,000 Pennsylvanians rely on quality, compassionate care delivered in the home—whether it's home health, home care, or hospice. Yet ongoing policy and funding challenges are threatening access to these vital services.

As reimbursement rates remain stagnant or challenged by cuts, workforce shortages grow, direct care workers and nurses leave the field, and vulnerable residents are left without the care they need. Without meaningful action, families across the Commonwealth will face dangerous and heartbreaking gaps in care.

The Home Care Works: Fund the Frontlines campaign, led by the Pennsylvania Homecare Association, calls on lawmakers at every level to protect and strengthen home-based care. Whether the issue is funding, regulation, or access, we need bold advocacy to ensure that Pennsylvanians can get the care they need—where they want to be—at home.

The solution is clear: Home Care Works! We must Fund the Frontlines!

Send an email to your lawmakers

Action is ongoing

Increase Rates for Personal Assistance Services

Enter your name and address to find your local representative. Your voice matters in our advocacy for better reimbursement rates for home care workers. With your participation, we can ensure a better, more dignified future for these workers and the many Pennsylvanians they care for.

We have reached our goal!

1,058 people have taken action

Goal: 1,000 people

Send an email to your lawmakers

Action is ongoing

Oppose Hospice Medicare Advantage Carve In

Support our most vulnerable citizens and the tireless care providers who aid them. Fill out this form, find your rep, and tell them it's time to fund home care adequately.

Help us reach our goal!

33 people have taken action

Goal: 500 people

Send an email to your lawmakers

Action is ongoing

Protect The Home Health Benefit

Fill out your name and address so we can find your representatives. Your participation is critical in securing adequate funding for in-home care services across Pennsylvania!

Help us reach our goal!

52 people have taken action

Goal: 1,000 people

Send an email to your lawmakers

Action is ongoing

Support In-Home Nursing Services

Enter your name and address to find your local representative. Your voice matters in our advocacy for better reimbursement rates for home care workers. With your participation, we can ensure a better, more dignified future for these workers and the many Pennsylvanians they care for.

Help us reach our goal!

76 people have taken action

Goal: 500 people

Share your story

Action is ongoing

Share Your Story! Why Do You Support Direct Care Workers and Nurses?

Personal stories show lawmakers the human impact of a legislative issue. Why is support for home care important to you? What is your connection to home care? Are you a care recipient, a loved one of a care recipient, a direct care worker, or a nurse? Why is funding this program important to you? Share your story with us.

Mission Moments

What is a Mission Moment? When a member shares a story (typically on camera) of a patient interaction that profoundly moved them and made them a champion of the industry. This story defines their “WHY” – Why did they pick this field? Why do they stay in this field?

Watch Mission Moments.

Contribute to HomePAC

Support lawmakers who support homecare and hospice! Contribute to individuals running for the Pennsylvania House or Senate. Just designate the amount you want to contribute. You’ll play an important role in PHA’s advocacy efforts to support state officials who support the home care, home health and hospice industry.

Make a contribution.

A Crisis by the Numbers

The Data Speaks for Itself

  • 400,000+: The number of Pennsylvanians who rely on in-home care services, a number expected to increase as the state’s population ages.
  • 300,000: Jobs supported by Pennsylvania’s home care industry.
  • $25.6 Billion: The annual economic contribution of Pennsylvania’s home care industry, which also generates $4.5 billion in tax revenue.
  • Pennsylvania’s aging population is growing—1 in 4 residents is over 65 today; by 2030, it will be 1 in 3

Personal Assistance Services:

  • 112,500+: The number of home care shifts that go unfilled every month in Pennsylvania, primarily due to workforce shortages driven by low reimbursement rates.
  • $20.63: The current average hourly reimbursement rate for in-home caregivers in Pennsylvania, which is significantly lower than the rates in neighboring states, such as West Virginia ($26.96/hour).
  • 23%: The OLTL HCBS Rate Study’s recommended increase for Personal Assistance Services reimbursement rates to meet market benchmarks and cover the true cost of care delivery.  This equates to an hourly rate of $25.37.
  • $2.68:  The minimum hourly increase needed to show good faith toward a long-term solution to Pennsylvania’s home care workforce crisis.

Pediatric & Adult Shift Nursing Services:

  • 27%: Approved nursing hours go unfilled largely due to lack of staff.
  • $50: The average nursing rate in Pennsylvania while other comparable states are between $55 - $70/hour
  • $59: The recommended nursing rate to increase workforce capacity and enhance access to care as indicated in the 2024 Menges Group Study. 
  • 70: Transitioning 70 patients from hospital to home care would generate enough annual savings to nearly cover the cost of a rate increase to $59/hour.
  • $30: The requested Home Health Aide rate to support sick kids in the shift nursing program. 
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