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House Human Services flags instability in long-term care spending, loss of residential beds and request for provider-stabilization clarity
Summary
Rep. Teresa Wood, chair of the House Human Services Committee, told appropriators the committee had significant concerns about BAA allocations to long-term care, noting a large share of funds are flowing to nursing facilities while residential care homes have closed and community services are under-delivered.
Rep. Teresa Wood, chair of the House Human Services Committee, told appropriators that the committee had deep concerns about long-term care and Choices for Care spending in the Budget Adjustment Act, even though the committee made no specific changes in the BAA submission.
The nut graf: The committee said more than $50 million in the BAA is directed to nursing facilities and extraordinary financial relief for high-cost residential care while lower-cost residential care homes have closed in recent years. Committee members warned the state's focus on high-end institutional costs risks eroding home- and community-based capacity that keeps Vermonters out of nursing facilities.
Wood summarized multiple causes for the spending changes: caseload shifts, underbudgeted facility bed days, a post-budget collective-bargaining agreement for direct-care staff, and…
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