State officials propose elder-care facility rate increases

    Juneau, Alaska (KINY) - State officials are proposing major rate increases for the Pioneer homes.

    The increase could range between 40 percent and nearly 140 percent for residents of Alaska's state-supported elder-care facilities, according to health department documents released ahead of a Tuesday legislative hearing.

    The House Health and Human Services Committee was scheduled to discuss the proposal this afternoon.

    Clinton Lasley, director of the division overseeing the state's Pioneer Homes, said to cover proposed budget cuts, the homes are looking at rates in line with the cost to provide services. Critics call the plan unworkable.

    The state Department of Health and Social Services proposes to add two tiers to an existing three-tier program that is based on level of services and care within Pioneer Homes.

    The current, lowest-cost option, including housing, food, emergency help and events, costs $2,588 per month. It would rise to $3,623 monthly under the proposal.

    The highest current level of care costs $6,795 per month. Under the new proposal, the most comprehensive level would cost $15,000 per month.

    Tiers in between, which range from limited assistance to 24-hour services, would range from $6,569 to $13,333 per month. The current middle tier costs $4,692 monthly.

    The highest-percent increase in cost would be for those in the current middle tier with a higher level of staffing care and bumped to a new tier costing $11,185 a month, according to the department documents.

    Laura Cramer, deputy director of the governor's budget office, said having more tiers makes sense because of the difference in the needs of residents. She said the department by regulation can pursue the rate changes and at this point, plans to do so.

    Lasley said elders who lack the ability to pay would not be evicted.

    As of last month, the homes, located in Anchorage, Fairbanks, Palmer, Juneau, Sitka and Ketchikan, provided services for about 450 Alaska seniors, the documents show.

    Lasley in a letter to Pioneer Home residents and families said individuals are entering the homes with greater needs, and the average age of Pioneer Home residents is 87. He wrote that rates have not risen to align with the cost of providing services, resulting in the state subsidizing more than $30 million a year to operate the homes.

    Gov. Mike Dunleavy's budget proposal includes $15 million for payment assistance. Cramer said the department is working on projections and what it really believes it can recover with higher rates.

    Lasley said the division is exploring other ways to generate revenue.

    Senate Minority Leader Tom Begich takes issue with the proposal and said Pioneer Homes were not designed to be money-makers.

    The Anchorage Democrat said that if the department pursues rate increases through regulation, he would work with colleagues to come up with legislation to prohibit that process.

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