The Aging & Older Adult Services Committee meeting on January 28, 2025, highlighted critical challenges facing Pennsylvania's caregiving sector, particularly workforce shortages that threaten service delivery for the state's aging population.

During the meeting, committee members discussed the significant impact of staffing shortages on the quality of care provided to older adults. Lauren Ness, a key speaker, emphasized that the current average wage for direct care workers in Pennsylvania is just $13.35 an hour. This low pay makes it difficult for the state to compete with other industries, where starting wages can reach $16.18 an hour or more. As a result, many potential caregivers are opting for jobs in sectors like retail or transportation, leaving a gap in the caregiving workforce.

The shortage of caregivers not only affects those in need of services but also places a burden on family members who often have to step in to provide care. This situation can lead to job loss for these family caregivers, further straining Pennsylvania's economy and safety net systems. Ness pointed out that the demand for home caregivers is increasing as more older adults prefer to age in place, which is generally more cost-effective than institutional care.

The committee underscored the urgency of addressing these workforce issues, particularly in light of neighboring states offering higher reimbursement rates through Medicaid—over $4.50 more than Pennsylvania. This disparity incentivizes caregivers to seek employment across state lines, exacerbating the staffing crisis.

In conclusion, the discussions at the meeting called for immediate policy changes to enhance wages and support for caregivers in Pennsylvania. By prioritizing competitive pay and improving working conditions, the state aims to retain its workforce and ensure that vulnerable populations receive the care they need. The committee's focus on these issues reflects a commitment to addressing the pressing needs of both caregivers and the older adults they serve.