LeadingAge PA sent a letter to Governor Josh Shapiro on January 15, 2025, requesting a 0.90 floor for the Budget Adjustment Factor (BAF), a mechanism that reduces the share of allocated Medicaid funding reimbursed to each nursing home. According to current cost report and case-mix data, this would equate to an approximate investment of $139 million in the FY 2025-2026 state budget.  

This adjustment is essential to restore some stability to the aging services system, ensuring older adults in Pennsylvania like you, can count on having access to nursing home care when and where you need it. 

IMPORTANT: Under the “Message Body” field of the “Compose Your Message” box on this page, please insert specific examples revealing the need for this investment to reduce the existing Medicaid shortfall and provide much-needed predictability and relief. 

• What does the nursing care you receive mean to you? 
• An example of how a nursing professional has positively impacted my life. 
• What concerns do you have about the future of your nursing care? 
• If you are not currently receiving nursing home care, why is preserving access to this service setting important to you? 

If you have any questions, please email govaffairs@leadingagepa.org. Thank you for speaking up to protect and strengthen senior care in PA!