Pennsylvania’s seniors and individuals with complex medical needs are facing a crisis, as too many skilled nursing facilities operate in unsafe buildings that are also using outdated systems and obsolete layouts. Rising operating costs and reimbursement pressures make major capital improvements financially out of reach for these facilities, compromising resident well-being and straining an already overburdened workforce.

Without immediate state support, closures and service reductions, especially in rural and underserved areas, will leave seniors with few safe options for care. At a time when our senior population continues to grow, we simply must take action to protect the long-term viability of essential community institutions.

For those reasons, I am introducing legislation to establish a competitive capital grant program to modernize, repair, and, in the most severe cases, replace these facilities, ensuring every Pennsylvanian can receive care in a safe, high-quality environment. Modeled on the Commonwealth’s successful school facility investments, this program will prioritize facilities serving Medicaid-dependent populations and communities with limited long-term care access.

This grant program would provide competitive funding for:

• Renovation or replacement of aging facilities.
• Upgrades to HVAC, electrical, plumbing, and life-safety systems.
• Conversion to private or semi-private rooms.
• Expansion of capacity in high-need areas.

This investment is about more than just buildings, it protects residents’ safety and dignity, strengthens Pennsylvania’s health system, preserves access to care statewide, and supports local economies.

I urge you to join me in co-sponsoring this vital legislation and take action now to protect residents, support staff, and secure the future of skilled nursing care across the Commonwealth.