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CONNNECTICUT
Legislation

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CONGREGATE HOUSING

Bill Mandates Congregate Housing for Elders

House Bill #5267 (pending) introduced in Spring 1977 requires the Commissioners of Aging and Community Affairs to design and monitor a project of congregate housing based upon their analysis of its effectiveness, cost, and feasibility. The purpose of this legislation is to respond to the need for specialized housing by providing an alternative to full-time institutional care. In addition, health and social services could be delivered in an economically feasible way while allowing necessary privacy and security as well. Through the sale of state bonds, a "Congregate Housing Fund for the Elderly" will be initiated to provide for capital grants, loans and advances to contracting housing authorities.

Two representatives in the legislature were respon-
sible for introducing and advocating this bill.

To be determined.

Elders in Connecticut who are on fixed incomes and maintain relative independence despite modest assistance needs with significant aspects of daily living such as feeding, bathing, grooming, dressing or transferring.

Enacted December 1977.

Envision a $2 million price tag, raised through the sale of state bonds and placed in a special fund entitled "Congregate Housing Fund for the Elderly".

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DELAWARE
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CONGREGATE HOUSING

Regulations and Licensing Legislated for Rest (Family
Care) Homes

Legislation created greatly needed licensing standards
for safety, supervision, hygiene to regulate several
hundred rest homes in Delaware. Homes provide perma-
nent facilities, resident beds and personal care ser-
vices for six or less persons who are normally able
to manage activities of daily living. State Division
of Public Health (DPH) responsible for licensing.

Single legislator began project by investigations of these homes; soon had press and legislature involved. State DPH responsible for implementation and licensing; cooperates with SUA.

Statewide, mostly in urban areas.

2000-3000 elders living in rest homes throughout

state.

Legislation passed in 1973; proposed new regulations
(in draft form) modifying initial regs expected to be
adopted soon.

State General Services Appropriation, part of state
DPH annual operating budget.

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MAINE

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CONGREGATE HOUSING

Licensed Residential Home Emphasizes Independent Living

Transformation of program outmoded by economic and social change (formerly Home for Aged Men) into dynamic living arrangement. Home's location, design and environment encourages active and independent living by residents with close ties to families, friends, community. Pioneer project in non-profit field.

Board of Managers undertook comprehensive study of
home's future role (1963). Home originally estab-
lished in 1881. Assistance of advisory committee and
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private consultants for study.
hiring of
architect, and project development. Board of Mana-
gers continues to guide home's policies and direction.

Primarily for residents of Greater Portland (Maine)

area.

Home serves low, marginal income persons aged 62 and over whose mental health and physical capabilities sufficient to insure independent living. Approximately 90 residents.

On-going since major renovation of facility, 1970.

Owned and operated by privately endowed corporation; Older Americans Act Title III grant for supportive services to residents.

Brochure and other information related to occupancy.
Historical development information.

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MARYLAND

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CONGREGATE HOUSING

Senate Bill Expands the Development of Sheltered Housing Senate Bill No. 805, 1976, calls for the expansion of duties of the SUA to include development, certification and operation of sheltered housing for elders. Legislation reflects efforts begun in 1974 to develop alternatives to institutionalization. Sheltered housing

combines independent housing with the provision of congregate meals and in-home services. The SUA developed series of training sessions for directors and staff of housing complexes to introduce them to the program, standards and guidelines for developing projects.

SUA assumed a major leadership role in developing pro-
gram. Participation by existing housing units is ex-
panding as program grows.

Currently 272 units of sheltered housing statewide.
Institutional impact: 1) expand number of units of
sheltered housing available from 272 to 1,000 by 1981;
2) provide training to housing project managers on
needs of clients and potential for developing sheltered
housing.

Population impact: 1) elders, 62 and over, who have temporary or periodic difficulties with activities of daily living.

Operational.

Operating subsidy from State General Fund; relies extensively on existing rent subsidy programs; coordination with services provided under Title XX of Social Security Act, and Title III of Older Americans Act.

Senate Bill 805 (1976)

Summary of Sheltered Housing Governing the Administration of Sheltered Housing Programs (includes fiscal instructions and contract format)

Training Guide on Sheltered Housing for the Elderly

Jacob Yingling, Sheltered Housing Specialist
Maryland Office on Aging

301 West Preston Street

Baltimore, Maryland 21201 (301) 383-5064 (SUA)

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PENNSYLVANIA
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State Funds Domiciliary Care Program

CONGREGATE HOUSING

Provides supportive, homelike, community-based living arrangements for adults who cannot live independently. Provides special state supplement beyond Supplemental Security Income (SSI) payment. Enables SSI recipient and those with less than $315 month income to live in certified home. State approved placement agency on local level combines income maintenance program and social services into integrated approach.

Combined effort of four offices: SUA, Mental Health, Mental Retardation and Income Maintenance. Domiciliary Care Placement Agency is part of AAA. Task forces advise on Mental Health, Mental Retardation, Aging and Income Maintenance. Department of Labor and Industry enforces standards for physical requirements for home.

Pennsylvania, in nine planning and service areas in each region.

Low income adults 18 years of age and over, with functional limitations, but not requiring skilled or intermediate care.

Operational. Four pilot sites in state. Five addi-
tional sites to open in 5/77. 12 sites total by
12/77. Task force met for over one and one-half years
to develop regulations, organizational structure.
11/75, implemented plans.

In

Funding for clients by state money from Office of Income Maintenance. Placement agencies funded through four offices listed above. Department of Health, Education and Welfare issued two year contract of $300,000 to Hebrew Rehabilitation Center for the Aged of Boston to evaluate effectiveness and impact of program.

Domiciliary Care Service Requirements, SSI Supplement
for Domiciliary Care, Social Adjustment Assessment
Form; Domiciliary Care: Homes and Families, Aging In
Pennsylvania, June-July-August, 1976. Domiciliary

Care In Pennsylvania, A New Approach, 10/15/76.

Dale Laninga, State Coordinator
Domiciliary Care Program

Pennsylvania Office for the Aging
P.O. Box 2675

Harrisburg, Pennsylvania

17120 (717) 787-1849 (SUA)

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