Regulations on Companion Care for the Elderly in Pennsylvania

In 2009, Pennsylvania enacted legislation related to the safe provision of companion care services to the elderly. These nonmedical services include assistance with activities of daily living, medication supervision, transportation and sitter services.

Licensing

• The regulations require licensing of all home care agencies. The process includes a detailed application as well as a $100 licensing fee as of 2010.

Employment Process

• The law requires employers to document and conduct face-to-face interviews, do criminal background and child abuse registry checks, and obtain employment references for all prospective direct care employees. In addition, the employers must verify the licenses and certifications of registered nurses, licensed practical nurses and certified nursing assistants. Employers must observe and verify that all direct care staff members meet the standards for providing personal care, such as supervison of a patient's medication, eating, transferring and toileting.

Consumer Protection

• The Pennsylvania law dictates how and when agencies communicate with consumers prior to and during the provision of home care services. The law requires home care agencies to disclosure their fees and services and hours of service. By law, consumers may report complaints related to the services of a home care agency directly to the Pennsylvania Department of Health without notifying the home care provider.