Pennsylvania’s health and human services system is in crisis, and the evidence is undeniable. Children and families wait months for early intervention and disability services. Shortages of direct support professionals leave people without the care they depend on. Older Pennsylvanians go without adequate home- and community-based supports. Providers are being pushed past the breaking point.

This crisis deepens every day the state budget impasse drags on. Agencies face an impossible reality: meeting life-and-death needs without the state payments they rely on to operate.

We have been here before. During the 2015-16 budget impasse, providers took out loans just to meet payroll. The interest and fees from those loans were never recovered, leaving organizations financially fragile. They canno

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