Last week, the Advisory Committee on Increasing Competitive Integrated Employment for Individuals with Disabilities, which was mandated by Section 609 of the Workforce Innovation and Opportunity Act, held its third meeting via webinar. The agenda, presentation materials, and public comment can be accessed here. For more information on the Committee, please visit their website.
Medicaid, Social Security Disability Insurance (SSDI), and other lifeline programs for people with I/DD are under attack. The House and Senate passed a concurrent budget resolution that calls for significant cuts, setting in motion a process to restructure the Medicaid program. It’s time to act! We are calling on our advocates to engage their members of Congress in support of these critical programs. Please register your concerns by responding to the action alert posted above. To assist you with engaging in other activities, The Arc has created a toolkit with tips and key messages to convey. The Memorial Day recess and the July 4th recess are excellent times to step up our activities by writing, calling or visiting your Member of Congress.
On May 5 the Senate approved a concurrent budget resolution for FY 2016 which begins October 1. The measure was approved by a vote of 51-48. The U.S. House of Representatives had approved the same plan the previous week by a margin of 226-197. While this budget framework is not legally binding, it serves as the blueprint for making decisions about spending and revenues in the coming fiscal year. The 2016 concurrent budget resolution includes several attacks on major programs that will harm people with disabilities, such as:
- Possible permanent cuts and elimination of the entitlement to services in the Medicaid program. Medicaid provides the vast majority of long term supports and services (LTSS), including home and community-based services (HCBS), and many employment supports to people with intellectual and developmental disabilities (I/DD). The proposed block grants to the states would require fundamental structural changes to the basic Medicaid program which could lead to states restricting eligibility and services or increasing costs for individuals, or other options to replace the reduced funding.
- Repeal of the Affordable Care Act (ACA). The ACA includes numerous protections and benefits for persons with disabilities, such as prohibiting private health insurance exclusions for pre-existing conditions, eliminating annual and lifetime caps in private insurance policies, and restricting the consideration of health status in setting premiums.
- Dramatic cuts to non-defense discretionary (NDD) programs. NDD programs – which include early intervention, education, employment, housing, and much more – would be cut by another $496 billion from 2017-2025 on top of the sequestration cuts that extend through 2021. This would more than double the cuts in NDD programs over the coming decade. See the funding chart showing cuts to disability programs since 2010.
Learn more about the Congressional budget plan at http://www.cbpp.org/research/federal-budget/ten-serious-flaws-in-the-congressional-budget-plan.
Last week, three judges from the U.S. Court of Appeals for the District of Columbia Circuit heard oral arguments related to Home Care Association of America v. Weil which challenges the Home Care Final Rule issued by the Department of Labor (DOL) and intended to be implemented on January 1, 2015. The rule was put on hold due to a pair of rulings from the US District Court vacating the challenged provisions. The suit challenges DOL’s authority to 1) revise the definition of companionship services and 2) discontinues the exemption of overtime compensation by third party employers of home care workers who provide companionship services from overtime compensation. The Court of Appeals is expected to issue a decision this summer. For more information, visit http://www.dol.gov/whd/homecare/.
The National Council on Disability (NCD) released a report entitled “Transportation Update: Where We’ve Gone and What We’ve Learned” a comprehensive update of a 2005 study sponsored by the NCD. The report provides an overview of transportation in the United States, the changes since the last report, and recommends public policy to address new and persistent problems.
The U.S. Department of Education’s Office for Civil Rights released its FY 2013-2014 Report to the President, Protecting Civil Rights, Advancing Equity. This annual report contains data and case examples of reported cases of discrimination under section 504 of the Rehabilitation Act and Title II of the Americans with Disabilities Act. The report shows that the greatest number of complaints of discrimination pertain to receiving a free and appropriate education (FAPE), retaliation, and different treatment/exclusion/denial of benefits. In addition, the report includes data on combating disparities in school disciplinary practices (including restraint and seclusion); ensuring equal access to comparable educational opportunities; providing necessary academic adjustments for post-secondary students; safeguarding accessibility to appropriate technology; ensuring accessibility of programs, services, and facilities; and combating bullying and harassment on the basis of disability. See the report at: http://www2.ed.gov/about/reports/annual/ocr/report-to-president-and-secretary-of-education-2013-14.pdf
Senator Chuck Schumer (D-NY) is sponsoring a briefing on “Elopement in Children and Adults with Autism Spectrum Disorders” on Tuesday, May 19th from 1:00 pm to 2:30 pm EDT in the Russell Senate Building, Room 485. Speakers will include: Scott Badesch, President/Chief Executive Officer, Autism Society of America; Robert Lowery, Jr., Vice President, Missing Children Division, National Center for Missing & Exploited Children; Scott Martin, Director, SafetyNet Division of LoJack Corporation; former State Police Captain (Retired), Connecticut State Police; and Lori McIlwain, Co-founder & Board Chairperson, National Autism Association. This briefing aims to raise awareness of the problem of wandering and how law enforcement agencies are responding.
Recently, the Wage and Hour Division of the U.S. Department of Labor posted a PowerPoint presentation which provides a general overview of section 14(c) and requirements for certificate holders. This presentation is accessible by the public at http://www.dol.gov/whd/sec14c/14c-presentation.ppt. For additional guidance on section 14(c), please see the Wage and Hour Division webpage.
The Senate is expected to vote early this week on the compromise concurrent budget resolution (Senate Concurrent Resolution 11) which lays out a budget plan for the Committees to fund programs for Fiscal Year 2016. Once the Senate approves, the next steps will include the relevant committees writing legislation to implement the outline in the budget resolutions. A budget resolution does not go to the President for approval and it does not become law. However, the resulting legislation must be passed by both the House and Senate and signed by the President to become law.
The House of Representatives voted (226-197) on Thursday, April 30, to approve a compromise concurrent budget resolution (Senate Concurrent Resolution 11) which lays out a budget plan for the Committees to fund programs for Fiscal Year 2016. The resolution maintains the statutory caps on discretionary funding such as funding for education, housing, transportation, and other programs. It would also repeal the Affordable Care Act. In addition, the resolution could result in permanent cuts and elimination of the entitlement to services in the Medicaid program – which provides the bulk of long term supports and services (LTSS), including home and community-based services (HCBS), and many employment supports to people with intellectual and developmental disabilities (I/DD).
The concurrent budget resolution would require that the House Energy and Commerce Committee and the Senate Finance Committee find at least $1 billion in savings in programs under their jurisdiction. The resolution does not specify which programs must be cut to reach the $1 billion. However, authorization of these cuts allows fundamental changes to the structure of the Medicaid program in order to achieve these savings. Structural changes to Medicaid are likely to include block grants to the states and reductions in eligibility and services. Furthermore, the cuts could be much greater than $1 billion or the Congress could proceed with more extensive cuts in future years once the Medicaid structural changes are in place.