Thursday, November 18, 2010

Vigil-goers hold candles to the budget-cut wind

Vigil-goers hold candles to the budget-cut wind

posted 05:47 PM 11/17

Some were in wheelchairs. Others held banners. In all about 100 activists showed up tonight for a candlelight vigil under the Capitol's stone-roofed north entrance, expressing worry that looming budget cuts are going to shred the state's safety net.

The state's anticipated budget shortfall for next year is $4.8 billion, and a Thursday morning revenue forecast could make the situation worse or better.

But already, Gov. Chris Gregoire has ordered across-the-board spending cuts to cover a $520 million deficit through June, and that alone will knock some 27,000 children off health-insurance subsidies and could end prescription drug coverage for up to 500,000 recipients of Medicaid after March.

Additional cuts of 10 percent or more are under review by state agencies as Gregoire prepares for a budget to be released before Christmas.

"Even though we are in a recession, and I know we have to do these cuts, it's going to hurt in the long run," said Kyle Matheson, who held a battery-powered candle. "We need to stop this hurt."

Matheson said he recently became unemployed and also serves on the board of People First of Washington, which advocates for people with disabilities. "I'm concerned about the Medicaid cuts, the pharmacy cuts, any type of cuts that are going to hurt anybody with developmental disabilities or mental health issues," he said.

Diana Stadden, policy and advocacy coordinator for the ARC of Washington advocacy group, said she has a 17-year-old son with autism and she worries about pharmacy cuts. As a parent of three children employed by a nonprofit, she said it will be difficult to pay for some of his medications.

Stadden's group was one of several that arranged the vigil, including AARP, PAS-Port for Change, Puget Sound Alliance for Retired Americans, SEIU Healthcare 775NW and the Washington State Senior Citizens Lobby.

Ingrid McDonald of AARP, Walt Bowen of the Senior Lobby and Sue Elliott of ARC met with Gov. Gregoire and other healthcare-issue stakeholders late in the afternoon to talk about the pending cuts. McDonald said there was a shared sense of despair about the budget in the short term but optimism longer term that is linked to federal health-care reform.

She said Gregoire pointed to the reform as a way to get out of the current financing mess and that Gregoire reported talking to federal Human Services Secretary Kathleen Sebelius about letting the state serve as a pilot for the new Centers for Innovation created by reform.

Dennis Mahar, leader of the Lewis-Mason-Thurston Area Agency on Aging said the state might be able to save money with a more coordinated use of Medicare and Medicaid spending.

He also expressed hope that lawmakers could find the guts to approve new revenues, summoning a two-thirds supermajority required by passage of Initiative 1053 on Nov. 2.

"I worry that our jails and emergency rooms will become our treatment centers," Mahar said.

Bowen said what is happening with budget cuts is the start of "dismantling" a long-term care system that took 30 years to build up and become cost-effective through supporting seniors in their homes instead of nursing facilities.

"I think the governor is … pained about the whole thing," Bowen said after the meeting with about 14 people and Gregoire about health care. "This is beyond anything she ever thought about in political life before … She was troubled by what is going to happen and tried to explain it. She's trying to figure out what to do about it."

The Governor’s Office confirmed Gregoire met with the parties but had no immediate comment. Mahar and McDonald cited elimination of hospice care aid for 2,600 low-income people and an end to prescription drugs for outpatient clients of the Medicaid system as major harmful outcomes of the budget crisis.

"I don't know how you do that,” Mahar said of the hospice cuts that are included in the Department of Social and Health Services share of 6.3 percent spending cuts. The cuts also will eliminate dental, vision and other care for low-income elderly and reduce hours available for homecare workers to assist the frail still living in their homes.

DSHS Secretary Susan Dreyfus said last week her agency also is cutting about $19 million more from its welfare spending, particularly in child-care subsidies for poor families transitioning to work, because caseloads have swollen and funding has not. That is in addition to more than $50 million in welfare cuts announced a few months ago.

Adam Glickman of the Service Employees International Union provided an analysis of the overall DSHS cuts that make up a large share of the $520 million in across-the-board cuts. The analysis showed administration and support services are being reduced by about 5.2 percent, while alcohol and substance abuse programs and developmental disabilities are cut by 10 percent. Economic services such as help for those on welfare are being cut 16.8 percent and long-term care is cut 15.7 percent, the analysis shows.

Inside of the long-term care area, SEIU's analysis shows home-care services are reduced by 15.5 percent and community residential services by 7.8 percent.

"It means some seniors and people with disability will lose homecare services entirely. Others will see their services drastically reduced, and thousands of vulnerable seniors will lose access to critical services like dental and vision coverage and prescription medications," Glickman said.

Glickman said SEIU and the coalition wants to put a human face on the cuts before the ugly budget fight gets under way in January in the Legislature. And McDonald said they want the public to know what really is at stake.

"There's not a clear path to it not being ugly," Glickman said.

Read more: http://www.theolympian.com/politicsblog/index.html#1443709#ixzz15eLnWb00

Stop the Cuts! DRW wants to hear your story.


November 17, 2010

The Governor’s budget eliminates Medicaid payment for all prescription drugs and all physical, occupational, and speech therapy services for people living in the community.

This includes all prescription drugs - even medications essential for the treatment of diabetes, epilepsy, mental illness, heart disease, and other disabilities.

We need to hear from you. These cuts must be stopped.

If you have a story to tell about how the loss of medications or therapies will harm you, please contact Disability Rights Washington at: 1-800-562-2702 x 101. TTY callers please contact us between 8:30 a.m. and 5:00 p.m. at 1-800-905-0209.

You can also e-mail us at: yourstory@dr-wa.org.

Click here for more information.

Diana Stadden

The Arc of Washington State

Policy and Advocacy Coordinator

Cell (Call-Text-Email): 253.576.6351

Fax: 360.357.3279 attn: Diana

Email: Diana@arcwa.org

Tuesday, November 9, 2010

candlelight vigil on the Capitol Campus

You are invited to a candlelight vigil on the Capitol Campus to let the Governor know that the proposed cuts (below) are devastating! Be a part of a group to ask her to delay the cuts until the legislature has a chance to decide.

Date: Wednesday, November 17, 2010

Time: 4 - 6pm

Where: The side of the Legislative Building that faces the library/sundial.

Dress warm! Candles will be provided!


DDD & Medicaid Services Make Drastic Cuts!

The Governor recently announced that all agencies (except those protected by state or federal law) must make “across-the-board” budget cuts. These cuts will be extremely dangerous to people with developmental disabilities, costing the state more in the long run as people fill up emergency rooms or are forced to seek the only entitlement, an institutional placement, the only options left available. It will create safety issues and may even cause death.

Some of these cuts have already been implemented, some take effect January 1, 2011, others cannot be implemented without legislative approval when the state legislature is back in session on January 10, 2011. The cuts listed below have been sent to the Governor’s office by DSHS/Division of Developmental Disabilities and the Medicaid Purchasing Administration.

These cuts are happening because our state did not receive the amount of revenue they thought they would be collected. The Governor is required by the state constitution to have a balanced budget. These cuts are being made to make up for revenue not received.

Medicaid prescription drugs – Funding is eliminated for all outpatient pharmacy prescription drugs for adults. Only medications administered in a physician’s office or outpatient hospital settings will be covered. This takes effect March 1, 2011.

Medicaid Personal Care – Client receives personal care from a provider based on their assessment from the Division of Developmental Disabilities, allowing them to remain in their home. Cuts will be based on acuity (how high the need is). 6 to 14 hours per month will be cut from all clients beginning June 1, 2011.

Children’s Intensive In-home Behavior Supports – Provides in-home professional help for children with extremely challenging behavior challenges to avoid placing the child in an institution which would cost the state much more. This program is frozen, no new families will be enrolled. Effective Nov 1, 2010.

Individual and Family Services (IFS) – IFS is used mostly for respite, it is also used for therapies/co-pays and various other services. All families currently on IFS will lose service from Nov 2010 to July 2011.

Dental Services – All adult dental services except emergency services are eliminated. Adults will be able to go to a dentist or the emergency room for pain medication only, dental services will not provided. Effective Jan 1, 2011.

Vision, hearing & podiatry, physical, occupational & speech therapy services are all eliminated for adults. Effective Jan 1, 2011.

Residential Services – Rates to community residential providers will be cut 2%. It will be difficult for providers to attract and retain a stable workforce. Effective Jan 1, 2011.

Employment Services – Rates that counties pay employment providers will be reduced, causing service levels to clients will be reduced. Cuts to employment services means a loss of taxpayer revenue, no return on the State's special education investment and more demand on other support services. Effective Jan 1, 2011.

Transition Services – Clients graduating from high school in 2010 may lose their job that school transition staff helped them get or end up at home with no job, no return on the State's special education investment and more demand on other support services. Funding for 240 state-only clients that have not entered service will be eliminated. Effective October 2010.

Eliminate Case Managers (No Paid Services) – Clients with no services won’t have a case manager to provide community resources. Other clients won’t get timely assessments for services as some case manager positions currently open will not be filled. Effective Jan 1, 2011.

Temporary Layoff Days are extended to all DDD employees and two more layoff days are added. Effective Oct 1, 2010.

Residential Habilitation Centers – Reduce/restructure training programs & some services, close cottages, some staff layoffs. Effective Jan 1, 2011.

Diana Stadden

The Arc of Washington State

Policy and Advocacy Coordinator

Cell (Call-Text-Email): 253.576.6351

Fax: 360.357.3279 attn: Diana

Email: Diana@arcwa.org