Skip to main content

June 2004 Edition - Access Press

Page 1

June 10, 2004

Inside ■ Justin Dart—p. 3 ■ Universal Health Care—p. 4 ■ Working With A Disability—p. 14

1

“Politics ought to be the part-time profession of every citizen . . .” — Dwight D. Eisenhower

Nonprofit Org. U.S. Postage PAID Mpls. MN Permit No. 4766

Volume 15, Number 06

Minnesota’s Disability

Community Newspaper

June 10, 2004

SESSION DEADLOCKS OVER BUDGET by Anne L. Henry, Minnesota Disabiltiy Law Center

T

he 2004 session of the Minnesota Legislature ended May 16

without a budget agreement and no bonding bill for State building projects. Both the

House and Senate spent considerable time fashioning budget bills to deal with the

State’s deficit of $160 million for this second year of the biennium. Despite these efforts, no agreement between the House and Senate was reached before the Constitutional adjournment deadline of May 17. The huge cuts in programs and services for persons with disabilities enacted last session when our State faced a $4.5 billion deficit continue to hurt many in Minnesota. However, the House and Senate did adopt changes to repair some of the damage done by last session’s massive cuts.

The U.S. Supreme Court justices. Back row L-R are: Ruth Bader Ginsburg, David Hackett Souter, Clarence Thomas and Stephen Breyer. Front row L-R: Antonin Scalia, John Paul Stevens, Williams Hubbs Rehnquist, Sandra Day O’Connor and Anthony M. Kennedy.

SUPREME COURT SUPPORTS ADA by Kathleen Hagen, Staff Attorney, MN Disabiltiy Law Center One Step Toward Equality in Access to Public Services Under Title II of the ADA

I

n February 2004, when we discussed the oral argument of Tennessee vs. Lane, I asked the question: Will the Supreme Court limit jurisdiction under Title II of the ADA? The answer is no, at least not for now. The court found that a plaintiff may file a lawsuit for private damages under Title II of the ADA when the limited access to service involves a fundamental right guaranteed by the 14th amendment of the Constitution, such as the ability to gain access to, and use the services of, the courthouse. The Supreme Court made no finding on other issues which could be brought under Title II against states. While the Court limited its holding to cases involving

access to courts, its expansive analysis documented the history of state-sponsored discrimination against people with disabilities in many different areas. This aspect of the decision should prove extremely helpful in defending the constitutionality of other applications of Title II. This decision is definitely a victory for persons with disabilities. Hopefully the door opened by the Court in this decision will be widened in future cases. In the Tennessee vs. Lane case, George Lane was arraigned for driving while intoxicated. He used a wheelchair and the courthouse had steps and no elevator. When he was brought up for arraignment, he crawled up two flights of steps to the courtroom. He waited all morning and his case was not heard. In the afternoon he refused to crawl back up the stairs and refused

to be carried. His lawyer came out occasionally to tell him what was happening and he was ultimately arrested for not appearing in court for his hearing. Lane, and other plaintiffs, refused access either to courts as parties to a case, or as employees due to lack of physical access, brought suit against the state of Tennessee. Tennessee moved for summary judgment arguing that the state had sovereign immunity against lawsuits brought for money damages. The state court denied the summary judgment motion. The Court of Appeals affirmed. The appellate court argued that while the Supreme Court had found in Garrett vs. University of Alabama Board of Trustees, that states were immune from private lawsuits for money damages by state employees under Title I of the ADA, the Decision - cont. on p. 14

The House eliminated copayments for those limited to a personal needs allowance of between $74 and $92 per month, and removed the $500 dental service cap for adults on the Medical Assistance and General Assistance Medical Care (GAMC) programs, but eliminated dental coverage for adults without children on the MinnesotaCare program. The Senate adopted provisions to eliminate all co-payments and remove the $500 dental service cap but did not eliminate any dental coverage. Both the House and Senate passed provisions to reduce the steep increase in parent fees for parents of children with significant disabilities who need Medical Assistance services. The House provision reduced last year’s parent fee increase overall by about 24 percent, while the Senate provision reduced the fee increases overall by about 63 percent and adopted provisions to reverse changes for non-custodial parents. The Governor had proposed cutting continuing care providers such as home and community-based waiver providers and personal care assistant (PCA) services by 1.5 percent. Neither the House nor the Senate adopted cuts to continuing care providers, and the House passed a half

percent increase for providers. The Governor also proposed caseload limits for the CADI (Community Alternatives for Disabled Individuals for persons otherwise eligible for nursing facility level of care) and the TBI (Traumatic Brain Injury) waivers for the 2006/2007 biennium. The House adopted the Governor’s caseload growth limitation but the Senate did not. The Senate proposed steep cuts in state administration to offset their provisions repealing some of the worst cuts from last session. Both bodies made changes in the State Prescription Drug Program because the new Medicare drug benefit will serve some lower income enrollees with a $600 drug benefit beginning July 1, 2004. Both the House and the Senate passed changes to last year’s severe cuts to MinnesotaCare for adults without children. The Governor proposed adding back mental health services and diabetic supplies to the $5,000 outpatient service limit. The House added back diabetic supplies and optometry services but did nothing about mental health services, whereas the Senate restored MinnesotaCare for single adults and lifted the $5,000 outpatient service limit. The Senate restored Minnesota Family Investment Plan (MFIP) cash assistance to low-income families with a disabled member receiving Supplemental Security Income (SSI), while the House did not. The Republican-led House and the Democrate-led Senate did not agree on any of their budget proposals, so none of the harsh changes from the 2003 session were repealed or modified. While many important changes needed by persons with disabilities were not adopted, it is also important to recognize

that further cuts were also not adopted. The Legislature did, however, pass a number of policy changes affecting persons with disabilities which have no funding attached: the Department of Human Services will be required to publish waiting list information for the CADI (nursing home level of care), TBI (traumatic brain injury) and Community Alternative Care (CAC) (hospital level of care) waiver programs each November; a stakeholder process is established for oversight of an evaluation of the ConsumerDirected Community Services (CDCS) changes to the home and community waiver programs which take affect October 1, 2004; and a disease management program is established within the Medical Assistance program to improve patient care, health outcomes and reduce health care costs. The Legislature did not agree on a budget bill to deal with the $160 million deficit; therefore, Governor Pawlenty had to take action to reduce state spending and eliminate the deficit. A major and very troubling cut instituted by the Governor was to shift $110 million in federal funds intended for health care for lowincome persons to the General Fund to cover the State shortfall. While the Governor says the action will not result in immediate cuts in health care, it will leave a $44 million hole for the next biennium and threaten the longterm integrity of the Health Care Access Fund which is used to pay for MinnesotaCare. Discussions among legislative leaders and the Governor about a special session are underway. All sides seem to agree that before a special session is called, the items to Deadlock - cont. on p. 13


Turn static files into dynamic content formats.

Create a flipbook