www.accesspress.org History Note
Inside
“Our bodies communicate to us clearly and specifically, if we are willing to listen to them.”
■ New health column–pg 5 ■ Complications add worries–pg 3 ■ Directory of Organizations–pg 7-10
—Shakti Gawain Page 2 Nonprofit Org. U.S. Postage PAID Mpls. MN Permit No. 4766
Volume 20, Number 1
Minnesota’s Disability
Community Newspaper
January 10, 2009
2008 in review January: 2008 Rule changes eyed warily, traumatic brain injury program outlined Advocacy groups were rallying to block proposed new rules which would make it more difficult to move people from nursing homes back into their homes or other living situations. The rule allowing for 180 days of coordinated relocation services was eyed for a change to 60 days. The Metropolitan Center for Independent Living (MCIL) Nursing Home Relocation Program, which helps many people make the move from nursing homes, was raising awareness about the proposed change. In an interview with Access Press, MCIL Relocation Program Manager Eva Hansen indicated that 70 percent or more of relocation cases take longer than 60 days. The story fea-
tured Toni Mitchell, who had just moved back to her home in St. Paul after a nursing home stay with the help of the MCIL program and the funding from the Centers for Medicare and Medicaid (CMS). UPDATE: A moratorium was passed to put the 60-day limit on hold. The 180-day period is still in effect until April 2009. Hansen said they are still waiting to see what the new federal administration does with the time period. Also in the news: A project at the state women’s prison in Shakopee was tracking rates of traumatic brain injury (TBI). State officials were screening inmates for TBI and working to provide improved services in prison and in the pre-release transition for inmates. A new chapter of ADAPT was
forming in the Twin Cities. Organizer Galen Smith answered reader questions about the 25-year-old grassroots disability advocacy organization. Community members were urged to get involved with caucus night, the first step toward the November election. February 2008 Legislative preview, new Arc leader named The Minnesota Consortium for Citizens with Disabilities (MN CCD) prepared for the 2008 legislative session, which began this month. Healthcare reform, transportation needs statewide, caregiver tax credit and other issues were to be brought forward at a time when the state faced a general fund deficit of $373 million. The MN CCD was encouraging everyone to follow these isReview - cont. on p. 6
Budget forecast gloomy Governor’s cuts impact wide variety of health and human services programs by Steve Larson
M
innesotans and the state agencies and programs that serve them face difficult times in the months ahead. Over the past few weeks a number of steps have been taken to address the state’s budget deficit. More changes are coming as Gov. Tim Pawlenty prepares to unveil the next state budget. The opening of the 2009 legislative session on Jan. 6 is when the real challenge will begin. Pawlenty stated during the recent unallotment process that he will not support spending reductions for the military, veterans, K-12 education, and public safety. K-12 is the largest part of the state budget accounting for 40% of the spending. Health and Human Services programs make up 28% and these programs are literally in the bull’s-eye for future cuts. Forecasts released in December by the Minnesota Depart-
ment of Finance revealed a $426 million shortfall in the current biennium ending June 30, 2009 and a projected $4.847 billion deficit for the next biennium (July 1, 2009 – June 30, 2010) that has to be budgeted for during the 2009 session. Before Christmas, Pawlenty announced he would balance fiscal year 2009’s budget by using $155 million in budget reserves and then unallot or cut $271 million in current spending. The governor has the power to unallot funds without legislative approval to balance the state budget. The unallotment included $73 million in cuts to the state’s Health and Human Services budget including medical education and hospital funds and $17 million from the Consolidated Chemical Dependency Treatment Fund, as well as $2 million in New Mental Health Grants, $2.717 million to the growth in Medical Assistance
waiver programs, and 13% of the state’s budget. In $250,000 cut in housing grants. late January the governor will release his budget proposal for An additional $110 million the 2010/2011 biennium. In was cut from Local Govern- late February the next finanment Aid for cities and pro- cial forecast will be released. gram aids for counties. The Lack of revenue from taxes governor’s action will restrict due to the downturn in the any waiver growth during this economy and continuing fiscal year. The housing grants growth in health care are some that were cut were to help per- of the significant factors consons with disabilities access non-provider owned housing “Cuts in dollars for alternatives. Cuts in dollars for counties will put in counties will put in jeopardy jeopardy many countymany county-funded programs that support persons with dis- funded programs that abilities including case man- support persons with agement, day training and ha- disabilities. . .” bilitation, semi-independent living services and respite care. tributing to the deficit. The Go to this link for a full listing deficit will need to be adof the governor’s budget cuts. dressed with program cuts, and www.governor.state.mn.us/ possibly with increased revmediacenter/pressreleases/ enues. Programs for persons PROD009248.html with disabilities will be vulnerable due to the amount spent The overall state budget is on programs that continue to approximately $35 billion, so grow due to increased numthe projected deficit for the bers of eligible individuals. coming biennium represents
During summer and fall 2008 11 committees of the Minnesota Consortium of Citizens with Disabilities (MN CCD) met to plan for the upcoming legislative session and for its two-year public policy agenda. MN CCD set its public policy priorities in late 2008. These include Personal Care Assistance (PCA) services, Cost of Living Increases (COLA’s), Statewide Quality Assurance, and Self-Direction.
tion to help PCA services work better for PCA participants.
The COLA Coalition will be advocating for a 3% increase for direct care staff and the programs that support persons with disabilities. This will be a difficult task but it is important for the governor and legislators to be highly aware of the importance of these services and the necessity for appropriately compensated staff in order to maintain quality in Anne Henry, Minnesota Dis- the supports system for perability Law Center, chaired the sons with disabilities. PCA committee and worked to prepare to respond to the MN CCD will be advocating Legislative Auditor’s Report for the full implementation of on PCA services which will be the recommendations in the presented to the Legislature in 2007 Quality Assurance Panel January. Part of the commit- Report. Minnesota has not tee's effort was to arrange for moved from an institutionallythe auditor to meet with re- based licensing system to a cipients of PCA services. In community-based quality asOctober, six recipients met surance system. Thousands of with the auditor and put a real Minnesotans receiving comface on the services they re- munity based supports have ceive. In addition the commit- the right to a system that helps tee has prepared draft legisla- Budget - cont. on p. 3