by MarkJ » Wed 11 Aug 2010, 08:12:12
$this->bbcode_second_pass_quote('', 'N')ow, though, gains made under the ADA are running into recession-battered state budgets. At least 17 states have cut into funding for assistance to the disabled since 2009 or are planning to do it this year, says Phil Oliff, a policy analyst with the Center on Budget and Policy Priorities, which analyzes the effect of public spending on low-income people. The cuts include cash, home nursing services and grants to agencies that help the disabled live independently.
Under the ADA and a 1999 Supreme Court decision upholding it, the disabled have a right to live in their communities. States, within their resources, must provide community-based services that make it possible.
That means states are up against opposing mandates: Under the ADA, the court said, states must provide care that best integrates a person into the community — as long as the states can pay for it. However, Medicaid rules require them to pay for nursing home care, but not home care, for people with disabilities.
"I think every state wants to provide more community-based care, but they just can't afford it," says Ann Kohler, executive director of the National Association of State Medicaid Directors, which manages services to the disabled.
Cuts to independent living funding have been happening for quite a while. Back in the late 90s, nearly all my wheelchair bound tenants were forced to move to group homes, nursing homes, or move in with relatives due to funding cuts, rent inflation and the tight handicapped accessible market.
One of my wheelchair bound tenants lost his apartment, handicapped accessible van and some other local, private and volunteer services due to funding cuts, inflation and the poor economy. He moved in with relatives, but they could no longer help since they lost their jobs, lost their home and their vehicles were repossessed.
Once he lost his independence, his mental and physical health went downhill rapidly. When I visited him at a group several home several months after he moved, he'd lost an incredible amount of weight, looked much older and his attitude was very poor. The staffers were mean and uncaring , plus some of the other residents were abusive, or stole from him.