VIRGINIA ASSOCIATION OF CENTERS FOR INDEPENDENT LIVING
Advocating for the integration & inclusion of people with disabilities into all aspects of society
2016 Legislative Priorities
Provide independent living services to prevent institutionalization, assist people to transition from nursing facilities, and to assist young adults to transition from school to adult life. Centers for Independent Living are now required to provide independent living services to people with disabilities in these three circumstances. Each of the 17 Virginia Centers for Independent Living need to expand services to people with disabilities who are in one of the following situations:
- at risk of placement in nursing facilities and other institutions;
- transitioning from nursing facilities who are not eligible for Medicaid Money Follows the Person; and
- youth with disabilities no longer in school who are working to become independent.
Each Center for Independent Living needs $50,000 to provide these services for a total of $850,000
Support funding for people with the lowest waiting list numbers to receive Developmental Disabilities Waiver services. Redesign of the DD Waiver will result in people losing their status on the current waiting list. People have been waiting up to 8 years for services. Many of them have not pursued other Medicaid supports while waiting because they had the expectations of receiving DD Waiver supports if they waited. With the redesign, people will no longer be able to depend on a process that ensures they receive supports at some point.
Reduce waiting lists for the Medicaid Developmental Disabilities Waiver and Intellectual Disabilities Waiver. The DD Waiver provides services for people with autism, cerebral palsy, brain injury, spina bifida and other developmental disabilities that occur before the age of 22. The DD Waiver waiting list includes 2,200 people. The ID Waiver provides services for people with intellectual disabilities. The ID Waiver waiting list includes 8,400 people.
Support redesign of the DD, Day Support and ID Waivers to encourage supports being provided in integrated environments, development of a statewide waiting list, a process to award available new slots to people based on chronological placement on waiting lists with an emergency award process for people in emergency situations, and requiring case management/support coordination that is independent of Waiver service providers which allows the individual to select their case management/support coordination organization.
Support overtime wages for consumer-directed attendants as required by the Fair Labor Standards Act.
Support legislation that clarifies the right of individuals to make their own end of life decisions.
www.vacil.org January 6, 2016