HCBS Presentation Cr
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DRAFT Presentation for: Aging and Disability Home and Community Based Services Advocacy Forum Sponsored by Heritage Area Agency on Aging Mercy Medical Center, Hallagan Education Center September 13, 2010 By Bill Gardam The Olmstead decision… there are three basic principles that all of us can probably agree on... • We can agree that no American should have to live in a nursing home or state institution if that individual can live in a community with the right mix of a ffordable supports. • We can agree that we all have the right to interact with family and friends in our communities...to make a living...and to make a life. • And, we can agree that it will take time, effort, creativity and commitment from all of us to make this a reality. Clinton administration Secretary of Health and Human Services Donna Shalala Hello. I am very pleased to be here today to briefly talk about Olmstead in Iowa. I am going to start by shar ing some examples of sit uations families face everyday… then discuss what is being done in Iowa... and close by sharing some questions we should all ask to help with needed next steps. The Context Daniel is 14 years old. He suffers from emotional illness, including psychoses and depressi on. He was cared for at home by in-home wor kers, funded th rough Medicaid. He was functi oning well . However, 2 yea rs ago, Medicaid cut back on his coverage, his condition deteriorated, and since then 1
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