Community Choice Act (CCA)
Talking Points on the Community Choice Act
- The demographics of our country are changing. More and more
people with disabilities are living, and could be thriving! Reasons for these
a) the aging process, the graying of
b) children born with disabilities are living,
c) young adults, who previously would have died from
accidents or illnesses, are living -- thanks tomedical
technology and other advances.
- Our long-term service system must change. Created over
forty years ago, it is funded mainly by Medicare and Medicaid dollars; medical
dollars not originally meant to meet people's long-term care needs. We must
think out of the box to empower people and allow REAL choices.
- The money should follow the individual, not the facility or
provider. A national long-term service policy should not favor any one
setting over the other. It should let the users choose where services should be
delivered. Our current system is not neutral, and it doesn't reflect
- The current system is needlessly expensive. We must explore
cost-effective ways to meet people's needs.
have been shown to be less expensive on average than institutional services, and
better liked by individuals.
In FY 2005, 63% of our
total $94.5 billion long term care Medicaid dollars ($59.34 billion)
are spent on nursing
homes and other institutional services, leaving only
37% ($35.16 billion) for all community services (waivers, personal care,
home health, etc.)
- People with disabilities -- both old and young -- even those with severe
mental and/or physical disabilities want services in the most integrated
setting possible. Overwhelmingly, people prefer community
services so they can stay in their own home.
- People with disabilities and their families want REAL choice, which means:
a) equitable funding opportunities,
no programmatic or rule disincentives to community services,
c) options for services delivery which include
agency based services, vouchers, and fiscal intermediaries. Empower people with
disabilities and families.
- Family values keep families together
children belong in families
b) grandparents at home
c) Mom and dad together with the kids
Communities take care of their own.
- Money following the individual can eliminate overburdening
government rules and regulations.
- A functional system based on need instead of medical
diagnosis could end FRAGMENTATION of the service delivery system.
- Keeping people in the community allows the possibility for individuals with
disabilities to train for work so they can become TAXPAYERS instead of
- The federal government needs to work in partnership with the states
to create flexible delivery systems that give people REAL choice.
- Change can cause fear of the unknown. Some long time providers of services
and families believe REAL choice would threaten what they have. We
cannot continue the system as it is today; it is expensive, fragmented,
overly-medical and disliked by almost everyone.