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#CareCantWait: COVID-19 Recovery Must Include People With Disabilities, Families, and the Care Workforce

By: Nicole Jorwic, Senior Director of Public Policy and Bethany Lilly, Senior Director of Income Policy

While legislators in Washington, DC debate what IS and IS NOT infrastructure, people with disabilities and their families are grappling with day to day life, and a system that did not have the infrastructure and staff to support them before COVID-19, and today is only worse.

#CareCantWait any longer.

Every day that passes without investing in the care infrastructure, is another day a person with a disability does not get the services that they need, another day of family members scrambling and juggling to fill in the gaps, and another day our country fails to seize the chance to build back better.

The pandemic has highlighted the gaping holes in the systems that support people with disabilities—a direct care workforce stretched to the breaking point by low wages, family caregivers choosing between their jobs and their loved ones, and people with disabilities trapped in poverty and in a life limiting their potential.

As conversations continue about where we can and cannot afford to make investments as a country, we cannot let the needs of people with disabilities, their family caregivers and the direct care workers who support them to get left behind. As the saying goes, if you make something work for people with disabilities, it works better for everyone. This is infinitely true when it comes to economic recovery. Congress must pass the Better Care Better Jobs Act that includes a desperately needed  $400 billion investment in home and community-based services (HCBS), a national paid family and medical leave program, and update decades-old rules that trap Supplement Security Income (SSI) beneficiaries in poverty. These are The Arc’s priorities as Congress turns to recovery.

Home Is in the Community, With the Services To Thrive

The Biden Administration already did propose a huge long-term investment in HCBS in the American Jobs Plan, also known as the infrastructure plan, and Congress followed suit with the introduction of the Better Care Better Jobs Act on June 24, 2021. The bill includes a $400 billion investment to build more access to home and community-based care and create over a million direct care jobs to support people with disabilities, and make those jobs better.  There cannot be an economic recovery for this workforce, one made up mostly by women of color, without an investment to raise wages and create more direct care jobs.

People with disabilities and aging adults rely on direct care workers to provide the supports and services that they need to live in their homes and communities, and family caregivers rely on that support to work themselves. Having a skilled, properly trained and fairly paid workforce is the lynchpin for success for so many people with disabilities to live the independent life that they choose, and in some cases in can literally mean life or death. The proposed $400 billion investment in HCBS would address those systemic problems—raising wages and expanding access that will lead to decreased waiting lists.

When the Better Care Better Jobs Act becomes law, the $400 billion investment will allow states to build infrastructure and capacity for service provision, with a well-paid workforce, and thereby supporting unpaid family caregivers who are filling the gaps for the system that currently leaves nearly one million people waiting.

Paid Leave for All

The Biden Administration has also recognized the need for a comprehensive national paid leave program and included it in the proposed American Families Plan. It would cover all family members, including siblings and grandparents, who might need to take time off to help support people with disabilities. During the pandemic, millions of family members had to juggle existing caregiving responsibilities, and often new or different ones because of program closures, with their work. Caregivers have been managing instability and interruptions in services for years. But the proposed national program would provide family caregivers with the job support they need to be there for their loved ones for the first time. We are working with Congress to turn this plan into legislation, that once again, will impact the lives of millions of people with disabilities and their families.

Improve the Supplemental Security Program

And in his campaign platform, President Biden recognized the importance of SSI for people with disabilities and the desperately needed fixes to a program that has not been updated in decades. He proposed increasing benefit levels to the Federal Poverty Level, asset limits, and income rules, in addition to eliminating harmful rules that prevent people with disabilities from getting married or help from family members. These long-overdue updates would provide the economic support that people with disabilities need without trapping them in poverty.

The infrastructure that supports people with disabilities has been and is crumbling—just like many of our roads and bridges. We have an opportunity to give direct care workers a raise, expand HCBS services, support family caregivers, and update SSI. Congress must take this opportunity. Our #CareCantWait any longer.

 Tell Congress #CareCantWait and to pass the Better Care Better Jobs Act now!

 

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Part Two: For Jud, Chris, and Millions of People With Disabilities – a Bill 70 Years in the Making Has Arrived

By Nicole Jorwic, Senior Director of Public Policy, The Arc

As we rally around the Home and Community-Based Services Access Act (HAA), a new bill in Congress that will transform how people with intellectual and developmental disabilities live their lives, it’s siblings like Nicole and Chris Jorwic that lead with the passion to make this change a reality.

In the second installment of our two-part blog series, The Arc’s Senior Director of Public Policy Nicole Jorwic shares what drives her passion.

Nicole: Like Marty, my work is also rooted in my love for my brother and our joint passion to ensure that everyone has access to the supports that they need. My brother Chris is 31 and receives Medicaid HCBS services in Illinois. Even though he was born decades after Jud, with a lot more options and opportunities, my family has had to fight hard for inclusion in the classroom and for the services that he needs. But it is never far from my mind how different his life could have looked if we were from a different generation. Chris certainly could have ended up in an institution, a risk that still exists for my family.

Why is that still a possibility? Because those institutions are still open in 2020. 36 states still have institutions (sometimes called state schools, state-operated developmental centers, or training centers) where people with IDD live segregated lives away from their families and communities. While media has shined a spotlight over the years on the atrocities that exist behind these walls, our society still tolerates their existence and the placement of people with disabilities in these inhumane places. The pandemic has caused grave danger to people stuck in institutions, but even before COVID-19, other dangers lurked in these dark places.

We must do better and expand access to home and community-based services because they are what people with disabilities and their families want and need. Those services have been a saving grace for Chris and our whole family. The inclusion in the community that these services afford to Chris is the same thing that my parents have been fighting for Chris’ since he was in school, and what drives Chris in his own advocacy work to ensure that his “brothers and sisters in disability” have access to what they need.

Chris has also had times when he didn’t have the services that he needed, when my darkest fears were around what if we can’t find what he needs. Those times were extremely difficult for our whole family, but mostly for Chris, because it left him stuck at home, with nowhere to go, and no way to use his voice, leading to very low moments.

Chris was facing a low time back in 2017, when The Arc network was fighting so hard to protect access to Medicaid HCBS. The huge Medicaid cuts proposed in Congress would have disproportionately impacted HCBS because they’re “optional” services and states don’t have to cover them. States do have to cover institutional services and I knew that cuts to Medicaid would mean fewer HCBS and more people like my brother being forced into institutions. While I worked in Washington on the policy threats, I would call home and hear the sounds of Chris having a rough day without the services he needed. I would take those moments when I was close to tears because I shared my brother’s frustration, and turn it into fuel to keep going, something I know Marty and others before me have done. It reminded me why the push to protect Medicaid was so important, but also how much progress we still need to make.

I knew what we needed to do not only from my personal experience but also from my experience working for the state of Illinois, a state with over 20,000 people on the waiting list for HCBS and 7 institutions. It’s even more clear now, after the fights in 2017 and the COVID-19 pandemic, that the only way to truly transform the old system, to close the institutions that still exist, and end the waiting lists that almost a million families are stuck on across the country is to address this issue head-on. Requiring Medicaid to cover HCBS has been a driving focus of my work since I joined The Arc.

So, when the attacks on Medicaid subsided in 2018, we turned our focus towards that goal. We worked hard to get coverage for HCBS into the universal health care proposals—something that hadn’t happened before it finally did in 2018. And then we pivoted specifically to the issue of requiring Medicaid to cover HCBS. We were lucky to have champions on Capitol Hill like Representative Debbie Dingell and Senator Maggie Hassan who both understand this issue personally, and we appreciate their leadership and openness to working with us to get this right.

And we’ve gotten it right with the HAA. The dreams of our families and our founders and much of what we have fought for as volunteers and staff at The Arc would become reality.

We need this bill to pass now. In Illinois in April, the National Guard was called into two of the state institutions because too many staff and residents had been diagnosed with COVID-19. People with intellectual and developmental disabilities have been infected and died at higher rates. And every person with a disability and their friends, family, and staff have had their lives turned upside down. This bill would ensure that we have the infrastructure to at a minimum protect people from this kind of public health threat, but also give people the services to thrive, and not just survive.

The work we will do over the coming months, and possibly years, to get to the passage of the HAA will certainly be some of the most important in The Arc’s 70-year history. We will fight because the investment in HCBS is what we need to fully realize our mission, for Jud and for Chris and all the people with disabilities who want a full life in their homes and communities.

Get involved in this effort with me and Chris. Sign up to take action with The Arc, and tell your members of Congress why this bill matters.

 

 

 

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New COVID-19 Response Legislation Finally Recognizes Urgent Needs of People With Disabilities

The Arc is relieved that Congress has finally taken action to tackle the dire challenges people with disabilities face as the COVID-19 pandemic continues into a second year. The Arc and our advocates have fought every day since the start of this crisis to ensure that the needs of people with intellectual and developmental disabilities (IDD) are included in relief legislation to address the disproportionate impact of the pandemic on them, their families, and the direct support workforce.

The COVID-19 Emergency Relief legislation, passed by Congress on Tuesday, includes vital dedicated funding to strengthen and expand access to Medicaid home and community-based services (HCBS), which help people with disabilities live as independently as possible in their community and out of the danger of institutions and nursing homes.

“After almost a full year of leaving the most urgent needs of people with intellectual and developmental disabilities out of relief legislation, Members of Congress are finally providing the resources necessary for people with disabilities to live safely, in the community, with the support they need,” said Peter Berns, Chief Executive Officer of The Arc. “This funding is desperately needed by the systems, providers and workforce that support people with disabilities.”

Many people with disabilities rely on HCBS to live at home in their own communities with family or roommates with support. They often need help with things like working at a job in the community, making food and eating, managing money and medications, and bathing and dressing. These services are almost solely available through Medicaid HCBS funding. For over 70 years, The Arc has been fighting for people with disabilities to live independently with the right supports and lead the same kind of life as everyone else – Medicaid HCBS makes this possible.

Over the last year, while the COVID-19 pandemic has raged across the country, the system that provides HCBS has buckled under the pressure without a single dedicated dollar in federal aid to address the crisis. Meanwhile, the health and wellbeing of people with disabilities has been at grave risk, with too many people stuck in the very places that have proven to be the most dangerous during the pandemic – large, congregate settings like the institutions that exist in 36 states, and nursing homes. Families have been left to scramble and scrape together supports for their loved ones to keep them out of harm’s way, and direct support professionals have been skipped over and over again in priority for personal protective equipment and supports as the essential workforce that they are. This bill provides a significant, yearlong 10% increase in the federal match for the Medicaid program, a state and federal partnership, which will invest billions of federal dollars into this strapped system.

“This significant boost for home and community-based services will make an immediate impact for people with disabilities across the country. Robust HCBS funding is critical to keeping people with disabilities healthy, safe, and out of nursing homes and other institutional settings where the virus runs rampant. We have more work to do because the reality is, the system needed reform and investment before COVID-19 arrived on our doorstep. The new relief legislation reassures us that our work with and for people with IDD matters, and we will carry that energy forward in our ongoing advocacy,” said Berns.

Congress also authorized another round of stimulus payments, this time including all people with disabilities, even those who are defined by the IRS to be “adult dependents.” The Arc led efforts earlier in the pandemic to ensure that people with disabilities on Social Security and Supplemental Security Income benefits received their stimulus payments automatically.

In addition, we are pleased to see the following provisions in the legislation:

  • Extension of Supplemental Nutrition Assistance Program (SNAP) benefit increase through September to help people access food;
  • Temporary increase in premium tax credits under the Affordable Care Act to make it easier to have health insurance in this public health crisis;
  • Extension and expansion of tax credits to cover COVID leave, so that families can support loved ones while care is interrupted;
  • Expansion of Earned Income Tax Credit for childless adults to help family finances; and
  • Expansion of and refundability for the Child Tax Credit to help low-income families.
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Spotlight on Self-Advocacy at The Arc of Sedgwick County

The Arc of Sedgwick County in Kansas has something many chapters do: a self-advocacy program. And their program is wildly successful, in part because of its focus on volunteerism. Members don’t just learn how to advocate for themselves effectively—they take an active role in constantly giving back to their community. As a result, they have built lasting relationships and helped the programming of the entire chapter grow stronger. Read more from their Executive Director Kevin Fish about how Sedgwick’s “Shooting Stars” are changing their community for the better.

Tell us about the self-advocacy programs you run at The Arc of Sedgwick County.

The “Shooting Stars” self-advocates started as the Young Employable Adults (YEAs) back in 1972.  The focus was to help them develop self-confidence and independence and reach their fullest potential.  Early efforts were to encourage and promote community employment. Over time it was expanded as we explored what it meant to advocate for yourself.

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The “Shooting Stars” focus heavily on volunteerism and giving back to the community. What types of activities do they do and what are some of the positive results you’ve seen of this approach?

Our self-advocates will help with our Youth Activity Days for our Circle of Friends program. They run games and other activities and help prepare lunch for 1100 students attending our annual wildlife park day. 

They sponsor and run a free Halloween trick or treat event for neighborhood kids. They sponsor photos with Santa and help with preparations for The Arc’s Lights drive-through Christmas display. They host and help run an Easter egg hunt for children with I/DD and their siblings. They assist with almost every special event The Arc does each year.

The community’s appreciation for the work they do helps them gain confidence and feel connected. They enjoy the happiness they give others and how kids look up to them. Many self-advocates have gone to advocate at the state capitol and presented to the City Council and the County Commission. Members have served on The Arc’s board, presented monthly reports to the Board, and served on various committees, boosting their pride in themselves.

What is the involvement level of your staff in supporting the efforts of your self-advocates? How does the group decide what types of activities they do and how they structure their events?

Our staff help lead monthly discussion forums and help organize monthly potlucks and quarterly appreciation events for our self-advocates. During our forums and potlucks, we will discuss upcoming events and activities and what they want to do. Many of the activities have become a tradition! They are invested and feel a sense of ownership and pride in what they are doing. For the forums, staff will also prepare some interactive educational components on topics like finance, work expectations, relationships, and daily living.

It’s hard not to mention the current health crisis affecting us all and the importance that supporting each other has taken on in the last few weeks. Does the group have any plans to volunteer in your community the coming days, and if so, what? Has the self-advocacy programmatic structure you’ve set up helped provide any stability, socially or otherwise?

For a group that is so active, not only with The Arc, but within our community, the current pandemic has made life a challenge. Most all of them are no longer working with the state-wide stay at home order.  Most every event and activity at The Arc has been cancelled or postponed for the next month.  Many of the entertainment facilities and churches are all closed, eliminating places they like to go or volunteer after work. This change in routine is difficult. What they see and hear is creating anxiety in many. The isolation is creating loneliness. Within our self-advocate group, we have been trying to encourage them to call a friend, send a note an email, or reach out through social media. Especially for those who live alone, we want to make sure people are connecting regularly. 

What should other chapters know who are interested in starting and growing a self-determined self-advocacy program?

Helping your self-advocates find their voice, take charge of their lives, and advocate for themselves and those around them is part of our mission. A passionate and active self-advocate group can make a big difference in not only your organization, but also your community and state. The development of our self-advocate group to help them reach their fullest potential truly became a way for our chapter to work towards reaching its fullest potential. Countless programs and events were created or evolved based on what our self-advocates wanted, needed, or wished they had. They provide more than manpower. They are invested, passionate, and inspired and help us continue to feel the same way too.

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Free Marketing Templates for Chapters!

Are you interested in refreshing your chapter’s print and digital collateral?

The Arc has professionally designed Microsoft Word templates ready for your use. You’re just a click away from a fill-in-the-blank tri-fold brochure, 4- and 8-page newsletter, half (portrait and landscape) and full-page flyer that you can easily customize for your use. You’ll also find templates for stationary, business cards, PowerPoint slides, and an Image Library. Please note that this webpage is in the For Chapters section of the website and you will need to log in to access these materials.

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Save Money on Office Supplies and Services!

Is your chapter taking advantage of your free Purchasing Point access?

What chapter doesn’t purchase office supplies, use federal express or order food and supplies from time to time? PurchasingPoint® is a fantastic, free benefit that chapters are eligible for due to The Arc’s partnership. Your gateway to well-known companies offering discounted prices is a deal that’s not to be missed. In the last quarter alone, chapters enrolled in the program purchased $44,051.26 worth of services and products and saved $15,047.68. The Arc is committed to supporting chapters in numerous ways and obtaining discounts through programs like PurchasingPoint is one of them. If you’re interested in learning more about this program contact Karen Wolf-Branigin.

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Chapter Benefit Spotlight: Calling All Conventioneers!

We are already planning for The Arc’s 2020 National Convention, which will take place October 25-28 in New Orleans. As one of our primary learning events and chapter benefits, it is important to us that it exceed your expectations. We welcome your ideas for plenary speakers, breakout session topics, networking activities, and anything else that would intrigue and inspire you to join us in New Orleans. All ideas are welcome and can be emailed to wolf-branigin@thearc.org. Laissez les bons temps rouler!

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Upcoming Opportunity to Comment on Revisions to Position Statements

Over the last several months, the Policy and Positions Committee has been considering comments from throughout The Arc as it works to revise four position statements chosen for a full review and revision by the boards of directors of The Arc and the American Association on Intellectual and Developmental Disabilities (AAIDD):

  • Family Support;
  • Long Term Supports and Services;
  • Self-Advocacy; and
  • Transportation.

Comments have been received from chapters, advisory committees, and leadership committees on the current versions of the four statements.

A final draft of the revised statements will be posted for comments by chapters, advisory committees, and leadership committees on the chapters-only website. The advisory and leadership committees will receive a survey by email. December 16 through January 15 is the target time period for the survey and posting and for accepting comments. The committee will consider the comments in its final recommendations to the Boards of Directors of AAIDD and The Arc.

Be on the look out for further announcements on the opportunity for feedback on the four revised statements. In the meantime, if you have questions, contact Mike Nagel at nagel@thearc.org.

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Chapter Benefits Spotlight

What do 139 chapters of The Arc have in common?

They are saving money and providing pension and retirement-related products to their employee’s through The Arc’s agreement with Mutual of America. As budgets are tightening, there is no better time to pursue cost-savings measures. For starters, the company waives the $1,600 administrative fees for chapters of The Arc. Fall is the perfect time to compare your current program and learn if you too can benefit from Mutual of America’s partnership with The Arc. To learn more, contact Michael Tyler at Mutual of America at Michael.Tyler@mutualofamerica.com or at (410) 859-8256 .

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Microsoft Is Interested in Partnering With Chapters of The Arc!

Is your chapter located near a Microsoft store? If so, there is an opportunity to partner with Microsoft to host an event during Computer Science Education week (December 9 – 15). This collaboration is a wonderful opportunity to build a relationship with your local Microsoft team!

Microsoft is interested in engaging with underrepresented communities and would like to host an event that provides workshops to people with I/DD on activities such as: coding, game design, app development and social media influencing. If you support individuals who have advanced technology skills and an interest in learning about coding, game design, app development, etc. please apply by submitting this form.

Your application will be reviewed, and you will receive a notification if your chapter’s contact information is passed along to Microsoft to discuss this opportunity in more detail. All submissions are due by November 8. Please send questions to Katy Schmid (Schmid@thearc.org).