Legislative
Platform 2008
1.
ASF strongly opposes any proposal that moves
APD and the waiver services into an HMO (managed care
program), including people on the wait list. The purpose
of Medicaid waivers is to assist individuals with DD
to be able to live, work and take part in their community.
HMOs
are in business to make money and their primary focus
will be to reduce costs to improve their profits. In
addition, their experience is with illness and not providing
ongoing, necessary services individuals with DD need.
People with DD have life-long needs for supports and
services that will maximize their abilities to function
in the community.
2.
ASF strongly supports the expansion of the CDC+.
Consumers on CDC+ have control over who is entrusted
to help them care for their developmentally disabled
loved ones, and who has access to their homes. Consumers
have the option to save monthly amounts from their plans
for large expenditures such as summer camp activities,
modifications to their home or augmentative devices.
They manage their own cost plan, with the help of a
support coordinator, and are very efficient and often
frugal with their expenditures.
After
mismanagement by third party fiscal agents, APD has
taken control of the CDC+ Waiver and brought the payroll
for CDC+ recipients in house. Not only are they saving
on large costly contracts, it appears to have resolved
any problems related to the fiscal agent.
3.
ASF strongly opposes any proposal that moves APD
under AHCA or another similar agency. History shows
us that this population cannot be served appropriately
under an agency that has too broad a focus. The Governor
created APD as a stand-alone agency to meet specific
goals and enhance the quality of life for individuals
with disabilities. Floridians with DD have life long,
complex needs, which require an agency to focus on the
individual, family and circle of supports. This complex
population must be their only focus. To undo this important
move forward would be devastating to our families and
the individuals that APD serves.
AHCA
funds services which follow a medical model and persons
with DD require a human services model that addresses
the individuals' abilities to be a contributing force
in the community to live, work, and realize their potential.
There
have been many accomplishments that APD can continue
to build on. We believe they will meet their fiscal
responsibilities given the opportunity. The legislature
should allow APD ample time to correct past mistakes.
People with disabilities are people first. The legislature
should not undo the progress made because of impatience.
It is the responsibility of the legislature to be very
cautious in making quick decisions that will affect
the lives of thousands of the states' most vulnerable
constituents.
4.
ASF strongly supports the full funding of the
Centers for Autism and Related Disabilities (CARD Centers).
There are now over 13,000 individuals on the CARD registry.
We thank the legislature for past increases to help
sustain this growth. Unfortunately, the numbers continue
to grow faster than the funding. We understand that
it may be difficult to provide an increase in this economy.
ASF requests at the very least, the legislature hold
the CARD Center funding harmless from cuts.
5.
ASF strongly supports health insurance for Autism
Spectrum Disorders. It is a known fact that we are in
an epidemic. Autism affects 1 in 150 individuals. Many
families have no health insurance coverage for their
children with autism. Why is this? The legislature has
refused to mandate it. If a child has juvenile diabetes,
they have coverage. Why not a child with autism? If
the state of Florida truly wants to limit costs to taxpayers,
then pass HB1291 and SB2654. The impact on policy holders
will be far less than the "ongoing" impact
that no insurance will have on the taxpayers of this
state. Are insurance companies to be trusted when they
state that people will not be able to afford coverage
if this legislation passes? No. There are several other
states that have passed autism insurance coverage without
negative effects. It is proven that early intervention
and treatment can limit the amount of medical needs
that these children have later in life. Make the insurance
companies provide coverage and it will save the state
millions in years to come.
6.
ASF strongly opposes the "new" tier
system recently approved by the federal government for
the Medicaid Waiver program for the DD population. As
currently designed, there will be thousands of individuals
that will be devastated by this action. Comments by
the legislature to "wait and see how the savings
materialize" don't account for the potential service
cuts of 35% or more. Many individuals cost plans that
are now at $85,000 will be cut to $55,000. How do you
expect providers to take a cut like this and not impact
the quality of life of the people they serve? Could
you take a pay cut of 35% and not impact your quality
of life? Please don't let the most vulnerable members
of society be the scapegoats for mismanagement of the
past.