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California's 2018-19 Approved Budget


  
June 27th, 2018 - California Governor Jerry Brown signed into law the 2018-19 State Budget. The intellectual and developmental disability community will benefit in two major areas: Investments made to SSI/SSP and special education. The Budget, however, lacks the needed investments into community services and supports. A summary of the impacts this budget will have on the community is below:

Regional Center Services 

The budget estimates regional center caseload growth from 317,837 clients to 332,738 clients. The budget includes $330 million increases in regional center purchase of services; of that amount $178.5 million is due to increases in the state minimum wage. Total budget for regional centers is proposed to increase to $6.9 billion in 2018-19 from $6.35 billion in 2017-18. Specific items include: 
  • $25 million provider rate increase for only one year. Money will be used as a "bridge" to help fund services until a new rate study is released in 2019;
  • No restoration of social recreation or camping services (these critical services were eliminated during the recession and advocates have fought hard to restore them and it was approved by both the Assembly and Senate, but it was eliminated in last minute negotiations with the Governor);
  • Implementation of the 14-day mandatory furlough schedule will be delayed for one year;
  • Half-day billing (essentially a cut to provider reimbursement rates) could be implemented for a loss of $1.4 million (this statute has existed since it was enacted in 2009; however, due to The Arc California's lawsuit the state has not recently enforced it. The Governor's budget did not suggest that they would begin to enforce it again but it could be possible that they would try);
  • $200,000 increase to provide supplemental payments to ICF-DDs consistent with a corresponding Medi-Cal rate increase;
  • $300,000 increase to Kern regional center for management oversight and accountability;
  • $1.5 million for Best Buddies program;
  • Requires each regional center to include on its Internet Web site any procedures and assessment tools used by the regional center to determine the level of respite services needed by each consumer (this is in response to last year's budget change which removed the cap on respite services that was enacted in 2009, and reports that some regional centers are not updating their respite policies as a result)

Developmental Centers

The number of residents in the remaining developmental centers is projected to decrease to 534 by July 2018, and 323 by June 30, 2019. Sonoma Developmental Center is scheduled to close December, 2018. Overall funding for the developmental centers decreases from $485 million to $385 million, including:
  • $10 million for the Department to address deferred maintenance issues at the Porterville developmental center.

SSI/SSP 

SSI/SSP recipients received a big win in this year's Budget. The Budget includes $2.8 billion General Fund for the SSI/SSP program. The average monthly caseload in this program is estimated to be 1.3 million recipients in 2018-19, a slight decrease from the 2017-18 projection. The SSI/SSP caseload consists of 70 percent people with disabilities, 28.6 percent aged, and 1.4 percent blind. 

  • Effective January 2018, maximum SSI/SSP grant levels are $910 per month for individuals and $1,532 per month for couples. The federal cost of living adjustments based on the current Consumer Price Index growth factors are 2 percent for 2018 and a projected 2.6 percent for 2019. As a result, the maximum SSI/SSP monthly grant levels will increase by approximately $20 and $29 for in- dividuals and couples, respectively, effective January 2019. CAPI benefits are equivalent to SSI/SSP benefits, less $10 per month for individuals and $20 per month for couples.
  • SSI/SSP Cashout Repealed - The budget repeals state law that cashed out eligibility for federal SNAP (CalFresh) benefits in exchange for a $10 increase in the SSI/SSP grant amount. By ending cashout beginning in June, 2019, the state will permit SSI recipients to apply for CalFresh. It is estimated that as many as 375,000 SSI recipients may become eligible for CalFresh. Benefit levels will be based on a table developed by DDSS in consultation with stakeholders.
  • Transitional Nutrition Benefit (TNB) Program - The budget establishes a second new program to "hold harmless" households that will lose all eligibility for CalFresh due to the end of cashout. CalFresh households which include one or more SSI recipients will now have the SSI income considered when calculating CalFresh eligibility and benefit amounts. It is estimated that over 7,000 house- holds will lose all CalFresh due to the end of cashout. The TNB will provide a monthly supplement to the CalFresh amount so long as the family remains on CalFresh when cashout ends and the SSI recipient remains in the household.
  • State Supplemental Payment Cost of Living Adjustment (COLA) - The budget restores the COLA for the state portion of the SSI/SSP grant beginning July 1, 2022 based on the California Necessities Index. The SSP COLA was suspended in 2009 during the recession and only one COLA has been provided since that time.

IHSS 

IHSS Provider Paid Sick Leave - The Budget includes $29.9 million General Fund to reflect implementation of eight paid sick leave hours for IHSS providers beginning July 1, 2018. Also, no later than February 1, 2019, would require the State Department of Social Services, in consultation with the Department of Finance and stakeholders, to reconvene the paid sick leave workgroup for in-home supportive services. The bill would require the workgroup to discuss how paid sick leave affects the provision of in-home supportive services and to consider the potential need for a process to cover an in-home supportive services recipient's authorized hours when a provider should need to utilize his or her sick time. The bill would require the workgroup to finish its work by November 1, 2019. 

Healthcare 

Home Health Rate Increase - The Budget includes $64.5 million for a 50-percent rate increase and associated increases in utilization for home health providers that provide medically necessary in-home services to children and adults in the fee-for-service system or through home and community-based services waivers.

Dental 

The restoration of full dental services for adult beneficiaries in the Medi-Cal program became effective January 1, 2018. This year's budget includes other major investments that will specifically benefit the special needs community: 
  • Allowances for Additional Time for Individuals with Special Health Care Needs: Based on stakeholder feedback, dental providers will be reimbursed for additional time needed by individuals with special health care needs. The associated supplemental payment will be 60 percent of the Schedule of Maximum Allowances (SMA).
  • Supplemental payment categories include restorative, endodontic, prosthodontic, oral and maxillofacial, adjunctive, and visits and diagnostic services. These payments will be maintained for 2018/19 at 40 percent increase of the SMA.

Special Education 

The budget includes several investments into special education funding in California, including funding to recruit and retain special education teachers and capacity building for early care. See The Arc California's June 25th Monday Morning Memo for detailed information. Approved budget items are below: 
  • $167.2 million in Proposition 98 funding for the Inclusive Early Education Expansion program. Under this program grants will be provided to local educational agencies (LEAs) to increase access to subsidized early care and education programs for children from ages zero to five.
  • $10 million in one-time funding to establish the Inclusive Early Care Pilot Program. Under this program, county offices of education may apply to receive grants to increase access to early care and education programs for children with exceptional needs, including severe disabilities, from ages zero to five.
  • $50 million in one-time Proposition 98 funding for teacher residency programs for special education teachers and another $50 million in one-time funding to recruit and retain special education teachers.

Workforce Development 

$1.5 million to create a 3-year pilot program in the Counties of Sacramento and Los Angeles for the purposes of increasing long-term employment opportunities for young adults with autism and autism spectrum disorder. The "Breaking Barriers in Employment for Adults with Autism Pilot Program" requires the Workforce Investment Board to (a) Work with an experienced nonprofit organization on the outreach, selection, training, and compensation of young adults with autism to participate in the program.
(b) In collaboration with stakeholders, create a manual to train employers in building workplace capacity for the targeted population. (c) Once the manual is developed implement free employer trainings in Sacramento and Los Angeles counties based on the manual. Eligible uses of pilot program funds include, but are not limited to, stakeholder outreach, student trainings, employer trainings, administrative resources, and stipends for participating young adults.


Jordan Lindsey, Executive Director, The Arc of California




This Month the Monday Morning Memo is Sponsored by:



Accessing Dental Care for People with Intellectual and Developmental Disabilities Could Get Easier in California! 




Senate Bill 1464 Medi-Cal: Benefits: Enrollees with Special Dental Care Needs authored by Senator Scott Wiener passed out of the Assembly Health Committee on consent earlier this week. This bill is an important step toward increasing access to dental care for people with I/DD who may need more time and or attention throughout the process or dental procedures. If it gets passed and the Governor signs the bill it will require the Department of Health Care Services to give provider's payment adjustments for the extra time needed to address the unique dental care needs for people with I/DD. Currently, Denti-Cal does not reimburse dentists for any additional time that may be necessary to treat dental issues or perform preventive treatments such as cleanings and fluoride treatments. For years we have heard from dental providers that they "just can't afford to accept Denti-Cal patients with special needs" because the length of time it takes to do even simple procedures and the low reimbursement rates. The next stop and step for the bill is to make it through Assembly Appropriations Committee. If you are interested in following this bill visit: http://leginfo.legislature.ca.gov

We are hopeful that this bill will make it through the legislative process and get signed by the Governor!


Teresa Anderson, Policy Director, The Arc & UCP California Collaboration




Good News! AB 1934 Signed into Law



Last week we received good news in our continuing effort to protect people with I/DD from sexual assault, abuse and neglect. Governor Jerry Brown signed into law Assembly Bill 1934, introduced and carried for us by Assemblyman Reginald Jones-Sawyer, the Assembly Public Safety Committee chair.

Our bill clarifies that people with disabilities are protected by the elder and "dependent adult" and "dependent person"  abuse, neglect and sexual assault laws regardless of the fact that they live independently. The bill also repeals unintended insulting language that equates "dependent adults" and elders with children.
 
It passed the Assembly 66-0 and trhe Senate 36-0 and becomes law January 1.

Greg deGiere,
Civil Rights Advocate,
The Arc of California



Your Voice Counts: Statewide Survey on Housing for People with Intellectual and Developmental Disabilities




Participate in the Statewide Survey on Housing for People with Intellectual and Developmental Disabilities

Your voice matters! The Lanterman Housing Alliance, in partnership with the Corporation for Supportive Housing and the State Council on Developmental Disabilities, has created a survey to gather data on the housing needs of people with intellectual or developmental disabilities (I/DD) living in California.

Your answers to this survey will help the Lanterman Housing Alliance craft a statewide strategic framework that will be used by policymakers, service providers, and housing developers to better create affordable housing opportunities for people with intellectual and developmental disabilities. 

Click here to take the survey.

Christian McMahon, Communications Specialist, The Arc of California




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UPCOMING
 
 


in Los Angeles September 7

November 8-10

 


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NEWS ARTICLES



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FUNDING OPPORTUNITIES



The Community Transportation Association along with its partners the National Association of Area Agencies on Aging and the Institute for Community Inclusion of the University of Massachusetts-Boston is pleased to announce the availability of a new round of funding for local inclusive planning projects. CTAA, with financial support from the United States Department of Health and Human Services, Administration for Community Living, and in collaboration with other federal and national partners, is making available grants of up to $35,000 each for up to 20 organizations for a six-month period. The new projects are expected to adopt inclusive strategies that fit their communities and build upon learning from previous projects. It is anticipated that the experience from these grants will add to the knowledge garnered from previous project and help to build recognition and support for inclusive planning across the U.S.

The purpose of the ARRT program (funded through NIDILRR's Disability and Rehabilitation Research Projects and Centers Program) is to provide advanced research training and experience to individuals with doctorates, or similar advanced degrees, who have clinical or other relevant experience. ARRT projects train rehabilitation researchers (including those with disabilities) with particular attention to research areas that support the implementation and objectives of the Rehabilitation Act and that improve the effectiveness of services under this law.

More Grants Can Be Found at https://www.acl.gov/grants


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CAREER LADDER

The Arc of California posts job announcements in the Career Ladder section every week because we would like to contribute to steering quality candidates to professional positions that support people with disabilities and we are trying to communicate to Direct Support Professionals that there is a "career ladder" in their chosen profession.

We are looking for a program manager for an adult day program in San Rafael/Novato, to lead efforts to create person centered program and training for client self-advocacy.  We are a 42-staff 100 client community inclusion day program for adults with developmental disabilities. We are looking for a client advocacy program manager for a 2 year engagement to develop people-centered organization design, program implementation, training and incorporate client advocacy best practices into our agency at all levels. We are looking for someone who can turn ideas into action and build the values framework, practices, policies and tools to develop a people-centered culture in our organization. 

We are looking for a Vice President of Operations/Chief Operations Officer (COO) to drive operational and experiential excellence throughout The Arc of San Diego, and advance our leading position in person-centered and self-directed care in the region. Combining entrepreneurial spirit with operational skills, the COO will successfully lead change and effectively grow the organization, driving operational efficiency, continuously improving consumer outcomes, and ensuring financial strength along the way.

The Chief Executive Officer is responsible for the management and operation of all programs and services provided by The Arc San Francisco, for implementing all policy decisions of the governing Board, and for employing and supervising a staff whose dedication and high morale creates a healthy working environment and produces quality of service more than adequate to achieve Board objectives. S/he oversees the administrative and fiduciary functions of the agency. S/he represents the agency to the community, and builds strong relationships with key stakeholders, agency staff, and the Board. S/he and professional advancement staff partner with the Board in fundraising to support The Arc programs. S/he will be guided by the priorities, all discussed in this prospectus, cited by the Board in the 2016-2019 Strategic Plan, "Building Our Future: The Way Forward."

Arc of Los Angeles and Orange Counties, Chief Operations Officer
Make a difference in people's lives and enrich your career.  The Arc Los Angeles & Orange Counties is a quality driven non-profit agency, with 13 programs, including a production and packaging center, serving hundreds of individuals with intellectual and developmental disabilities.  We have an opening for a full-time, experienced Chief Operations Officer. As a key member of the Executive Management team, the Chief Operations Officer will oversee and ensure the agency has the proper operational controls, administrative, and reporting procedures.  Additionally, the successful candidate will act as the agency safety compliance officer.
To be considered for this position send your resume and a cover letter to: hrarclaoc@yahoo.com 

Children's Services Division annually supports almost 700 children with intellectual and developmental delays and behavioral health needs and their families. 

The Chief Executive Officer/President enables PWI to adapt to and influence a dynamic environment. Working with and reporting to the Board of Directors, this role helps set policy and strategic leadership in concert with the mission, vision, purposes, and values of the organization. The CEO/President serves as the principal external representative of the organization and manages internal systems and complex processes of the organization to achieve effective and efficient operations. This position also directs budget development, fiscal responsibility and assures successful financial performance.

A job portal custom-designed for people on the autism spectrum. This portal is free for the autism community and developed in partnership between Autism Speaks and Rangam Consultants Inc.


 
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The Arc of California, 1225 8th Street, Suite 350, Sacramento, CA 95814.  Office (916) 552-6619, Fax (916) 441-3494