adapt action report; news, commentary and photos of adapt actions across the nation.



| Action Report Index  | Press Room | Winter ADAPT Action 2005 |

below are linked to 640 by 480 resolution photos:
Barbara Toomer tells about ADAPT history to the new activists.

The new activists meeting.

Samuel Mitchell

LaTonya Reeves

Karen Greenbon

Mike Eakin

Alfredo Jarez

Linda Anthony

ADAPT speaks to Mark McClellan

Mark McClellan speaks to ADAPT

Activists gather to listen to McClellan

ADAPT had the chance to confront McClellan




This Started with You –

CMS Administrator informs ADAPT of the progress to end the institutional bias in Medicaid. 

Mark McClellan meets with ADAPT.(WASHINGTON DC, Feb. 27, 2005)  In front of the Old Executive Office Building, with ADAPT blocking the rush-hour traffic in downtown Washington DC was the first time Mike McClellan says he spoke with ADAPT. Referring to a successful action back in May of 2002 when ADAPT demanded that the Office of Management and Budget review the savings of MiCASSA, Mark McClellan was the ranking bureaucrat charged with negotiating with ADAPT.

“The first time I met Bob Kafka and most of you, it wasn’t in a nice, warm hotel ballroom like this one,” said CMS Administrator McClellan. “It was in the middle of 15th Street, at rush hour, in the rain and I had the chance then to sit down and start talking with you about what you are trying to accomplish, about making progress on this road toward dignity and independence. The more I listen to you, the more I knew that Bob and the rest you were right.”

Since that meeting, Mr. McClellan has become the Administrator of the Center for Medicaid and Medicare Services (CMS). Also since that time, ADAPT has been essential in keeping the focus of the Medicaid program on people rather than facilities. 

“I want to know more about how the Medicaid program works, the way all of our health-programs work,” said McClellan, “the more I realize the best ideas come from the people that have the most direct experience.”

The CMS Administrator met with the whole contingent of ADAPT, over 400 people. He was introduced by Samuel Mitchell from Georgia who called Mark McClellan a “friend of ADAPT.” Most activists were delighted to hear a ranking Medicaid figure use the same language that ADAPT has used for years. The ADAPT group; however is skeptical of everything said by government officials, even those who use our language. 

“With two decades of experience behind us,” said McClellan, “with the Olmstead decision behind us, with overwhelming evidence that properly implemented rebalancing works to serve more people and get better outcomes we just can’t stand to wait anymore from the standpoint of the lives of people with disabilities. … It is time to end the institutional bias in the Medicaid program.”

Randy Alexander shouts out a question.“I was tired of hearing a written response,” said Randy Alexander who, after about 15 minutes, shouted out: “What do we do today? What about Harry, who lives in a nursing home in Tennessee, a state with no attendant services and no waiver?”

But Mike Oxford said: “I was thrilled to hear Mark McClellan talk about changing the Medicaid language. I’ve been talking about this since Bruce Valdic was the Administrator of CMS (then HCFA). The legislative language in Title IX lists ‘mandatory services’ of which nursing facilities are one. Just delete ‘nursing facilities’ and insert ‘long-term services and supports’.”

“Based on what we know now, if you were to design Medicaid today,” said Mark McClellan, “you would design it so you didn’t have to go through all the extra work, such as getting a waiver in order to have a Medicaid benefit, in order to get around the Medicaid benefit that is in an institution only. It should be the other way around. If you want to have the institution only, you ought to have to jump through all the hoops and go through all the waiver options.”

- Tim Wheat


Return to the Action Report Index

| Action Report Index  | Press Room | Winter ADAPT Action 2005 |

TEXT GRAPHIC: Bobby Approved Section 508

Please send suggestions for greater accessibility to


© 2005