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Sen. Tom Harkin
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Senator Tom Harkin
(D-IA)
MiCASSA Co-Sponsor
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Congress has been talking about this problem for years. But now is the time to act. Now is the time ensure that people with disabilities and older Americans can choose to live in their own home, not a nursing home; in the community, not in a facility; and with friends and family, not strangers.
Read Senator Harkin's full statement from the Free Our
People Rally.
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John Gladstone
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John Gladstone
Austin, Texas
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I love ADAPT like my family. We will fight until we get MiCASSA,
and I will be with you. I love you all.
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Danny Davis
MiCASSA Co-Sponsor
The problem is that our Federal-State Medicaid Program has not been updated and has a built-in bias that results in the unnecessary isolation and segregation of many of our senior citizens and younger adults in institutions.
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In the case of Medicaid beneficiaries who need long-term support services, the only option currently guaranteed by Federal law in every State is nursing home care. Too often decisions relating to the provision of long-term services and supports are influenced by what is reimbursable under Federal and State Medicaid policy rather than by what individuals need and deserve. Research has revealed a significant bias in the Medicaid program toward reimbursing services provided in institutions over services provided in home and community settings. Other options have existed for decades but their spread has been fiscally choked off by the fact that 75% of our long term care dollars go to institutional settings, in spite of the fact that studies show that many people do better in home and community settings.
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