SWAN: BUDGET ADVOCACY

  • SUPPORT IMMEDIATE FUNDING FOR PEOPLE WITH DISABILITIES

The Governor’s proposed budget is a great step toward reversing a decade of chronic underfunding.  New Yorkers with Intellectual and Developmental Disabilities (IDD), and their families across the state appreciate Governor Hochul’s commitment to increase immediate funding of essential IDD services in the 2022-23 budget cycle.  New York’s IDD service system is collapsing due to years of chronic underfunding, budget cuts, diverted resources and low wages.  The proposed, immediate increase in funding is critically needed; however, New York must also prioritize long-term funding for people with IDD and the nonprofit workforce that supports them.  Services for people with IDD must be funded to remain in compliance with the Americans with Disabilities Act.

 

  • ADDRESS THE EMERGENCY DISABILITY WORKFORCE SHORTAGE

Direct Support Professionals (DSPs) are now leaving the field in record numbers, as are other front line workers in the field. There are dangerously high staff vacancy rates and work force gaps within service delivery systems, creating instability, insecurity and high risk for our loved ones.  Programs are closing as families across the state live in fear and isolation, without critically needed services and with little hope for the future.  New York has a unique opportunity to reverse this dangerous and destructive trend by investing heavily in the IDD nonprofit workforce now and ensuring continued, ongoing investment in the future.  This reoccurring investment is desperately needed to retain and rebuild a strong workforce.

 

  • INSTITUTE A MULTI-YEAR INVESTMENT IN THE DIRECT CARE WORKFORCE

Policy makers must commit to a long term nonprofit workforce investment plan to stabilize the field of service provision for people with IDD.  This workforce investment is the only way to ensure the future, safety and well-being of some of the most vulnerable citizens of our State, citizens who include the newly diagnosed as well as aging individuals and their aging caregivers, requiring an investment in resources for a growing, unmet need.  There are tens of thousands of New Yorkers with IDD whose needs require residential services, some having waited more than a decade, yet their needs are still unmet.  It is imperative that we ensure fair access to a diverse continuum of inclusive services for people with IDD to meet a wide range of need. This cannot be accomplished without New York’s honorable nonprofit workforce and compensation commensurate with the enormous responsibility they bear.

 

  • INVEST IN NEW YORK’S ECONOMIC RECOVERY AND SYSTEM OF CARE

New York is not alone.  Systems of care for the disabled across the nation face similar challenges. New York’s disabilities workforce is an essential statewide economic driver that contributes more than $2.2 billion in State and Federal taxes. Long-term investment in the disabilities workforce will only increase this contribution while supporting our communities and the health and well-being of hundreds of thousands of our citizens and families.  New York’s disabilities field generates an economic impact of $14.3 billion in communities across the state.  By investing now and in the future, New York once again has the opportunity to demonstrate great national leadership in providing supports and services to people with intellectual and developmental disabilities.

February 2022

  • WHAT WE ARE ASKING FOR:
  • Implement Governor Hochul’s Proposals for People with Intellectual and Developmental Disabilities (IDD) in the Final 2022-23 Budget:

 

  • Enact the 5.4% Cost of Living increase for nonprofit IDD service providers
  • Support the $3,000 DSP retention bonuses
  • Make the $3,000 DSP retention bonuses permanent and amend the hourly rate criteria to capture DSPs working part-time (15 hours or more) to full-time (30 hours or more)
  • Add a $5,000 personal income tax credit for DSP households earning under $100,000 (S.7643/A.9200)
  • Support statewide direct care staff workforce initiatives to professionalize and create a pipeline, including DSP professional job code, recruitment, credentialing  and career ladder programs
  • Amend Nurses Across NYS proposal to specify OPWDD and OMH as eligible workplaces
  • Provide 11% tuition rate increase for nonprofit, specialized preschools and private schools serving students with IDD, and allow them to keep it by discontinuing rate reconciliation
  • Support $4.5 million investment to support intensive behavioral services and expand crisis intervention services
  • Support the $50 million Nonprofit Infrastructure Capital Investment Program
  • Amend Statewide Healthcare Transformation Program IV to include IDD community based partners
  • Enact a requirement for OPWDD to clearly provide families with information about their placement on the State’s registry for residential placement
  • Long-Term Solutions:
  • Incrementally raise reoccurring DSP base wages over time to improve long-term recruitment and retention.
  • Support statutory reform to alleviate systemic regulatory burden
  • Provide a detailed plan to expand and preserve a diverse, person centered continuum of sustainable IDD supports and services to address unmet need, including a continuum of residential and employment supports and services.

The State-Wide Family Advocacy Network of New York State is an independent coalition of like-minded organizations from around New York State; comprised of the families, guardians, and friends of people with Intellectual and Developmental Disabilities. Our mission is to educate and inform policy makers, the media and the public on issues impacting our disabled children and loved ones. SWAN is an independent, all-volunteer organization that receives no government or service provider money; its activities are entirely self-supported. We are committed to a constructive, cooperative effort with all parties wishing to improve the lives of our loved ones, the citizens with disabilities of New York State.

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SWAN’s E-Card: Save Our Services

Send SWAN’s 1 Click E-CARD to

Thanks to CP of NYS: Families Connect to the Governor & Legislators

USE THIS MESSAGE OR YOUR OWN:

 

The future for people with

Intellectual & Developmental Disabilities?

We have had:

Loss of life

Loss of help

Loss of skills

Loss of hope

Budget cuts on top of unreimbursed expenses

We can’t lose anything more

Governor Cuomo: Please save us from going back to the days of Willowbrook

Click HERE to Send YOUR Message

Thanks to CP of NYS: Families Connect to the Governor & Legislators

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SOS: SWAN’s Petition

KEEP TELLING THE GOVERNOR

#SaveIDDServices

#WillowbrookNEVERagain

Sign SWAN’s Petition Now*

Let the Governor that we are frightened that our services are being eroded by the lack of COLA, unreimbursed Covid related expenses, 20% withholds and now cuts to Residential Services. We must protect our loved ones.

SIGN SWAN’S PETITION NOW

SWAN – Statewide Advocacy Network

*Change.org has a donate button: FYI any donation you make will be going to Change.org and not to any advocacy group

 

SWAN Needs Support From Legislature

  • SUPPORT OPWDD SERVICES

The Office for People with Developmental Disabilities (OPWDD) is THE voice and advocate in state government for the very unique needs of individuals with intellectual and developmental disabilities (IDD).  We seek additional funding, as well as administrative and legislative support to sustain critically needed supports and services, and to address unmet need.  Following years of imposed budget neutrality even as need has grown; it has become imperative that OPWDD’s budget be increased.  Only this can ensure that essential services for our most vulnerable citizens are safeguarded despite the self-imposed Medicaid budget cap.

  • SUPPORT OUR WORKFORCE

Sadly, the workforce crisis continues, as a result of both chronic inadequate state funding of nonprofit services for individuals with IDD and the raise in the minimum wage.  There are still alarmingly high vacancy rates, staff turnover and work force gaps creating instability for our loved ones. This shortage contributes to gaps in oversight, lack of care continuity and increased training needs, all of which create additional invisible costs, increased risk for individuals and potential liability for the state.  Efforts to finance, build and retain a strong workforce in the nonprofit sector for individuals with IDD are essential in sustaining New York’s service delivery system for our most vulnerable citizens.   

  • SUPPORT THOSE WITH COMPLEX NEEDS

Individuals with complex physical and/or behavioral needs require a significantly higher level of supports and services.  Current rate rationalization models have made it increasingly impossible for these individuals to access appropriate services due to the increased cost and specialty of care they require. We seek either additional/ongoing funding to ensure appropriate, sustainable service delivery for our most complex individuals or “needs based” funding mechanisms to provide incentive and ensure sustainability of service delivery for all levels of complexity.

  • GET CARE MANAGEMENT RIGHT BEFORE CONSIDERING MANAGED CARE

A new system of Care Management was introduced on July 1, 2018.  This shifted Medicaid Service Coordination to seven new Care Coordination Organizations (CCO) that oversee Care Managers.  They are a critically important component of access to and delivery of services.  Unfortunately, this well intended consolidation has fallen far short of expectations.  For many, the enhanced care management promised has been little more than an endless process of questionable assessments while many families have seen a revolving door of care managers.  Accurate evaluation and assessment of need, as well as meaningful quality measures must be fully and effectively operational; technology across all systems needs to be aligned and integrated so as to provide for consistent, data driven enabling and quality control. Without this resolution, moving on to Managed Care is not advisable.

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MAPP Requests from SWAN – 3/11/18

Below is the MAPP Requests from SWAN submitted on 3/11/18

MAPP requests from SWAN
Underlying principles
We believe that everyone involved in the New York State Medicaid system has the common goal of delivering services as effectively and efficiently as possible. Our suggested improvements to the Medicaid Analytics Performance Platform (MAPP) will provide accurate reports on services used by people with disabilities which can have a direct positive impact on the quality and efficiency of the NYS Medicaid system.

Complete document below:

MAPP requests from SWAN – 031118