Community First Choice Option in new Senate Finance Bill

LATEST NEWS – Things are moving fast here in Washington DC. I know that many people with disabilities have been actively working to get the Community First Choice (CFC) Option included in health reform legislation as a whole.

First proposed by by Senator Harkin as a way to get the key provisions of the Community Choice Act (CCA) into health reform. The option would encourage states to provide Medicaid home and community based attendant services (rather than require them as the original CCA would do).

Senator Schumer introduced the language of the CFC Option as an amendment this week. Today, I reviewed the new modified Chairman’s Mark from Senator Baucus of the Senate Finance Committee. Below please find the exact language relating to the CFC Option that is in the bill:

To Accept with Modification Schumer Amendment #C13:

On page 50, at the end of the Long Term Services and Supports section

Insert ―The Chairman’s Mark would establish the Community First Choice Option, which would create a state plan option under section 1915 of the Social Security Act to provide community based attendant supports and services to individuals with disabilities who are Medicaid eligible and who require an institutional level of care. These services and supports include assistance toindividuals with disabilities in accomplishing activities of daily living and health related tasks. States who choose the Community First Choice Option would be eligible for enhanced federal match rate of an additional six percentage points for reimbursable expenses in the program. The option would sunset after five years.

―The Community First Choice Option also would require data collection to help determine how states are currently providing home and community based services, the cost of those services, and whether states are currently offering individuals with disabilities who otherwise qualify for institutional care under Medicaid the choice to instead receive home and community based services, as required by the U.S. Supreme Court in Olmstead v. L.C. (1999).

―The Community First Choice Option would also modify the Money Follows the Person Rebalancing Demonstration to reduce the amount of time required for individuals to qualify for that program to 90 days.

5 comments for “Community First Choice Option in new Senate Finance Bill

  1. September 23, 2009 at 2:37 pm

    Awesome Job, now let’s make sure the they take out the Elimination of the First Month Purchase option for Power wheelchairs.Currently the Medicare program allows you to choose whether you want to purchase the power wheelchair that is right for your size, disability, functional level and home situation or if you want to rent it. Over 90% of beneficiaries choose to purchase the power wheelchair because one size does not fit all. Eliminating this option will cause an access problem

  2. September 23, 2009 at 4:09 pm

    Good call! Do you want to explain in more detail to people why this is an issue that everyone should be aware of?

    And btw, thanks for reading!
    Best,
    Day

  3. Ralph
    October 21, 2009 at 12:41 pm

    This is more nonsense from government to pad the medical industry.
    What we need is CHOICE of employment:
    1)I’ve been ASSAULTED in the hospital, by the medical staff – this should NOT be happening.
    2)I’ve been ILLEGALLY fired – this should not be happening.
    3)I’ve been FORCED to get a disability designation – this should NOT be happening.
    4)My retirement has been stolen, by the insurance company – this should NOT be happening.
    5)My life savings has been depleted by the actions of the VR – this should NOT be happening.
    6)I’ve been told that I WILL LOSE my home, in order to get in a position to get a SSDI – this should NOT be happening.
    We have the mechanism to STOP these ugly actions, yet the government is FAILING to stop this. PLEASE, PLEASE, PLEASE find some way to get this monsters, that we call the system, to do their jobs!!!!!!!!!!!!

  4. Ralph
    October 22, 2009 at 1:06 pm

    And if I haven’t made my point: THIS IS NONSENSE, THROWING MORE GOOD MONEY AFTER BAD – IT HELPS NO ONE, EXCEPT THE MEDICAL INDUSTRY, WHICH IS ALREADY GETTING HISTORICAL PROFITS! I don’t know anyone with has a disability designation that is supporting MORE GARBAGE from the government.

  5. Ralph
    November 29, 2009 at 10:22 pm

    And after several months, I still get NO RESPONSE.
    It’s so good to see that this is yet another campaign promise of a “responsive” government that is being blatantly violated! This is still the government response to ignore the problems that they are creating?

Comments are closed.