logo.gif (1445 bytes)Government Report 

Published semi-monthly by The Arc, a national organization on mental retardation. 
Governmental Affairs Office; ph 202-785-3388; GAOinfo@thearc.org;
http://www.thearc.org/

Volume 30, Issue 5

June 13, 2000

In Brief
(Click on the highlighted text to jump to the article.)

blueball.gif (924 bytes) Congress is mid-way through the Second Session of the 106th Congress with little progress to show.

blueball.gif (924 bytes) Appropriations bills for key federal agencies whose programs serve children and adults with mental retardation are moving in both Houses of Congress.

blueball.gif (924 bytes) Letter from Sen. Harkin urging folks to send positive stories about the Americans with Disabilities Act.

blueball.gif (924 bytes) SSA and HCFA announce the availability of several important employment-related grants.

blueball.gif (924 bytes) The Senate defeats strong managed care patient protections.

blueball.gif (924 bytes) Notes.


Second Session of 106th Congress Reaches Mid-Point
Little Accomplished to Date

Congress is almost mid-way through the Second Session of the 106th Congress and has less than 50 working days left to make decisions on a large number of bills (disability-related and non-). These decisions will set spending patterns, make or break new and existing programs and create the political atmosphere of the fall elections.

Members of Congress will be home most of August for recess, political conventions, and to campaign for the fall elections. September will be reserved for moving the remaining appropriations bills and other last minute priorities through Congress before the Oct. 6 target adjournment date. With many close political races and both parties fighting for the majority in the House and Senate, Congress will most likely try to stick to the early adjournment date to give themselves enough time for last-minute campaigning.

Getting in the way of that goal is a serious logjam in the Senate. This holdup is caused by a political showdown between Majority Leader Trent Lott (R-Miss.) and Minority Leader Tom Daschle (D-S.D.) over Senate priorities. Therefore, even when the House moves legislation, it is being blocked by the Senate.

There are a large number of pending bills that are important to The Arc (see May 26 recess Action Alert). These include FY 2001 appropriations, managed care reform, reauthorization of the Developmental Disabilities and Family Support Acts, Family Opportunity Act, MiCASSA and the Long Term Care and Retirement Security Act. All pending legislation must move within the next two months if it is going to move at all. With so many obstacles, only legislation seen as a priority to the Republican leadership will likely move to passage, only to face a potential veto by President Clinton.

Several of the appropriations bills that have moved through committees, including the Labor, Health and Human Services and Education and the HUD-VA appropriations bills, have been declared veto-bait by President Clinton foreshadowing another White House/Republican leadership end of year showdown on money issues (see Appropriations).

In spite of the less than favorable environment, The Arc will continue to push for its legislative goals. Involvement of The Arc network at every level is integral to achieving our goals.


Appropriations for Key Disability Programs Moving

Both the House and Senate have acted on bills to provide FY 2001 funds for the Departments of Labor, Health and Human Services and Education. These appropriations bills fund many of the programs important to people with mental retardation and their families.

The Senate L-HHS-ED Appropriations Subcommittee passed their version of the bill on May 10 with the full committee passing it on the following day (May 11). The House L-HHS-ED Appropriations Subcommittee passed a bill on May 10 and the full committee approved the bill on May 24.

Much of the work being done, however, is just procedure since the president has already threatened to veto the L-HHS-ED and other appropriations bills as written. In a May 11 statement, he said that both bills fail to “improve our nation's schools, advance the health and well being of our citizens, and train and protect our workers... The Senate bill provides more acceptable funding levels for many key programs, but does so by bankrupting the Social Services Block Grant, shifting money from children's health insurance, and making other cuts.”

Once all 13 appropriations bills are completed, White House officials will have to sit down and negotiate with Republican leaders and come to agreement on how funds will be spent.

The current status of the L-HHS-ED appropriations is not favorable for people with mental retardation and their families. With an actual surplus in the national budget it was hoped that more resources would be spent on programs for which there is the greatest need, such as disability programs that support people with mental retardation in the community. Following is a summary of how programs important to people with mental retardation fare in L-HHS-ED bills wending their way through Congress. A full table comparing current spending levels with the president’s request and House and Senate Committee approved appropriations follows.

Dept. of Labor

In the Department of Labor, both the House and Senate have completely terminated funding for the School to Work program. This program provided funds to help students transitioning from school into jobs. Few students with mental retardation were served by this program. However, its termination, along with other cuts to job training programs, will drastically reduce job training opportunities. The Republican majority rationalizes deep cuts to job training programs by citing the overall nationwide low jobless rate. This is in spite of the fact that 75 percent of people with disabilities who want to work continue to be unemployed.

Both the House and Senate provide $20 million needed to support the new work incentives grants as part of the implementation of the Ticket to Work and Work Incentives Improvement Act. However, only the Senate provides the $13 million requested by Labor Secretary Herman for the New Office of Disability Policy, Evaluation and Technical Assistance (ODPET) within the Dept. of Labor. This office was announced along with the President’s budget request in February (see February 22 Government Report). The mission of this agency is to promote employment opportunities for people with disabilities. The House bill would actually cut funds from the department’s disability initiative (-$1.4 million).

Health and Human Services

The two programs that take the biggest hits are the Title XX Social Services Block Grant and the State Children’s Health Program (CHIP).

The CHIP program is cut in the Senate by taking back $1.9 billion of fiscal year 1998 funds that the states have not yet spent. This is a problem because states do have plans for spending these funds. This cut is made to pay for other programs in the L-HHS-ED appropriations bill.

The Social Services Block Grant is cut by the Senate Committee by $1.1 billion, down to $600 million (a 66 percent cut). This program was funded at $1.7 billion in FY 2000, which is also the figure the House subcommittee provides. The reason given by the subcommittee chairman (Sen. Arlen Specter, R-PA) for this drastic cut is that states are getting tobacco funds that could be used. However, there is no assurance that the tobacco funds would be used for the same purposes as the Social Services Block Grant. President Clinton issued a statement threatening to veto the L-HHS-ED appropriations bill if it comes to him with those cuts. The Arc distributed an Action Alert to state chapters with members on the Senate Appropriations Committee. The Arc also sent a letter to President Clinton thanking him for taking a stand against these unwarranted cuts. A copy of this letter is located on The Arc home page.

The Maternal and Child Health Block Grant is basically level-funded with the House providing a slight $5 million increase, less than a cost of living increase.

Most of the Developmental Disabilities Act programs (DD Councils, UAPs, P&As and PNS) are level-funded. However, the House Appropriations Committee would increase funds for Protection and Advocacy by $3 million; and the Senate Committee would increase funding for University Affiliated Programs by $2 million. The Family Support program would receive $5 million, the same as FY 2000.

Education

One program that would receive an increase is the Individuals with Disabilities Education Act . The IDEA state grants are given increases by both the House and the Senate. The House bill would increase IDEA by $500 million while the Senate would increase the state grants by $1.29 billion. Other IDEA discretionary programs that stand to get a slight increase are the Part C early intervention program, increased by $8.6 million in the Senate but not by the House and the Parent Training and Information Centers, increased by $3.5 million in the House and $7.5 million in the Senate.

Vocational Rehabilitation

The Vocational Rehabilitation State Grants are increased in both bills by $61 million. This is the minimum (cost of living increase) allowed by law. The Supported Employment State Grant program received no increases, essentially the same amount since FY 1996. Assistive Technology, the National Institute on Disability Research and Rehabilitation and the Protection and Advocacy for Individual Rights (PAIR) programs would all receive slight increases in the Senate but not the House bill.

Next Steps

The next step is for these bills to be considered on the House and Senate floors. Republican leaders have set a new goal to complete work on all 13 spending bills by July 31, the date of the Republican National Convention. However, disagreements among Senate Minority Leader Tom Daschle (D-S.D.) and Majority Leader Trent Lott (R-Miss.) have indefinitely blocked action on spending bills in the Senate and the president’s veto threat looms. There are a number of scenarios that could happen. For example more funds could be “found” or there could be another end-of-the-year showdown between the Congress and the administration.

 

FY 2001 Labor, Health and Human Services and
Education Appropriations (in millions)

Program

FY ‘00 Final

President’s Request

Senate
Committee

House Committee

Dept. of Labor
Workforce Investment Act
  Adult & Youth Activities

1,951.0

1,972.0

1,951.0

1,858.0

  School to Work

55.0

0.0

0.0

0.0

  Disability Initiative

30.0

43.0

43.0

28.6

Dept. of Health and Human Services
MCH Block Grant

704.0

704.0

704.0

709.0

Title XX Block Grant

1,775.0

1,775.0

600.0

1,700.0

Centers for Disease Control (CDC)
  Immunization

510.0

530.0

524.4

505.0

  Lead Poisoning Prevention

38.2

38.2

38.2

38.2

  Research
  NINDS (Neurological Disorders & Stroke)

996.0

1,050.0

1,189.4

1,185.8

  NICHD (Child Health and Human Dev.)

770.0

811.0

986.0

984.3

Developmental Disabilities
  State Grant Program

65.8

65.8

65.8

65.8

  Protection & Advocacy

28.1

28.1

28.1

31.0

  University Affiliated Programs

18.1

18.1

20.3

18.1

  Projects of Nat'l. Significance

5.2

5.2

5.2

5.2

  Family Support

5.0

5.0

5.0

5.0

Department of Education

IDEA

  State Grant

4,989.7

5,279.7

6,279.7

5,490.0

  Preschool Grant

390.0

390.0

390.0

390.0

  Part C Grants for Infants & Toddlers

375.0

383.5

383.6

375.0

  State Program Improvement

35.2

45.2

35.2

45.2

  Research & Innovation

64.4

74.4

74.4

64.4

  Personnel Preparation

82.0

82.0

82.0

82.0

  Parent Training

18.5

26.0

26.0

22.0

  Technical Assistance

45.5

53.5

45.5

45.5

Vocational Rehabilitation
  State Grant

2,339.0

2,399.8

2,400.0

2,400.0

  Supported Employment State Grant

38.2

38.2

38.2

38.2

  Assistive Technology

34.0

41.1

41.1

34.0

  Independent Living State Grant

22.3

22.3

22.3

22.3

  Independent Living Centers

48.0

58.9

58.0

58.0

  Personnel Training

39.6

40.0

39.6

39.6

  NIDRR

86.5

100.0

95.0

86.5

  Protection & Advocacy for Indiv. Rights

11.9

12.1

13.0

14.0


Senator Tom Harkin (Iowa) Announces
“A Day in the Life of the ADA Campaign”

July 26, 2000 will mark the 10th anniversary of the signing of the Americans with Disabilities Act. As those of us who worked so hard for the ADA predicted, the Act has taken its place among the great civil rights laws in our history.

On July 26, 1990, we as a country committed ourselves to the principle that disability in no way diminishes a person’s right to participate in the cultural, economic, educational, political, and social mainstream. By eliminating barriers everywhere from education to health care policy, neighborhood streets to public transportation, from workplaces to shopping malls, and from courthouses to Congress, the ADA has opened up new worlds to people with disabilities. People with disabilities are participating more and more in their communities and living fuller lives as students, co-workers, taxpayers, consumers, voters and neighbors.

As part of the anniversary celebration, I am announcing the “A Day in the Life of the ADA” Campaign. I would like people across the country to send me stories about how their lives are different because of the ADA. We will use the stories to celebrate our accomplishments and to learn more about what we still must do to give all Americans an equal opportunity to live out their dream of independence.

The Campaign will create a historical record of the profound impact the ADA has had on the daily lives of people with disabilities, their families and friends, and every American. I encourage everyone to share their stories about how the ADA has improved their lives. For example, I would like stories about:

  • How the ADA has eliminated segregation in education, health care, or the workplace.
  • How the ADA has increased the accessibility of schools, colleges, government and the workplace for people with disabilities.
  • How the ADA has made it possible for people with and without disabilities to enjoy the smaller things that many of us take for granted: going out to a birthday dinner as a family, to a movie or museum with friends, or just going shopping for groceries.
  • How the ADA has improved their lives in any other way.

I will tell these success stories on the floor of Congress. I will share them with other Members of Congress, policymakers and the public to show how the ADA has benefited people with disabilities and all Americans and why it is such an important law.

So, I ask everyone to help me to build the record of the ADA’s success by sending your stories by July 15, either by e-mail or regular mail, to: adastories@harkin.senate.gov

or

A Day in the Life of the ADA, c/o Senator Tom Harkin, 731 Hart Senate Office Building, Washington, D.C., 20510

Sincerely,

Senator Tom Harkin

.


Important Employment-Related Grants Available
Technical Assistance for Applicants Offered

Several important grant announcements related to employment of individuals with disabilities were issued the week of June 1st in the Federal Register. The Federal Register is a daily publication that posts notices of federal funding, new or proposed regulations for public review or other public announcements of the federal government. The four new employment grant announcements relate to the implementation of the Ticket to Work and Work Incentives Improvement Act of 1999 or TWWIIA (P.L. 106-170) and the Workforce Investment Act of 1998 (P.L. 105-220).

Chapters of The Arc can be directly involved in applying for two of the grants: one to provide outreach, planning and assistance services regarding the new work incentives provisions; another to coordinate with One-Stop employment services systems to make sure they are accessible and useful to people with all types of disabilities. State chapters of The Arc are also strongly encouraged to get involved helping their state apply for the Medicaid infrastructure grants to implement the health care pieces of TWWIIA as well as the demonstration grants that provide health benefits to people, who without these benefits, are at risk of becoming disabled. If chapters do not get involved, states may not know about or choose to apply for these grants.

The grant announcements are as follows:

Chapters of The Arc may apply

Benefits Planning, Assistance, and Outreach Program – Social Security Administration:   SSA will make awards to entities in every state and U.S. territory to provide benefits planning and assistance services and to conduct outreach to all individuals receiving Social Security/SSI disability benefits (including transition-aged youth) to enable them to make informed choices about work.  In addition, SSA will award a contract to provide technical assistance, and develop and provide training on SSA’s disability programs and work incentives, to program benefit specialists.  For an application kit, go to www.ssa.gov/oag/grants.

Work Incentives Grants – Department of Labor:  DOL will be awarding funds to consortia and partnerships of public and private non-profit entities working in coordination with a state or local One-Stop delivery system to augment existing programs and services and ensure programmatic access and streamlined, seamless service delivery for people with disabilities.  For application information, go to http://www.doleta.gov/ or www.wdsc.org/disability.

Chapters should encouragestates to apply

Medicaid Infrastructure Grants – Health Care Financing Administration:  HCFA is providing money to the states to develop and implement the core elements of the Ticket to Work and Work Incentives Improvement Act (including the Medicaid “buy-in”) and modify state health care delivery systems to meet the needs of people with disabilities who want to secure and sustain competitive employment in integrated settings.  Eligibility is related to the provision of personal assistance services (PAS).  Recognizing that states vary in the adequacy of their PAS, HCFA has established a multi-tiered qualification system.  All eligibility categories require that PAS support the competitive employment of individuals with disabilities. For details, go to www.hcfa.gov/medicaid/twwiia/infrastr.htm.

Demonstration to Maintain Independence and Employment – Health Care Financing Administration:  This demonstration authorizes states to provide Medicaid benefits and services to workers who have physical or mental impairments that, without medical assistance, will result in disability.  The grants will allows states to provide the necessary benefits and services required for working individuals with disabilities to manage the progression of their conditions and remain employed.  For information, go to www.hcfa.gov/medicaid/twwiia/independ.htm. 

HCFA will conduct an Applicant's Conference for all States interested in applying for the Medicaid Infrastructure Grants and the Demonstration to Maintain Independence and Employment. Participation in the Conference is not required for States to apply for funding, but is recommended as a forum for States to ask questions and obtain additional information. The conference is free of charge and will be held in Baltimore, Maryland on June 20-21. HCFA will be issuing invitations to states for this event. Priority will be given to those State agencies eligible to apply for the grants. For more information about this conference, go to www.hcfa.gov/medicaid/twwiia/events.htm.

If you have any questions regarding this information, contact Marty Ford or Kim Musheno in the Governmental Affairs Office of The Arc.


Strong Managed Care Bill Defeated in Senate

Because of increasing frustration with the lack of results in the managed care conference, Senate Democrats, led by Sens. Tom Daschle (D-S.D.) and Ted Kennedy (D-Mass.), added the House-passed (and The Arc supported) Norwood-Dingell Bipartisan Consensus Managed Care Act (H.R. 2723 now H.R. 2990) as an amendment to the defense authorization bill on June 8. After two hours of rancorous debate on the bill, its passage was defeated by a mostly partisan vote of 51-48, with only four Republican Senators, Lincoln Chafee (R.I.), Arlen Specter (Pa.), Peter Fitzgerald (Ill.), John McCain (Ariz.), voting for the Norwood-Dingell bill. Specter and McCain had voted for the weaker Senate bill last year, but more recently, both had spoken out on the need for stronger protections. One Democratic Senator (Conrad, S.D.), unfortunately was not there for the vote.

Last year, the House overwhelmingly approved the bipartisan Norwood-Dingell bill on a vote of 275-151 (see Oct. 31, 1999 Government Report). The Senate passed a much weaker patient protection bill, S. 1344 on a vote of 53 to 48 (see July 29, 1999 Government Report). A conference committee has been trying to work out the differences between these two very different bills for months without success. The most controversial issues surround the number of people the final bill would cover and individuals’ right to sue their health plans. President Clinton indicated that he would veto a final bill that looked like the Senate bill or any bill that did not contain the strong consumer protections outlined in his Patients Bill of Rights principles.

It is unclear what this maneuver will have on future conference action. However, it did force Senators to put themselves on record for or against strong consumer protections. Senate Majority Leader Lott (R-Miss.) recently insisted that House and Senate conferees would find consensus on a bill this year. However, with the two sides still far apart on many important issues and with Conference Chairman Nickles (R-Okla.) an opponent of strong protections, the outcome does not look optimistic. In fact, Senate Democratic conferees have indicated they will not go back to conference meetings unless they are opened to the public.

A June 12 U.S. Supreme Court ruling (Pegram v. Herdrich) that patients cannot sue health plans to challenge cost-control procedures, like financial incentives to doctors to keep costs down, showed how weak current insurrance protections are. This ruling prompted new calls from several Members of Congress to enact strong patient protections.


notes.jpg (1778 bytes)Notes

ü Employment Networks. Under the new Ticket to Work and Work Incentives Improvement Act, SSA will enter into agreements with Employment Networks to provide employment, employment – related services, vocational rehabilitation and other support services to beneficiaries with disabilities who want to work. As part of its implementation of this legislation, SSA has contracted with The Gallup Organization to determine the level of interest of organizations and businesses in becoming Employment Networks. A questionnaire has been mailed to a number of businesses and organizations in all 50 states, District of Columbia and Puerto Rico to gather information on potential Employment Networks. If you would like more information about this study, or would like to participate in this study, go to www.ssa.gov/work/gallupmain.htm.

üADA Celebration. July 25th & 26th will be jammed packed with events in Washington, D.C. celebrating the enactment of the Americans with Disability Act. On July 25, the ADA torch arrives in D.C. The Consortium for Citizens with Disabilities (CCD) and the President’s Task Force on Employment of Adults with Disabilities will co-host an event at the FDR Memorial on that morning. The event theme is “Honoring the Heroes,” where CCD and the Task Force will honor the Members of Congress, Hill staff, Federal officials and the disability lobby/legal team that worked in 1989-90 to make the ADA reality. This event is expected to generate substantial interest in the press and will be well attended.

üDisability Exhibit. The National Museum of American History ( http://www.americanhistory.si.edu/ ) of the Smithsonian Institution will open an exhibit entitled "The Disability Rights Movement" on July 6th, 2000. Marking the tenth anniversary of the Americans with Disabilities Act (ADA), the exhibit examines the history of grass roots activism by people with disabilities, their friends, and families to secure the civil rights guaranteed to all Americans. For information, call 202-357-2700.

Links to past issues of Government Report


Home | Search | Discussion Board | Contact Us

©1999-2000 The Arc · info@thearc.org · 301-565-3842