Kentucky Proposal Would Shift Money From Nursing Homes To
By Dave Reynolds, Inclusion Daily Express
January 25, 2005
LOUISVILLE, KENTUCKY--Governor Ernie Fletcher wants his state to change how it spends money on services for people with disabilities.
His administration's proposed "Freedom Plan" would "rebalance" the Medicaid system by shifting funds from nursing homes and other institutions to small group homes or in-home supports, the Courier-Journal reported Tuesday.
The proposal comes as the state tries to deal with a $500 million shortfall this fiscal year and a similar one predicted for next year, along with a waiting list with about 2,200 Kentuckians with disabilities.
It also comes as the state addresses the 1999 U.S. Supreme Court's decision in Olmstead v. L.C. & E.W, in which the court ruled that unnecessarily institutionalizing people with disabilities violates their rights under the Americans with Disabilities Act.
"This is a way to balance the scale a little bit and let more people live in the community," said Maureen Fitzgerald, whose Division of Protection and Advocacy sued the state in 2002 for not moving quickly enough on implementing changes to meet the Olmstead ruling.
"State will propose shift to home care" (Courier-Journal)
Kentucky Protection and Advocacy