Joint Statement - Concerns about the Proposed Changes to Medicaid in the House Republican Policy Brief

February 23, 2017

Download

pdf File Joint Statement - Concerns about the Proposed Changes to Medicaid in the House Republican Policy Brief (400KB) [download]

As the three national Developmental Disabilities (DD) Network partners that represent the entities authorized in the DD Act whose members annually advocate for and provide hundreds of thousands of clinical services and home and community based supports to people with disabilities and their families, the Association of University Centers on Disabilities (AUCD), the National Disability Rights Network (NDRN), and National Association of Councils on Developmental Disabilities (NACDD) are concerned about the policy brief distributed by the House Republican leadership on Thursday, February 16th to its Members about repealing and replacing the Affordable Care Act (ACA).

The goals of the policy brief distributed last week are to "put Medicaid on a budget" and to "return the focus of the program back to helping those most in need."

While these two goals sound reasonable, they will likely result in constraints that will harm people with disabilities and those who support and serve them. We are concerned about three specific items in the policy brief: 1) proposed per capita caps with the option for block grants, 2) proposed Health Savings Accounts, and 3) "next generation high risk pools."

The proposed per capita allotment to be paid to states for each person eligible for Medicaid will threaten the long-standing guarantee to provide health care and support services to people with disabilities. Block grants would similarly cap the amount of money each state receives without allowing for adjustments when there are changes to health care costs, population growth, or in response to economic downturns, or natural disasters. In 2014, there were almost 600,000 people with disabilities waiting for home and community based services from Medicaid. With the introduction of per capita allotments to states, it is only likely this number will increase. We have only to look at the cuts to Medicaid Texas made last year to see the reduction in services for those with disabilities.

The proposed health savings accounts also are of great concern. While designed to increase consumer control over health care costs, this is often not possible for people with disabilities. Living in rural or frontier America, or even in medium size cities, people with disabilities often have no choice about their health care and durable medical equipment providers. In addition, the amount of money allotted in a health savings account is often only a fraction of the cost of annual care for a person with a disability.

We are also concerned about the high risk pools described in the policy brief as State Innovation Grants. Without adequate funding, high risk pools will either deny coverage to some of those in need or the state pools will offer limited services. Either way, those with disabilities will suffer.

We urge the House Republican leadership to offer a plan that protects people with disabilities from the discrimination they experienced prior to the implementation of the Affordable Care Act and to ensure people with disabilities will have access to health care and support services. Health care coverage that does not include durable medical equipment; rehabilitative, habilitative, and mental health services; and preventative services will greatly harm the health and well-being of people with disabilities.

We look forward to working with the House leadership and all Members as Congress considers revisions to the ACA and Medicaid. For more information please contact: Kim Musheno (kmusheno@aucd.org), Eric Buehlmann (eric.buehlmann@ndrn.org), and Cindy Smith (csmith@nacdd.org)

 

                  

 

 


Debugging Information
ColdFusion Server Standard 9,0,0,251028
Template /template/news.cfm
Time Stamp 20-Jul-18 10:49 AM
Locale English (US)
User Agent CCBot/2.0 (http://commoncrawl.org/faq/)
Remote IP 54.162.128.159
Host Name 54.162.128.159


Execution Time

Total Time Avg Time Count Template
43 ms 43 ms 1 top level E:\www\aauapweb\aucd\template\news.cfm
24 ms 24 ms 1 E:/www/aauapweb/aucd/Application.cfm
19 ms 19 ms 1 E:/www/aauapweb/aucd/template/header_public.cfm
14 ms 14 ms 1 E:/www/aauapweb/aucd/template/qry_menu.cfm
10 ms 10 ms 1 E:/www/aauapweb/aucd/template/inc_header.cfm
6 ms 6 ms 1 E:/www/aauapweb/aucd/template/footer_public.cfm
5 ms 5 ms 1 E:/www/aauapweb/aucd/template/common.cfm
5 ms 5 ms 1 E:/www/aauapweb/aucd/template/ct_upload_multiple.cfm
3 ms 3 ms 1 E:/www/aauapweb/aucd/template/ct_sidebar.cfm
3 ms 3 ms 1 E:/www/aauapweb/aucd/template/inc_fourth.cfm
2 ms 2 ms 1 E:/www/aauapweb/aucd/include/body.cfm
1 ms 1 ms 1 E:/www/aauapweb/aucd/template/ct_breadcrumbs.cfm
1 ms 1 ms 1 E:/www/aauapweb/aucd/template/inc_leftnav.cfm
1 ms 1 ms 1 E:/www/aauapweb/aucd/template/inc_nav.cfm
1 ms 1 ms 2 E:/www/aauapweb/aucd/template/udf.cfm
0 ms 0 ms 1 E:/www/aauapweb/aucd/include/cmsview.cfm
0 ms 0 ms 1 E:/www/aauapweb/aucd/template/ct_logpage.cfm
0 ms 0 ms 1 E:/www/aauapweb/aucd/template/ct_session.cfm
0 ms 0 ms 1 E:/www/aauapweb/aucd/template/inc_footer.cfm
1 ms  STARTUP, PARSING, COMPILING, LOADING, & SHUTDOWN
68 ms  TOTAL EXECUTION TIME
red = over 250 ms average execution time


SQL Queries

qry_config (Datasource=aucd, Time=1ms, Records=88) in E:\www\aauapweb\aucd\template\common.cfm @ 10:49:44.044
	SELECT name, value FROM config
	WHERE
		
		host = 'remote' OR host = '' OR host is null
		
lang (Datasource=aucd, Time=0ms, Records=0) in E:\www\aauapweb\aucd\template\common.cfm @ 10:49:44.044
SELECT id, description FROM code WHERE name = 'content_language' ORDER BY orderby
page (Datasource=aucd, Time=1ms, Records=1) in E:\www\aauapweb\aucd\template\qry_menu.cfm @ 10:49:44.044
SELECT page.page_id, page.page_section, page.page_title, page.hide_search, page.hide_navigation,
	page.owner, page.template, page.browser_title, page.meta_description, page.page_filename,
	CASE WHEN ggparent.page_id IS NOT NULL THEN ggparent.page_title
		WHEN gparent.page_id IS NOT NULL THEN gparent.page_title
		WHEN parent.page_id IS NOT NULL THEN parent.page_title
		ELSE page.page_title END AS section_name,
	CASE WHEN ggparent.page_id IS NOT NULL THEN ggparent.page_id
		WHEN gparent.page_id IS NOT NULL THEN gparent.page_id
		WHEN parent.page_id IS NOT NULL THEN parent.page_id
		ELSE page.page_id END AS section_id,
	CASE WHEN ggparent.page_id IS NOT NULL THEN URL('',ggparent.page_filename,ggparent.page_id)
		WHEN gparent.page_id IS NOT NULL THEN URL('',gparent.page_filename,gparent.page_id)
		WHEN parent.page_id IS NOT NULL THEN URL('',parent.page_filename,parent.page_id)
		ELSE URL('',page.page_filename,page.page_id) END AS section_filename,
	CASE WHEN page.header_image IS NOT NULL THEN page.header_image
		WHEN parent.header_image IS NOT NULL THEN parent.header_image
		WHEN gparent.header_image IS NOT NULL THEN gparent.header_image
		ELSE ggparent.header_image END AS header_image,
	gparent.page_title AS gparent_name, gparent.page_id AS gparent_id,
	gparent.page_filename AS gparent_filename,
	parent.page_title AS parent_name, parent.page_id AS parent_id,
	parent.page_filename AS parent_filename
FROM page LEFT JOIN page AS parent ON page.page_section = parent.page_id
	LEFT JOIN page AS gparent ON parent.page_section = gparent.page_id
	LEFT JOIN page AS ggparent ON gparent.page_section = ggparent.page_id
WHERE
	
		page.page_filename like '%template/news.cfm%' /* 5 */
	
	AND page.template NOT IN ('ITAC','NGSD','ECP')
	
		AND (page.IsTraineeSitePage = 0 or page.IsTraineeSitePage is null)
	
ORDER BY page_id
getrole (Datasource=aucd, Time=0ms, Records=1) in E:\www\aauapweb\aucd\template\qry_menu.cfm @ 10:49:44.044
	SELECT code.code
	FROM link_page_role INNER JOIN code ON link_page_role.code_id = code.id
	WHERE fk_id = 806 
parentinfo (Datasource=aucd, Time=1ms, Records=1) in E:\www\aauapweb\aucd\template\qry_menu.cfm @ 10:49:44.044
SELECT page.page_id, page.page_section, page.template, page.page_title,
	CASE WHEN ggparent.page_id IS NOT NULL THEN ggparent.page_title
		WHEN gparent.page_id IS NOT NULL THEN gparent.page_title
		WHEN parent.page_id IS NOT NULL THEN parent.page_title
		ELSE page.page_title END AS section_name,
	CASE WHEN ggparent.page_id IS NOT NULL THEN ggparent.page_id
		WHEN gparent.page_id IS NOT NULL THEN gparent.page_id
		WHEN parent.page_id IS NOT NULL THEN parent.page_id
		ELSE page.page_id END AS section_id,
	CASE WHEN ggparent.page_id IS NOT NULL THEN URL('',ggparent.page_filename,ggparent.page_id)
		WHEN gparent.page_id IS NOT NULL THEN URL('',gparent.page_filename,gparent.page_id)
		WHEN parent.page_id IS NOT NULL THEN URL('',parent.page_filename,parent.page_id)
		ELSE URL('',page.page_filename,page.page_id) END AS section_filename,
	gparent.page_title AS gparent_name, gparent.page_id AS gparent_id,
	gparent.page_filename AS gparent_filename,
	parent.page_title AS parent_name, parent.page_id AS parent_id,
	parent.page_filename AS parent_filename
FROM page LEFT JOIN page AS parent ON page.page_section = parent.page_id
	LEFT JOIN page AS gparent ON parent.page_section = gparent.page_id
	LEFT JOIN page AS ggparent ON gparent.page_section = ggparent.page_id
WHERE
	
	page.page_id = 964 
qry_menutop (Datasource=aucd, Time=8ms, Records=90) in E:\www\aauapweb\aucd\template\qry_menu.cfm @ 10:49:44.044
	SELECT page.page_id, page.page_title, page.page_section, page.orderby, page.meta_description,
		ifnull(parent.page_title,page.page_title) AS section_name,
		URL('',page.page_filename,page.page_id) AS page_filename
	FROM page LEFT JOIN page AS parent ON page.page_section = parent.page_id
	WHERE ifnull(page.hide_navigation,0) = 0 AND page.live = 1 AND
		parent.page_section is null
		
		AND page.orderby <= 70000
		AND (parent.page_id in (2,3,25,26,27,28,1,507,489) or
			(parent.page_id is null and page.page_id <> 514))
		AND (SELECT COUNT(*) FROM link_page_role WHERE fk_id = page.page_id AND code_id = 113) > 0
		
			AND (page.IsTraineeSitePage = 0 or page.IsTraineeSitePage is null)
		
		 
	ORDER BY page.orderby
getnews (Datasource=aucd, Time=1ms, Records=1) in E:\www\aauapweb\aucd\template\news.cfm @ 10:49:44.044
SELECT 	news.*, code.name
FROM 	news
	LEFT JOIN code ON news.type = code.id
WHERE 	news_id = 12470 
author (Datasource=aucd, Time=1ms, Records=0) in E:\www\aauapweb\aucd\template\news.cfm @ 10:49:44.044
SELECT first_name, last_name, title, email, phone
FROM person INNER JOIN link_news_person ON person.person_id = link_news_person.person_id
WHERE link_news_person.news_id = 12470 
parentpage (Datasource=aucd, Time=0ms, Records=1) in E:\www\aauapweb\aucd\template\inc_header.cfm @ 10:49:44.044
	SELECT page.page_id, page.page_section, page.header_image,
		CASE WHEN gparent.page_id IS NOT NULL THEN gparent.page_title 
			WHEN parent.page_id IS NOT NULL THEN parent.page_title
			ELSE page.page_title END AS section_name,
		CASE WHEN gparent.page_id IS NOT NULL THEN gparent.page_id 
			WHEN parent.page_id IS NOT NULL THEN parent.page_id
			ELSE page.page_id END AS section_id,
		CASE WHEN gparent.page_id IS NOT NULL THEN gparent.page_filename 
			WHEN parent.page_id IS NOT NULL THEN parent.page_filename
			ELSE page.page_filename END AS section_filename
	FROM page LEFT JOIN page AS parent ON page.page_section = parent.page_id
		LEFT JOIN page AS gparent ON parent.page_section = gparent.page_id
	WHERE page.page_id = 
		964 
submenu (Datasource=aucd, Time=2ms, Records=5) in E:\www\aauapweb\aucd\template\inc_header.cfm @ 10:49:44.044
SELECT page.page_id, page.page_title, page.orderby, 0 AS sub,
	URL('',page.page_filename,page.page_id) AS page_filename
FROM page
WHERE page.live = 1 AND ifnull(page.hide_navigation,0)=0 
	
		AND ifnull(page.page_section,0) = 26 
UNION
SELECT page_id, page_title, orderby, 1 AS sub,
	URL('',child.page_filename,child.page_id) AS page_filename
FROM page AS child
WHERE live = 1 AND ifnull(hide_navigation,0)=0 AND
	
	ifnull(page_section,0) = 964 
ORDER BY 3,2
menu_network (Datasource=, Time=2ms, Records=0) in E:\www\aauapweb\aucd\template\inc_header.cfm @ 10:49:44.044
SELECT * FROM qry_menutop
WHERE section_name = 'Network Resources' AND page_section > 0 AND page_filename not like '%nirs%'
ORDER BY orderby
menu_home (Datasource=, Time=2ms, Records=0) in E:\www\aauapweb\aucd\template\inc_header.cfm @ 10:49:44.044
SELECT * FROM qry_menutop
WHERE section_name = 'Home' AND page_section > 0
ORDER BY orderby
issub (Datasource=, Time=2ms, Records=1) in E:\www\aauapweb\aucd\template\inc_fourth.cfm @ 10:49:44.044
	SELECT sub FROM submenu
	WHERE page_id = 964 
fourth (Datasource=aucd, Time=1ms, Records=0) in E:\www\aauapweb\aucd\template\inc_fourth.cfm @ 10:49:44.044
	SELECT page.page_id, page.page_title, page.orderby,
		CASE WHEN ifnull(page.page_filename,'') <> '' AND locate('?',page.page_filename) > 0
		THEN concat(page.page_filename,'&parent=',page.page_section)
		WHEN ifnull(page.page_filename,'') <> '' AND locate('?',page.page_filename) = 0
		THEN concat(page.page_filename,'?parent=',page.page_section)
		ELSE concat('template/page.cfm?id=',page.page_id,'&parent=',page.page_section) 
		END AS page_filename
	FROM page
	WHERE
		
		1=2
		
	ORDER BY orderby
	
related (Datasource=aucd, Time=0ms, Records=0) in E:\www\aauapweb\aucd\include\body.cfm @ 10:49:44.044
SELECT page_module.link_id, page_type, page_module.title, page_module.orderby,
	page_subtype, page_topic, page_layout, page_criteria, replace(module.type,' ','') AS type,
	module.subtype, rssaddress, topic.topic_title, replace(page_module.custom,',',' ') as custom,
	'' AS rss,
	
	concat_ws(',',page_module.detail1_id,page_module.detail2_id,page_module.detail3_id) AS detail_id
	
FROM page_module INNER JOIN module ON page_module.page_type = module.type AND (module.sidebar = 0 OR module.sidebar is null)
	LEFT JOIN topic ON page_module.page_topic = topic.topic_id
WHERE
	
		page_id = 806 
ORDER BY page_module.orderby
related_sidebar (Datasource=aucd, Time=1ms, Records=0) in E:\www\aauapweb\aucd\template\ct_sidebar.cfm @ 10:49:44.044
SELECT sidebar_module.link_id, page_type, sidebar_module.title, sidebar_module.orderby,
	page_topic, page_subtype, page_layout, page_criteria, replace(module.type,' ','') AS type,
	module.subtype, rssaddress, topic.topic_title, sidebar_module.custom, sidebar_module.content,
	'' AS rss,
	
	concat_ws(',',sidebar_module.detail1_id,sidebar_module.detail2_id,sidebar_module.detail3_id) AS detail_id
	
FROM sidebar_module INNER JOIN module ON sidebar_module.page_type = module.type AND module.sidebar = 1
	LEFT JOIN topic ON sidebar_module.page_topic = topic.topic_id
WHERE page_id = 806 
	AND position = 'R'
	
ORDER BY sidebar_module.orderby


Scope Variables

CGI Variables:
AUTH_PASSWORD=
AUTH_TYPE=
AUTH_USER=
CERT_COOKIE=
CERT_FLAGS=
CERT_ISSUER=
CERT_KEYSIZE=256
CERT_SECRETKEYSIZE=2048
CERT_SERIALNUMBER=
CERT_SERVER_ISSUER=C=GB, S=Greater Manchester, L=Salford, O=COMODO CA Limited, CN=COMODO RSA Domain Validation Secure Server CA
CERT_SERVER_SUBJECT=OU=Domain Control Validated, OU=EssentialSSL, CN=www.aucd.org
CERT_SUBJECT=
CF_TEMPLATE_PATH=E:\www\aauapweb\aucd\template\news.cfm
CONTENT_LENGTH=
CONTENT_TYPE=
CONTEXT_PATH=
GATEWAY_INTERFACE=CGI/1.1
HTTPS=on
HTTPS_KEYSIZE=256
HTTPS_SECRETKEYSIZE=2048
HTTPS_SERVER_ISSUER=C=GB, S=Greater Manchester, L=Salford, O=COMODO CA Limited, CN=COMODO RSA Domain Validation Secure Server CA
HTTPS_SERVER_SUBJECT=OU=Domain Control Validated, OU=EssentialSSL, CN=www.aucd.org
HTTP_ACCEPT=text/html,application/xhtml+xml,application/xml;q=0.9,*/*;q=0.8
HTTP_ACCEPT_ENCODING=x-gzip, gzip, deflate
HTTP_ACCEPT_LANGUAGE=
HTTP_CONNECTION=close
HTTP_COOKIE=
HTTP_HOST=www.aucd.org
HTTP_REFERER=
HTTP_USER_AGENT=CCBot/2.0 (http://commoncrawl.org/faq/)
PATH_INFO=/template/news.cfm
PATH_TRANSLATED=E:\www\aauapweb\aucd\template\news.cfm
QUERY_STRING=news_id=12470&parent=964&parent_title=View%20All%20News&url=/template/page.cfm?id%3D964
REMOTE_ADDR=54.162.128.159
REMOTE_HOST=54.162.128.159
REMOTE_USER=
REQUEST_METHOD=GET
SCRIPT_NAME=/template/news.cfm
SERVER_NAME=www.aucd.org
SERVER_PORT=443
SERVER_PORT_SECURE=1
SERVER_PROTOCOL=HTTP/1.1
SERVER_SOFTWARE=Microsoft-IIS/7.5
WEB_SERVER_API=
Client Variables:
cfid=22758062
cftoken=32570731
hitcount=1
lastvisit={ts '2018-07-20 10:49:44'}
timecreated={ts '2018-07-20 10:49:44'}
urltoken=CFID=22758062&CFTOKEN=32570731
Cookie Variables:
CFID=22758062
CFTOKEN=32570731
Session Variables:
cfg_admin_directory=/aucd_admin/
cfg_article_url=../resources/digest/issue.cfm?article_id=
cfg_authentication=HTML
cfg_client_full_name=AUCD
cfg_client_id=247
cfg_client_short_name=AUCD
cfg_database_type=mysql
cfg_dateformat=m/d/yyyy
cfg_doc_extension=doc,pdf,xls,txt,wpd,rtf,jpg,jpeg,gif,bmp,png,ppt,pps,mp3
cfg_doc_path=/docs/
cfg_ecp_feedback=bkaufman@AUCD.ORG
cfg_ecp_share=bkaufman@AUCD.ORG
cfg_editor_path=/tiny_mce/
cfg_email_actearlynews_submission=agriffen@AUCD.ORG, oklimova@aucd.org
cfg_email_council_cis=
cfg_email_council_coca=
cfg_email_council_core=
cfg_email_council_mcc=oklimova@aucd.org
cfg_email_council_ncedc=
cfg_email_council_ntdc=
cfg_email_developments_submission=lvaldez@aucd.org
cfg_email_digest_submission=acostalas@AUCD.ORG
cfg_email_hdd_submission=jminor@aucd.org
cfg_email_lend_application_submission=jperry@AUCD.ORG
cfg_email_pmu_submission=ynikola-lisa@aucd.org
cfg_email_spotlight_submission=cpariseau@aucd.org
cfg_email_stimulus=oklimova@aucd.org
cfg_email_website_feedback=oklimova@aucd.org
cfg_encoding=ISO-8859-1
cfg_evaluation_review=agriffen@AUCD.ORG
cfg_has_article_dept=Yes
cfg_has_article_issue=Yes
cfg_has_article_issuedept=Yes
cfg_has_article_type=0
cfg_has_crm=No
cfg_has_document=0
cfg_has_event_topic=Yes
cfg_has_feature_home_page=0
cfg_has_friendly_urls=No
cfg_has_issue_number=Yes
cfg_has_issue_summary=Yes
cfg_has_issue_volume=Yes
cfg_has_module_heading=Yes
cfg_has_new_topic=Yes
cfg_has_news_author=1
cfg_has_news_topic=Yes
cfg_has_person_address=0
cfg_has_person_board=Yes
cfg_has_person_country=0
cfg_has_person_custom=Yes
cfg_has_person_department=1
cfg_has_person_fax=Yes
cfg_has_person_photo=Yes
cfg_has_photo_expiration=0
cfg_has_sidebar=0
cfg_has_topic_parent_id=0
cfg_has_xml_import=0
cfg_live_default=No
cfg_log_number_of_months=4
cfg_mail_from=aucdinfo@aucd.org
cfg_mail_server=
cfg_module_detail_options=3
cfg_ngsd_about=681
cfg_ngsd_email_notification=oklimova@aucd.org,drudolph@aucd.org,beckmanncc@umkc.edu,spalmer@ku.edu,walkerla@umkc.edu,ericecook@sbcglobal.net,gottog@umkc.edu
cfg_ngsd_events=685
cfg_ngsd_join_listserve=687
cfg_ngsd_links=686
cfg_ngsd_news=684
cfg_ngsd_resources=683
cfg_ngsd_topics=682
cfg_ngsd_training=680
cfg_paging_count_landing=3
cfg_paging_count_list=15
cfg_path=
cfg_path_include=
cfg_paths_relative_to=root
cfg_person_notes_label=Notes
cfg_photo_album_view=JavaScript:openNewWindow('../template/slideshow.cfm?album_id={{id}}',800,750);
cfg_photo_path=/images2/
cfg_remember_login=1
cfg_rtoi_year=2012
cfg_search_resilience=per session
cfg_show_error_details=0
cfg_sidebar_positions=Left,Right
cfg_specific_items_days=730
cfg_specific_items_sort=Name
cfg_title=Content Management System
cfg_type_link_to=code
cfid=22758062
cftoken=32570731
sessionid=AUCDWEBSITE_22758062_32570731
urltoken=CFID=22758062&CFTOKEN=32570731
URL Parameters:
news_id=12470
parent=964
parent_title=View All News
url=/template/page.cfm?id=964
Debug Rendering Time: 39 ms