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CASHPCR Notes on State $52 Million Budget Cut May 15, 2002
Although everyone recognized the urgency of a solution and a way to save $52 million because of the Budget crisis, no one supports this effort. Some of the comments are as follows:
1. The proposed standards are directed toward the alleviation of a developmental disability. This is an unrealistic concept and should instead be aimed at providing treatment.
2. Proposed a voucher system to save money let the client purchase his own services.
3. Cost Affective is a term used in the trailer bill, however, it is not defined what cost affective is-we really dont have a definition for adequate-is the standard going to be if the treatment does not hurt someone?
4. Marginal wages are causing waste in the system because turnover of employees and retraining is so very expensive. Standards that would support the wage standard for licensed and trained staff would actually be savings in the long run.
5. There is no guarantee of net cost savings. Many believe that the standards would actually divert access to Federal Waiver money because the Federal government does have standards and they can not be met if staff is not trained and adequate for client treatment.
6. Purchase of Services by Regional Centers reflect the market place and if there is no Standardization of Vendors and they are lost because they can not afford to stay in business they will be lost.
7. Proposed Standards are inconsistent and will discourage innovation. There will be no flexibility. One Regional Center Director suggested that the proposed standards would actually cost more money-he referenced to respite care-because there are no criteria for qualifying for the service mentioned.
8. There will be many Fair Hearings as a result of implementation of these proposed standards and that is time consuming for Regional Centers and very costly to the state.
9. The Federal Government has an expectation of quality that is different than what California assumes is necessary for quality care. The standard at the Federal level is beyond minimum life safety. California must raise, not lower, standards to access Federal money.
10. TRAILER LANGUAGE ENDS THE ENTITLEMENT. Comment heard over and over.
11. The proposed standards are similar to Managed Care HMO services.
12. We need a system that is flexible and not standardized. The Trailer Bill language threatens transportation, respite, recreation programs and the numbers of Agencies in isolated areas (there are so few.)
13. The Mandate in B-2 that a Parent should provide the same services to their disabled child to match the services they provide to their non-disabled children is unrealistic.
14. Limiting use to Generic services prevents co-payment and options that we have for choices of services for non-disabled.
15. B7 Section G selection only of the least costly vendor does not consider geographic location, intent of the client and the family and choices, the needs of the client and the clients IPP.
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CASH/PCR is
a nonprofit public benefit corporation and is not organized for
the private gain of any person. It is organized under the California
Nonprofit Public Benefit Corporation law for public and charitable
purposes.
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