Disabled Action Committee

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"We shall never cower down to the bureaucracy, but we will rise to challenge the archaic laws that need to be amended. Together as 'one' large group of people, with or without disability, we will demand and receive responsible representation by our elected Representatives. No more will we be treated as third rate citizens in a first rate country. Today is the beginning of our new tomorrow, lest we rise to the occasion and gather our strength through each other. United we will win, divided we will fail. Not only for ourselves, but for all future generations to come."

Keith Kessler - Founder of DAC (disabled Action committee)
14405 Artery Ln#11
Dale City, VA 22193
703-878-1737
Email: DAC4VA@aol.com
http://members.aol.com/DAC4VA/main.htm --for links etc.
http://members.aol.com/DAC4VA/index.html --Mission Statement


The following selections are from the most recent DAC Newsletters. Contact DAC to get your electronic copy of the DAC Newsletter.


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DAC News V9-#05  Tuesday, August 05, 2008 -- No Vote, No Voice!  
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I'm LQQKING for a few good volunteers (in Virginia but will consider elsewhere) to assist in a project for creating brochures, flyer's, handouts and such regarding questions and answers that may be asked by individuals relating to Consumer Direction (CD) and choice in their lives. Yes, one of the several hats that I wear, now has me as the Team Leader for our Resource Team under the Systems Transformation Grant (STG) Goal 2 group for our "objective 3" in self direction. We (the Q & A team) will conduct our work mainly via email and I look for a 7 day turnaround period so I can draft the plans on each of our question and answer sheets to report back the entire Resource Team for a final decision and/or approval.

If you'd like a chance to participate in real CD/self direction options then I urge you to write back to me stating you'd like to join the Q & A Team. The reward for you will be in actually helping to create documents to be used in CD for persons not only coming out of institutions under our MFP demonstration but for all of those currently receiving CD Waivers wanting to use real choice initiatives. I promise you'll not only have fun working with me but you'll actually see the results of your ideas and labor put into practice. So send me your email addresses today so "we" can begin the first of many projects. I'll soon be in touch with you after I receive your mail. Thank you:)
Keith- 

NOW, ON WITH THE NEWS!!!!!!!

August 2008 Center for PAS Bulletin

A pdf version of this newsletter can be found at http://www.pascenter.org/newsletter/CenterforPASBulletinAug08.pdf

Previous newsletters can be found at http://www.pascenter.org/newsletter

Salem quadriplegic sues Oregon in fight for independence - OregonLive.com
http://www.oregonlive.com/news/oregonian/index.ssf?/base/news/1217044560193670.xml&coll=7
Guess what? Steve Gold from The Disability Odyssey continues, which we post often, has involved himself in this lawsuit. If this suit wins it could set a precedent for other states to follow. Go Steve...........

Oregonian articles on the disability system backlog. 2 good articles to read...kk
http://www.oregonlive.com/special/index.ssf/2008/08/getting_disability_payments_ca.html

http://www.oregonlive.com/special/index.ssf/2008/08/benefits_backlog_swells_as_soc.html

AIDS
Imaging Techniques Yield New Information on How HIV Infects Cells and Provides Clues to Vaccine Design
http://www.nih.gov/news/health/jul2008/nci-30.htm
National Cancer Institute

Bipolar Disorder
FDA Approves First Generic Divalproex Sodium to Treat Seizures, Migraine Headaches and Bipolar Disorder
http://www.fda.gov/bbs/topics/NEWS/2008/NEW01867.html
Food and Drug Administration

9 charged in death of disabled Philly teen
http://apnews.myway.com/article/20080801/D92985F80.html

Smart specs for the blind
http://technology.newscientist.com/article/dn14407-invention-
smart-specs-for-the-blind.html?DCMP=ILC-hmts&nsref=news3_head_dn14407


McCain vows to back changes in the disabilities law
http://apnews.myway.com/article/20080727/D925T9T00.html

Health Checkup
http://www.nlm.nih.gov/medlineplus/healthcheckup.html

Sore Throat
http://www.nlm.nih.gov/medlineplus/sorethroat.html

NEXT

How can health bureaucracies consult effectively about their policies and practices?: some lessons from an Australian study
http://heapro.oxfordjournals.org/cgi/reprint/12/4/299.pdf

Award-Winning Mental Health / Depression DVD
You may be interested in an educational film that has won 25 film festival awards and was featured on the Voice America Health Channel. Aquarius Health Care Media (888-4402963) is currently distributing this 30-minute mental health / depression / suicide prevention educational DVD titled "Eternal High.” The film was produced by my son, a student who discusses his experience with depression, suicidal thoughts, anxiety, self-injury, self-medicating and his treatment. If interested, a preview and discussion guide is available at:
http://aquariu sprod uctions.com/cart/pr oducts.
php?&cat_id=&prod_id=1712&session
_id= 2008010223061867.177.144.58&pid= .

NEXT
2008 Reinventing Quality Conference

Speakers from Virginia include Jill Egle, Co-Executive Director of The Arc of Northern Virginia, Eileen Hammer, Partnership for People with Disabilities at VCU, and Lee Price and Sheri Stierer of DMHMRSAS.

2008 Reinventing Quality Conference
It’s All About Change
August 10-12

The 2008 Reinventing Quality Conference in Baltimore, Md., Aug. 10-12, will focus around the concept of real “change” as it is reflected in the conference’s title – Embracing Change: New Voices, Vision and Approaches.

The conference will begin on Sunday, Aug. 10, with registration from 3 to 6 p.m. at the Renaissance Baltimore Harborplace Hotel. The Welcoming Reception will be held from 5:30 to 7 p.m.; The conference will continue all day Monday Aug. 11 and will conclude at 3:30 p.m. on Tuesday, Aug. 12.

To learn more about the conference or to register online for the conference, visit the conference website at www.reinventingquality.org. If you have questions, send them via email to reinventingquality@udel.edu.

The conference is directed at people with developmental disabilities, family members, Direct Support Professionals, administrators of community support agencies, advocates, and state and federal officials.

AND in Virginia at DMAS
Link for Assistive Technology and Environmental Modifications Providers
Our website has been updated to include a link to an excel spreadsheet for currently enrolled AT and EM providers.  This should make it easier for folks to find these providers of service.

The link is:  http://www.dmas.virginia.gov/ltc-home.htm#Waiver_Services_Program_

WOW
Governor Announces Approval for PAS to Workers with Disabilities

Governor Timothy M. Kaine recently announced that Virginia has received approval from the federal Centers for Medicare and Medicaid Services to expand services available to workers with disabilities who are enrolled in Virginia's Medicaid Works program.

"With the approval of this alternative benefits package, we can further extend opportunities for Virginians with disabilities to work and achieve greater self-reliance," Governor Kaine said. "As we continue efforts in workforce development for the Commonwealth, it is important to include this often untapped pool of potential workers so that they, too, have access to meaningful career opportunities."

In late 2007, the Virginia Department of Medical Assistance Services sought authorization to establish an "alternative benefits package" for program enrollees that will include personal assistance services, in addition to the standard health care services available through Medicaid.  Personal assistance services, sometimes called attendant care, provide individuals with disabilities non-medical support in the home or the workplace so that they may continue to live at home, maintain employment and participate in community activities.

"The addition of personal assistance services to the Medicaid Works program will have a tremendous impact on enhancing the lives of people with significant disabilities," said Jim Rothrock, Commissioner of the Virginia Department of Rehabilitative Services. "It not only gives people with disabilities greater choice in how to care for their needs both in the home and at work, but more importantly, prevents the entry into nursing facilities or other institutional settings unless absolutely necessary."

Medicaid Works is Virginia's Medicaid Buy-In program, a work incentive opportunity developed with funding from a federal Medicaid Infrastructure Grant.  Established in 2007, this voluntary plan enables workers with disabilities to earn higher income and retain more in savings than is typically allowed by Medicaid, while ensuring continued health care coverage.

DON'T FORGET THIS
DEADLINE EXTENDED TO AUGUST 15 FOR DMHMRSAS NAME CHANGE FEEDBACK

Richmond, VA - Given the great public interest in potential new names for the department, the Department of Mental Health, Mental Retardation and Substance Abuse Services (DMHMRSAS) has extended the deadline until August 15, 2008 to ensure stakeholders have the opportunity to register their feedback.

Four carefully-worded options were offered for public input. The language in each option meets three goals: shortening the current name and acronym, using positive terms related to the department's services, and using language more reflective of the department's mission, values and programs. Also, the public was encouraged to submit comments or alternative suggestions to the four choices. The options include:

* Department of Behavioral and Developmental Services (DBDS)
* Department of Behavioral Health and Supportive Services (DBHSS)
* Department of Behavioral and Supportive Services (DBSS)
* Department of Supportive and Recovery Services (DSRS)

Many of the over 1,250 responses include alternative suggestions to the four choices. The final decision for any change in a state department's name lies with the Governor and the General Assembly.

The public may submit its feedback via the DMHMRSAS Web site at http://www.dmhmrsas.virginia.gov/.

NEXT
UDL goes Google

Google Launched Elections Video Search Gadget
"Today, the Google speech team (part of Google Research) is launching the Google Elections Video Search gadget http://tinyurl.com/6rjakw, our modest contribution to the electoral process. With the help of our speech recognition technologies, videos from YouTube's Politicians channels www.youtube.com/members?s=mv&t=a&g=8  are automatically transcribed from speech to text and indexed. Using the gadget you can search not only the titles and descriptions of the videos, but also their spoken content. Additionally, since speech recognition tells us exactly when words are spoken in the video, you can jump right to the most relevant parts of the videos you find."

NEXT
4th annual abilities fair

My name is Terri Warden-Fioravanti and I am the chair person for the Coatesville VA Medical Centers' Employment of Persons with Disability's committee. This year our committee is hosting our Fourth Annual Abilities Fair as part of our October Disability awareness month. This is our fourth year at hosting this type of awareness program and we would like your organization to come and take part in celebration of abilities. If your organization cannot take part and would like to send information please send to the address below. The Abilities Fair will run October 22, 2008 from 10am till 3pm EST in at the Coatesville VA Medical Center building #5 2nd floor Great Hall. Tables will be available.  Set up for this awareness day will begin at 9:00am.

Thank you for your consideration,
Terri

Terri Warden-Fioravanti RN, MSN
MDS Coordinator Building 4 QI
Coatesville VA Medical Center
1400 Blackhorse hill rd.
Coatesville, PA 19320
610 384-7711 x2110
Fax number: 610 383 0293

NEXT
Request for Public Comment on Proposed Amended Regulations

Regulations for Respite and Emergency Care Admissions to State Training Centers-12VAC35-200-10 et seq.

In accordance with the Virginia Administrative Process Act, the State Mental Health, Mental Retardation and Substance Abuse Services Board is requesting your comments on the above referenced proposed regulations.  The regulations are attached to this email and scheduled for publication Virginia Register of Regulations on August 4, 2008.  You may also view the regulations and background statement on the Department's website at www.dmhmrsas.virginia.gov and on the Virginia Regulatory Townhall website at www.townhall.state.va.us.    

Please provide your written comments on the proposed regulations by October 3, 2008 to:

Dawn Traver
DMHMRSAS
P.O. Box 1797
Richmond, VA 23218-1797
Telephone 757-253-4316    FAX 804-253-5440
dawn.traver@co.dmhmrsas.virginia.gov

If you have any questions or would like to request a copy of the regulations please contact Dawn Traver at the above address or Wendy Brown via email wendy.brown@co.dmhmrsas.virginia.gov or telephone 804-225-2252. Thank you. 

FINALLY <-------odd thing that, huh?........kk-
FAST FACT
In 2006, prices paid for drugs used by people with Medicare and Medicaid under the Part D drug benefit cost $1.7 billion more than when Medicaid paid for the same drugs before the start of Part D. (Medicare Part D: Drug Pricing and Manufacturer Windfalls, House Committee on Oversight and Government Reform, July 2008)


Much more news so read, enjoy and comment if you wish:)  

Keith-

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1. ACT TO PROTECT ADA REGULATIONS
2. S.N.A.F.U. ALL OVER AGAIN
3. NEW MEDICARE RULE OUTLINES RIGHTS OF HOSPICE PATIENTS
4. TEXAS, ONE SUCCESSFUL EXAMPLE OF MOVING FOLKS OUT OF NH'S
5. DEAR MARCI - WILL MEDICARE PAY TO HELP ME QUIT SMOKING?
6. SpEd AND THE LAW? GET IT WRIGHT! - 10 QUALITIES OF A GREAT TEACHER
7. CASH AND COUNSELING WORKS WELL FOR MENTAL HEALTH CONSUMERS
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ACT TO PROTECT ADA REGULATIONS
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Act to Protect the ADA Regulations -Information Bulletin, # 256 (7/08)

About five weeks ago, I wrote "Good-Bye Full Accessibility," Information Bulletin #250 in which I focused on only two disastrous aspects in the proposed Department of Justice Regulations that significantly change both Title II and Title III.

Recently, the NDRN and DREDF, as well as other disability attorneys, wrote a set of "model" comments in response to the Department of Justice's (DOJ's)  Notice of Proposed Rule Making (NPRM) on these proposed changes.

The model comments are now available on the DREDF website: http://www.dredf.org/DOJ_NPRM.

Once you get to this website, you can see all the proposed changes, not just the two I raised, by clicking on the left column. DREDF and NDRN intend that the model comments be a starting point for disability rights groups and other interested parties to use in drafting and submitting their own comments. Feel free to "cut and pasted."

Where possible, please provide personal anecdotes and experiences to adapt and personalize the model comments. Tell DOJ what accessibility problems you have faced since the ADA was enacted, what you have tried to do, how it's been unsuccessful, and why making the proposed changes will only make it more difficult to achieve "equal opportunities" and "full access." You might even mention, if it's true, whether or not you filed a complaint with DOJ and what, if anything, happened with it.

Even if you block and copy, please take a few minutes to submit comments using the Regulations.gov website.

Remember, the deadline for submitting comments to the proposed changes is very soon!  Don't mourn, organize and get your friends to also write in their personal stories.

Steve Gold, The Disability Odyssey continues

Back issues of other Information Bulletins are available online at http://www.stevegoldada.com with a searchable Archive at this site divided into different subjects. To contact Steve Gold directly, write to stevegoldada@cs.com or call 215-627-7100.

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S.N.A.F.U. ALL OVER AGAIN
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S.N.A.F.U. All Over Again

July 31, 2008 • Volume 8,  Issue 31

This week’s report by the Government Accountability Office (GAO) confirms what Medicare Rights Center caseworkers know well: winter and early spring are the peak season for consumer complaints about the Part D drug benefit.

Starting in January, complaints start to pour in about some foul-up triggered by a change in Part D plans. Most of these complaints stem from data transfer problems between the different computer systems used by the Centers for Medicare & Medicaid Services, the Social Security Administration, state Medicaid programs and the companies running Part D.

There seem to be a near infinite variety of such systems problems. One typical problem involves a low-income person with Medicare who enrolls, or is automatically enrolled, into a new Part D plan. After the plan switch, the new plan often does not have a record that its new enrollee is entitled to premium assistance and reduced copayments through the Extra Help program. Part D plans are obligated to accept evidence of eligibility for Extra Help—a Medicaid card presented at the pharmacy, for example—but too often they refuse to reduce copayments. Until a caseworker intervenes, a person may go without his medicine because he cannot afford to pay for it.

According to the GAO, complaints stemming from data exchange problems take twice as long other complaints—more than a month on average—to resolve. CMS officials told GAO that there was “no easy solution” to the data exchange problems, and that several work groups had been established to identify improvements that “could reduce” the number of complaints in this area.

That is not good enough.

If we can put a man on the moon, we can get CMS and SSA computers to talk to each other. It is a matter of making it a priority to find a solution, and allocating the resources for the fix. Part D enrollment problems, data exchange foul-ups and the interruptions to drug coverage that result are persistent and recurring problems. The time to resolve these problems is now. Winter is coming.
(thax medicarerights)

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NEW MEDICARE RULE OUTLINES RIGHTS OF HOSPICE PATIENTS
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New Medicare Rule Outlines Rights of Hospice Patients

For the first time since 1983, the federal government has issued major new rules outlining broad patient rights for Medicare beneficiaries who have elected the hospice benefit.

"As more patients and their families come to understand and select hospice care, we felt it was critical to outline what rights patients have to control= the care they receive in their final days," said Kerry Weems, acting administrator of the U. S. Centers for Medicare & Medicaid Services (CMS), in a government press release.

Electing hospice care is a decision those with terminal illnesses can make when they wish to forego further curative treatment in favor of care designed to ease pain and other symptoms. Hospice services provide comfort care to the patient and can include services for family members. Hospice services can be provided in the patient's home or in an inpatient setting.

The rules set out new Medicare Conditions of Participation (CoP), which include explicit language on patient rights that had not existed under the previous regulations. A Medicare-approved hospice program must comply with the new rules. Currently there are nearly one million Medicare beneficiaries receiving care from over 3,000 Medicare-approved hospices nationwide.

The rule outlines specific rights for patients who choose hospice or palliative care over curative treatment, the release says. These patients are entitled to:

participate in their treatment plan;
receive effective pain management;
refuse treatment; and
choose their own physicians.
In addition to the new patient rights' section, final regulation also includes:

-A requirement that patient needs be initially assessed within 48 hours of electing the hospice benefit. The rule also requires that a comprehensive assessment occur within five days of electing the hospice and that updated assessments be done at least every 15 days thereafter.

-A requirement that each patient receive a full drug profile that examines issues ranging from the effectiveness of current drug therapies to potential drug interactions to drug side effects. A treatment team will consult with a qualified individual, such as a pharmacist, to ensure that drugs meet the needs of every hospice patient.

-A provision allowing a hospice to contract with another Medicare-certified hospice for nursing, medical social services, and counseling services under extraordinary or other non-routine circumstances, including travel of a patient outside of the hospice's service area.
Removal of a provision requiring an inpatient facility only providing respite care to have an RN on duty 24 hours a day. The patient's needs, acuity and plan of care will drive the nursing and staffing requirements.

The regulation is online at http://www.cms.hhs.gov/CFCsAndCoPs/05_Hospice.asp.

Elder Law Practice of Timothy L. Takacs
201 Walton Ferry Road, Hendersonville, TN 37075 · (615) 824-2571
1680 S. Jefferson, Suite A-B, Cookeville, TN 38506 · (931) 526-3828
http://www.tn-elderlaw.com

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TEXAS, ONE SUCCESSFUL EXAMPLE OF MOVING FOLKS OUT OF NH'S
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Texas, One Successful Example of Ending Discrimination by Helping People
Move Out of Nursing Homes. 

Information Bulletin # 255 (7/08).

Texas has compiled impressive data regarding its commitment to move people out of nursing facilities, and its Medicaid expenditures reflect its efforts.

Between 9/1/2001 and 5/31/2008, Texas implemented its own "Money Follows the Person," and did not wait for or need the federal program. During these years, Texas moved 15,626 people out of its nursing homes.

Here are some interesting demographics:
   
43% or 6,719 people were 64 years old or younger;

53% or 8,282 people were 65 or older.
Of the total, 27% or 4,219 people were 85 years old or older.

67 % or 10,469 people moved from the nursing facility to either live alone or live with family members or other people.

A breakdown of the 67 % shows that 22% or 3,438 people left the nursing facility to live alone, and 45 % or 7,032 people moved in with their families, relatives, or others .

28% or 4,375 people live in assisted living and 5% or 781 people live in a group homes (adult foster).

Now let's look at how Texas allocated its Medicaid expenditures:

In FY 2001, Texas spent 70.6% of its long-term care Medicaid funds on nursing homes.  In FY 2006, it reduced its nursing home expenditures to 54.6%.

Conversely, in FY 2001, it spent only 29.4% of its long-term MA funds on waivers and other community-based services.  In FY 2006, it spent 45.6% in the community.

Big surprise. There is a relationship between how a state spends its money and whether or not people moved out of nursing facilities.

To determine if your state is truly committed to ending unnecessary institutionalization of people with disabilities in nursing facilities, and therefore ending discrimination against people with disabilities, look at how your state allocates its Medicaid "long-term care" expenditures.

Look at the numbers of persons who moved out of nursing facilities and returned to the community. After the 1999 Supreme Court decision in Olmstead, many disability and elderly advocates waited to see how their states would implement the "integration mandate."  Well, it's been nine years!

Disability and older American advocates:

Do you know how many people in your state have been moved out of nursing facilities and where they moved to?  Do your state officials know this information?  Can you or they find out?  Since Texas can track this information, other states probably can and do, too.

In Information Bulletin # 251, we calculated by state the changes in long-term care expenditures from 1999 thru 2006, and we expect to have the FY 2007 data available soon.
   
    Steve Gold, The Disability Odyssey continues

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DEAR MARCI - WILL MEDICARE PAY TO HELP ME QUIT SMOKING?
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Dear Marci,
My husband has been a smoker for more than 30 years. Earlier this year, he had to have surgery to remove a blood clot. Now, he’s trying to quit smoking. Will Medicare pay for counseling services to help him stop?

—Laura (Midland, TX)

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Dear Laura,

Yes, Medicare Part B will pay for one initial evaluation and up to eight counseling sessions in a 12-month period to help your husband quit smoking, as long as he has a disease or condition that is caused by smoking (in this case, cardiovascular disease) or is taking a prescription drug that interacts with tobacco. He must receive services from a qualified physician who is Medicare-certified.

To learn more about how Medicare covers counseling and other services to help you quit smoking, read the full article on Medicare Interactive. You can also learn how Medicare covers other kinds of outpatient counseling services.
http://www.medicareinteractive.org/page2.php?
topic=counselor&page=script&slide_id=1066

— Marci
(thax medicarerights)

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SpEd AND THE LAW? GET IT WRIGHT! - 10 QUALITIES OF A GREAT TEACHER
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Special Education and the Law? Get it Wright!
Wright's Law is a definite bookmark for those individuals clearly wishing to understand the laws governing special education in the United States. Regardless of your position, (parent, student, educator, advocate,...read more

Top 10 Qualities Of a Great Teacher
So you think you can teach? Do you know what both teachers, students and parents want in great teaching? I used to think that a lifelong desire to learn, patience...read more

Literacy on the Roll!
When traveling in the car, turn off those mini DVDs and have some fun extending language growth. Here are some things you can do: Brainstorm as many words as you can...read more
(thax about.com)

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CASH AND COUNSELING WORKS WELL FOR MENTAL HEALTH CONSUMERS
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Cash and Counseling Program Works Well for Mental Health Consumers

A recent study published in The Gerontologist examined how Cash and Counseling---a self-directed care approach allowing consumers to choose and pay for services and supports---meets their personal care needs and affects their well being. Comparisons involving elderly consumers with and without mental health diagnoses who had been a part of the Cash and Counseling Demonstration Evaluation in Arkansas were done. Several outcome measures were examined including satisfaction with care arrangements and the paid caregiver’s reliability and schedule, unmet needs, and satisfaction with the relationship with the paid caregiver.

Researchers found that Cash and Counseling works well for persons with mental health diagnoses. In fact, those with mental health diagnoses who participated in Cash and Counseling fared better than those receiving traditional treatment.  A consumer-directed service option can be a valuable alternative for persons with mental health needs.

See http://www.hcbs.org/moreInfo.php/nb/doc/2280 for further information on the study---Does Mental Illness Affect Consumer Direction of Community-Based Care?  Lessons From the Arkansas Cash and Counseling Program, The Gerontologist, Vol. 48, No. 1 pp. 93-104.  Partial funding for the developm= ent of this article came from the Administration on Aging and the Assistant Secretary for Planning and Evaluation of the U.S. Department of Health and Human Services.
(thax SAMHSA)

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DAC News V9-#06  Wednesday, August 06, 2008 -- No Vote, No Voice!  
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I normally don't do this but I feel it is important enough for you to respond. So read and be informed of what needs to be done. Thank you.
Keith-

There is a deadline for comments so please let your "voices" be heard by the Department of Justice (DOJ).

Be certain that your comments are important and are due by August 18, 2008. Tell DOJ that the regulation is vague and will harm persons with disabilities.

Mobilizing PWD against a rollback of the ADA


We need people to file comments on DOJ's newly proposed reg (28 CFR § 36.304(d)(5)) to exempt small businesses from removing architectural barriers when it is readily achievable to remove barriers.

So far, few comments have been filed.

The newly proposed regulation has been added by DOJ to the proposed new ADAAG drafted by the ATBCB.

DOJ has to learn that the proposed reg is vague and is going to harm people with disabilities. Attached is a full statement about the proposed reg. You can also download an entire copy of DOJ's proposed regulations and the new ADAAG at this site.

You can post your comments via the internet by:

1. going to regulations.gov
2. search for "DOJ-CRT-2008-0015" in the brown or blue search box
3. click on any of the brown icons (shaped like a small bubble) below any of the names of people who have filed comments and fill out the form and comment section.

Here are the details:

COMMENTS RE: DOCKET ID  DOJ-CRT-2008-0015 Nondiscrimination on the Basis of Disability by Public Accommodations and in Commercial Facilities

The bottom line: The U.S. Department of Justice plans to exempt "small businesses" from having to remove architectural barriers under a newly proposed 28 CFR § 36.304(d)(5). Nearly all shopping centers ("existing") are "small business" entities. Since shopping centers spend, on average, 8% of revenue on maintenance, they are in a perfect position to claim that they have already met the 1% requirement. The proposed regulation neither defines gross revenue nor defines which "measures" are counted towards the 1% exemption threshold. Existing shopping centers shouldn't have any trouble avoiding further barrier removals, such as ramps, curb cuts, and level parking, under this regulations since they can easily claim that they spent more than 1% of their gross revenue the previous year on items that relate to accessibility.

The U.S. Department of Justice plans to exempt "small businesses" from having to remove architectural barriers under a newly proposed 28 CFR § 36.304(d)(5). Thus, "small businesses" that have failed to make their businesses accessible for the last 16 years will be rewarded by the DOJ with a new excuse and method to avoid making their business accessible. The newly proposed DOJ regulation 28 CFR § 36.304(d)(5) to Title III of the ADA  can do significant harm to the ADA as it is vague and designed to reward "existing facilities" who have still not made their facilities accessible since 1992. The proposed regulation does not directly apply to newly constructed or altered facilities.

This proposed, so-called, "safe harbor" for "small businesses" actually exempts millions of public accommodations in this country. The biggest problem concerns shopping centers. A shopping center owner is a small business if its revenue is less than $6.5 million. The average total revenue per square foot (Urban Land Institute, "Dollars and Cents of Shopping Centers" 2008) for lease space in a community shopping center is about $15 per leased square foot. Thus, an average community shopping center with $6.5 million revenue has, on average, about 433,333 square feet of leaseable space. A community shopping center near me has, for example, has over 30 retail stores with several anchors including a supermarket, Best Buy, movie theater, Bed Bath & Beyond, 1800 parking spaces -- all on about 35 acres of land --  with only about 375,000 square feet of leaseable space. Thus,. except for large regional shopping centers, the great majority or nearly all of the existing shopping centers in this country will be exempt "small businesses".

If exempt, then the following proposed regulation [36 CFR § 36.304(d)(5)] would apply:

A qualified small business has met its obligation to remove architectural barriers where readily achievable for a given year if, during that tax year, the entity has spent an amount equal to at least one percent (1%) of its gross revenue in the preceding tax year on measures undertaken in compliance with the barrier removal requirements of this section.

This single sentence is one of least defined sentences in the ADA. This proposed regulation defines nothing, it invites noncompliance and leaves small businesses open to expensive litigation.

Lets take the two major elements of this proposed regulation and give them the slicing they deserve. First, what is the definition of "gross revenue?" That's not a hard problem for a retail store, but what about banks, insurance offices and stores that sell warranties. Shopping centers, for example, have "Common Area Maintenance." Is CAM part of gross revenue which automatically adjusts when maintenance costs go up or simply money collected by the landlord from all the tenants that is used for their benefit and therefore isn't really part of his gross revenue?

The second part which is undefined is determining what money is spent on "measures undertaken in compliance with the barrier removal requirements of this section."  Does money spent on  maintenance count? If a shopping center pays to remove snow from the sidewalk, isn't that a measure undertaken to remove a barrier? Shouldn't all or part of snow removal, sidewalk cleaning, restripping expenses be counted? If the manager or president of the shopping center spends time working on maintenance issues, shouldn't, at least, part of his salary, bonuses, benefits and insurance be included in the 1% threshold? If 36 CFR § 36.304(d)(5) were meant to simply refer to 36 CFR § 36.304(b), it should say so. Since the average shopping center spends more than 8% of its revenue on maintenance alone, it can easily claim they have met the 1% threshold. Then, will there ever be any money for curb cuts, ramps and handrails under this proposed regulation?

Next, if a shopping center puts in a number of ramps and depreciates them over five years, what part of this cost is included in the "1% qualified expense"? Do we use depreciation figures from a shopping center's tax return or from a version of their internal financial statement? Or is depreciation or accelerated depreciation even allowed? Similarly, do we count the money paid to an ADA expert who happens to be the otherwise unemployed child of the shopping center owner as a qualified expense?

Next, how do we separate expenditures involving alterations and additions from the undefined expenditures of this 1% threshold? If an existing shopping center, puts up a new Best Buy store, what part of those costs should be counted as part of the 1% threshold? How should we account for a new curb cut that serves the new store and the adjoining old store?

Finally, how should we apportion barrier removal expenses between the tenant and the landlord. If the landlord spends the money, isn't he really spending the tenants money? If the tenant is spending the money, isn't he doing so because the landlord tells him to do so? Should both the landlord and the tenant each receive credit for what was spent? Is there a way to stop this double dipping? Is there going to be any way to sue a shopping center without listing all of the tenants also as codefendants?

Vague regulations that use undefined accounting terms are as bad as law that promise access but have no ADAAG or definitions behind them. Laws regarding accessibility existed for many years before the ADA was passed. It was the adoption of uniform, objective standards that allowed courts and business to understand what needed to be done. Proposing a new regulation that is vague and rewards those few places that have still not been made accessible undermines the Americans with Disabilities Act. Persons with disabilities will be harmed by this proposed regulation.

Help make the DOJ understand that the proposed exemption of small businesses is an unworkable loophole. Don't let the ADA be destroyed.

You can find the complete  DOJ documents and make comments at the following web addresses:

http://www.regulations.gov/fdmspublic/component/
main?main=SubmitComment&o=090000648062a604


or at:
http://www.regulations.gov

for Docket ID DOJ-CRT-2008-0015

Docket Title:     
Nondiscrimination on the Basis of Disability by Public Accommodations and in Commercial Facilities


Document ID DOJ-CRT-2008-0015-0001

Be certain that your comments are important and are due by August 18, 2008. Tell DOJ that the regulation is vague and will harm persons with disabilities.


Submitted by,

Barry Weintraub, Esq. bw@myadalawyer.com

and

Mr. Anthony J. Brady, Jr., Esq.
ladbrady@gmail.com




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Comments and news of interest are always welcome.  Please feel free to use or disseminate the information in these newsletters however you want and while DAC likes to be recognized, do so only if you wish. 
Keith Kessler - Founder of DAC (disabled Action committee)
14405 Artery Ln#11
Dale City, VA 22193
703-878-1737
Email: DAC4VA@aol.com

Website:  http://members.aol.com/DAC4VA/main.htm 





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