, Please click on the link below and tell your story to support home and  
community-based services to not be assigned to exclude others from living in  
their own home. I believe this is important and a good thing to do at 
Christmas  as those of us who have escaped nursing homes and realize how 
difficult it is to  live in a nursing home without privacy, personal caregivers 
andthe ability to  engage in our communities and see our families.
I have a large family but  only a few people came to the nursing home. Even 
if you have  not lived in a nursing home I know you realize the benefits of 
home and  community-based services. There are over 3000 waiting to get 
services. In Kansas  200-400,000,000 is being cut in services. It's a good idea 
to write your  senators and representatives also. If you feel they don't 
listen, at least you  have tried to voice your thoughts. Your comments may help 
to convince our  legislators to understand that the institutional bias to 
institutions should not  be continued.
 
Please write state and federal legislators about not supporting block  
grants to the states, but to support matching grants that states have always  
received. Block grants will devastate home and community-based services.
will rob I only worked once you and as you based on the record with Alfonzo 
 and I wish you you are a hormone work to do almost stood soon as you you 
you you  you you you you you will they find I'm getting help and utility for 
Clinton to  quit this will go insane if I get the hundred $30m/used to work 
what you use  sleepless for a vote you you you you you
Hopefully all states are sending  documentation that legislators how HCBS 
saves money for the state through their  advocacy groups you can contact your 
centers for Independent living to get this  documentation..
 
Just my thoughts,
thank you,
Dana
 
save this and and please do this after your Christmas activities!.

Wishing you all a Merry Christmas
 
During the holiday season we can't help but think about those who aren't  
able
to be at home with their families or who won't enjoy the simple  pleasures 
of
the holidays because they are stuck in an institution. This  year, many of 
us
expected that, as the holiday season arrived, we would be  working to 
address
the institutional bias by urging our states to select the  Community First
Choice (CFC) Option or serving on CFC Development and  Implementation
Councils.

Unfortunately, even though the Community  First Choice Option became 
available
to states on October 1st, nearly three  months later, CMS still hasn't
released the final rules. The final CFC rules  have been delayed, in part,
because of comments made against CMS's proposed  rules about the definition 
of
"community" in 1915(c) waivers. In those rules,  CMS proposed ways to better
define "community", so that certain settings  couldn't be funded using 
1915(c)
home and community based services waivers.  There are similar provisions in
the CFC rules. Under the proposed rules,  cottages on the grounds of public
and private institutions, segregated  facilities housing only people with a
specific disability, and assisted  living (in certain cases) wouldn't be
eligible for HCBS waiver  funding.

ADAPT and other advocates were pleased with the proposed rules.  
Unfortunately
others opposed this policy. CMS heard loudly from those who  profit from the
segregation of our people, those who oppose our efforts to  promote the full
integration of people with disabilities, and those that want  to maintain 
the
status quo. This included 14 state Medicaid  directors.

Now, CMS and the Obama administration need to hear from  us!

We need to tell them that they have waited long enough to issue the  final
rules implementing the Community First Choice Option!
They need to  hear that we support a STRONG definition of community that
distinguishes  between REAL integration and segregated settings 
masquerading  as
community!

Using this link (http://ly.adapt.org/cms), send emails  to CMS and the White
House telling them that it's time they release these  rules! You are sending
email directly to the new CMS Administrator, key staff  at HHS, and the 
White
House.

Feel free to personalize your message.  You can share your own story, talk
about the importance of freedom, or point  out that as everyone else 
celebrates
the holidays, Americans with  disabilities and older Americans remain
needlessly stuck in nursing  facilities, intermediate care facilities and
institutions for mental disease  because CMS hasn't got the job done. 
Whether
it's wonky or personal, SEND A  MESSAGE NOW! Then forward this email to 
other
folks and urge them to take  action too!

We wish the best to you during this season of many holidays  and thank you 
for
working to end the institutional bias all year  long!
Together, we will FREE OUR PEOPLE!

- The ADAPT  Community

NATIONAL ADAPT MAILING LIST - Adapt Community Choice Act List  
http://www.adapt.org

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