Capitol Insider

The Capitol Insider for the Week of April 22

Major Recent Events

Medicaid/LTSS: President Signs MFP Extension

On April 18, President Trump signed the Medicaid Services Investment and Accountability Act of 2019 (H.R.1839) into law. This bill adds an additional $20 million for the Money Follows the Person (MFP) program through September 30, 2019. MFP has helped more than 88,000 seniors and individuals with disabilities move out of nursing homes and institutions. Independent evaluations have proven that MFP improves the quality of life for individuals and has reduced Medicaid and Medicare expenditures by approximately 23%. The Arc strongly supports reauthorization of MFP. Additionally, the bill extends Medicaid’s spousal impoverishment protections for home and community based services beneficiaries until September 30. The spousal impoverishment protection allows the spouse of a Medicaid long term services and supports (LTSS) beneficiary to maintain a modest amount of income and resources for food, rent, and medication.

Education: Bill Introduced to Fully Fund Title I and IDEA

Senator Chris Van Hollen (D-MD) and Representative Susie Lee (D-NV), along with 11 original Senate co-sponsors and 16 original House co-sponsors, introduced the Keep Our Promise to America’s Children and Teachers (PACT) Act (S.1172/H.R.2315). This bill gradually increases funding for Title I of the Elementary and Secondary Education Act (ESEA) and special education (Part B, the State Grant Program) under the Individuals with Disabilities Education Act (IDEA) until both are funded at authorization levels. Title I of the ESEA provides funding to school districts with high percentages of low income children. The Arc supports the Keep Our PACT Act.

Education: House Committee Holds Hearing on Education Department

On April 10, the House Committee on Education and Labor held a hearing titled “Examining the Policies and Priorities of the U.S. Department of Education.” The sole witness was Education Secretary Betsy DeVos. Secretary DeVos faced numerous questions related to proposed program cuts; the administration’s Freedom scholarship tax credit proposal, which could be used for private schools that do not have to adhere to the Individuals with Disabilities Education Act; loan servicing for post-secondary education; the decision to delay the significant disproportionality rule on disability identification, placement, and discipline by race/ethnicity; among other controversial issues. Visit the Committee website to review opening statements and testimony and view archived video of the hearing.

Announcements

Autism: CDC Releases New Autism Prevalence Data 

On April 12, the Centers for Disease Control and Prevention (CDC) released its Morbidity and Mortality Weekly Report (MMWR) which included a study of data from 2010, 2012, and 2014 on the prevalence of autism among four-year-old children across study sites in seven states. The data indicate that the prevalence rate was 1 in 59. However, prevalence rates varied greatly between study sites. Of the three states that had data for all three years, only one (New Jersey) had an increase, while the rates in the other two (Missouri and Arizona) remained stable. These three sites also reported no improvement in age at first evaluation. These study sites were part of the Early Autism and Developmental Disabilities Monitoring (ADDM), a subset of the broader ADDM, which primarily monitors autism prevalence among eight-year-old children.

Social Security: Trustees Release 2019 Annual Report Showing Extended Solvency

On April 22, the Social Security Board of Trustees released “The 2019 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Federal Disability Insurance Trust Funds.” The 2019 report finds that at the end of 2018, Social Security’s reserves were $2.89 trillion. The Trustees project that Social Security’s combined Trust Funds can pay all scheduled benefits through 2035, at which point the Trust Funds would be able to pay approximately 80 percent of scheduled benefits. The Trustees also find that the Social Security Disability Insurance Trust Fund can pay full scheduled benefits through 2052, after which the fund will be able to pay about 91 percent of scheduled benefits. This is 20 years later than projected in the 2018 Trustees Report, due to ongoing declines in applications, awards, and the number of people receiving Social Security disability benefits.

Disability Policy Seminar Successfully Concluded

The 43rd annual Disability Policy Seminar, held earlier this month, proved to be one of the largest ever with more than 900 people registered. The opening plenary celebrated the 20th anniversary of the Olmstead Supreme Court decision. Representative Debbie Dingell (D-MI) gave a key note address to kick off the second day of training. The seminar included a packed two days of panels on issues affecting people with disabilities, concluding with the all-important Hill visits with Members of Congress. This annual event is co-sponsored by The Arc, the American Association on Intellectual and Developmental Disabilities, the Association of University Centers on Disabilities, the National Association of Councils on Developmental Disabilities, Self Advocates Becoming Empowered, and United Cerebral Palsy. The co-sponsors were also joined by the Sibling Leadership Network, Autism Society of America, and National Down Syndrome Congress as promotional partners. Next year, the Disability Policy Seminar will take place on March 23-25 and the hope is to increase advocacy and set a new attendance record.Visit the event website to view presentations and materials from the 2019 seminar.