New York disability-rights advocates are calling for the age cap on the state's Medicaid Buy In Program to be raised or eliminated.

The program is designed for people with disabilities who work and earn more than would be allowable to qualify for regular Medicaid. This ensures people with disabilities won't be at risk of losing vital healthcare coverage, while still earning some income.

The age cap of 65 could cause people to lose coverage they'd need to to get ready for the day.

Heidi Siegfried, health policy director for the Center for the Independence of the Disabled New York, describes the challenges people can face once they reach the program's age limit.

"If they can't get home care, for example," said Siegfried, "like I was saying, if you need home care to help you transfer from your bed to your wheelchair or to help you get showered or to help you dress, you wouldn't even be able to get ready to go to work. You would reach age 65 and not have access to home care, and you would probably have to quit your job."

She said people would have to quit working so they can have access to Medicaid services to ensure they have access to home care.

In New York's 2024 Budget, Gov. Kathy Hochul is allocating $60 million starting in 2025 to expand the program for more people with disabilities to work and still qualify for coverage.

One worry people have is as the COVID-19 pandemic comes to an end, Medicaid's continuous coverage protections will end too. This means anyone who aged out of the program during the pandemic will see a loss of coverage once their renewal is up.

But, Siegfried said she is hopeful the age limit will be removed once the upcoming budget passes.

"If people want to keep working up until whenever, and they enjoy their work and they don't want to retire, they should be able to be productive citizens," said Siegfried. "Work can often create meaning in your life, especially for people with disabilities."

She noted that people with disabilities don't have high employment rates in the state, with that possibly correlating to a loss in coverage should they go to work.

According to a 2022 report, there are one million working-age adults with a disability living in New York. But, only 33% are employed, compared with the 74% employment rate for working-age adults across the state.

The U.S. Office for Civil Rights has issued a ruling ensuring that an Iowa man with disabilities is able to live in his home and receive round-the-clock medical care.

Advocates for people with disabilities hope the move sets precedent for other people in Iowa and around the country.

When he was about five, Cedar Rapids resident Garret Frey suffered the same spinal cord injury that Superman star Christopher Reeve did in an equestrian accident.

Reeve lived for about a decade after his accident.

Frey is closing on 40 years, and sued the state, claiming it violated his rights by failing to provide the 24-hour home-based support and services he needs to live at home, where he said people with disabilities want to be.

"It is truly where most of us are happy, healthy," said Frey, "and it's most cost-effective."

The U.S. Department of Health and Human Services agreed to raise the provider reimbursement rate for in-home caregivers, allow for respite services, expand the health-care provider base - and help secure overnight, in-home nursing care for Frey.

HHS will monitor Iowa's progress for a year. Frey said he wants this ruling to set precedent for other people with disabilities in Iowa and across the country.

"It's one baby step in the right direction," said Frey, "because there are many other disability-related concerns and issues that are ongoing."

The ruling requires Iowa Health and Human Services to work with federal officials to ensure Frey's needs are met during that year, and report on their progress monthly.

Disability groups in New Hampshire are calling for an end to the word "special" to describe people with disabilities.

They said terms like "special" or "special needs" imply people are somehow broken and undermine the long-term fight for disability rights.

Isadora Rodriguez-Legendre, executive director of the New Hampshire Council on Developmental Disabilities, said when people ask not to be called a certain word, it should be reason enough not to use it.

"It really is a label that kids and adults with disabilities found to be alienating," Rodriguez-Legendre explained. "Because it kept them apart and separate."

Rodriguez-Legendre pointed out a new public awareness campaign encourages people to visit the website stopspecial.org and read a more appropriate language guide. Nearly one of every eight New Hampshire residents has a disability.

Backers of the "Stop Special" campaign said language is evolving and such euphemisms as "special needs" or "special education" need correction. Rodriguez-Legendre emphasized students should simply be called "students," or even "students with disabilities." She understands it will not be an easy change, especially for those who work with laws and regulations but added the goal is to ensure equitable access to education and public spaces.

"Communities actually are better when people with disabilities are participating in them, because they bring awareness about how to make things more accessible for everybody," Rodriguez-Legendre contended.

The "Stop Special" campaign is backed by the Institute on Disability at the University of New Hampshire, the Disability Rights Center of New Hampshire and the New Hampshire Council on Developmental Disabilities.


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Teens and young adults in Texas who have disabilities have an opportunity to get a paid internship this summer.

The Texas Workforce Commission offers its Summer Earn and Learn program for students between the ages of 14 and 22. The students are placed with large and small businesses to earn a paycheck and learn valuable work experience.

Joe Esparza, the commissioner representing employers, said all 28 workforce development boards across the state participate in recruiting students and employers

"The employers are obviously benefiting because they're investing in their communities, and they get somebody who's motivated to work," Esparza explained. "I think having that opportunity gives these students a chance to interact with customers, to learn IT systems, to just engage in something that they are very interested in."

He said more than 14,000 students have been placed in internships since the program started in 2017.

More than 1,300 employers across Texas participated in the program last year, giving students hands-on experience. Some of the businesses include the Amarillo Zoo, the Fort Worth Botanic Garden and Odessa College. Esparza noted the internships last five to eight weeks and student participants attend work readiness training to prepare them for their work experiences.

"We at the state level always encourage employers to get involved and create programs," Esparza emphasized. "In most every business, there's usually an opportunity to bring somebody in as an internship and it's a great opportunity for them to learn new skills and become part of the workforce there."

Some of the students have been hired full-time by the companies at the end of their internships.


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