 |
|
- The Rehabilitation Act of 1973, as Amended
in 1986, includes the following parts:
- Title VII Part A funds services
for independent living rehabilitation (oxymoron) to individuals determined
"eligible" for such services; parallels Title I (vocational rehabilitation
program); based upon the medical/rehabilitation paradigm
- Title VII Part B was written to
establish centers which operated with the IL philosophy, basin programs
on the independent living paradigm; however, Part B grants have gone
to single disability organizations, state agency operated centers,
rehabilitation hospitals, and developmental disability group home
operators- none of which operate under the IL philosophy or paradigm
- Title VII Part C funds programs
of service for older blind adults - a contradiction of the cross disability
focus of the movement
- Title VII Part D (unfunded until
1990) provides funds for "protection and advocacy of individual rights,"
but denies CILs access to these funds because they are recipients
of Title VII funds - even though consumers of CIL services are already
"protected" by the mandated client assistance project (CAP) for any
grievances against a specific center or center service. These
funds could have been used by centers to buy "protection and advocacy"
(or legal) services for CIL consumers by allowing the CIL to hire
an attorney on staff or to contract with a local law firm
- The Rehabilitation Act of 1992 dramatically
changed the structure and flow of Title VII money to the states for
centers and for services. Included in the current draft are the
following critical changes:
|
|
- Statewide Independent Living Councils (SILC)
- There will be new statewide independent living councils which will
have broader responsibilities, such as:
-
co-sign off authority for the state plan
-
members will be appointed by the governor
-
one member must be the executive director of a CIL who is selected by other
center directors within the state
-
others on the council will include representatives of appropriate state
agencies, including vocational rehabilitation and blind agencies, but they
will be non-voting members
-
it will be consumer controlled, with at least 51% of the members being
people with disabilities (not counting the center director or the non-voting
state agency representatives, even if they have disabilities)
-
last, but by no means least, it will have staff to carry out it duties,
including its own executive director
- System Change - The Senate version
contains a section that is considerably different than the past Title
VII Part A. It is a new Part B and will be used to demonstrate
new ways to expand and improve independent living services.
The state vocational rehabilitation agency and the statewide independent
living council will jointly develop a plan for such projects.
For example, these projects could include demonstrations on how independent
living services can be delivered in an under served portion of the
state. Typical services for individuals such as the purchase
of a wheelchair, could be provided for a person who fits the parameters
of the demonstration (in this example, a person who lives in an under
served portion of the state). In addition to this new Part B,
there is a new Part C under Title I which permits similar "system
change" projects. This means that people who need wheelchairs
who do not fit the demonstration parameters under the new Title VII
Part B might fit the parameters of a project under Title I Part C.
Or, of course, the purchase could be made through other parts of Title
I if the consumer has a vocation goal or through a center, if funds
to centers are increased accordingly.
- Centers for Independent Living
- One significant change in the new amendments is that organizations
receiving CIL funds must meet the National Council on Disability (NCD)
standards for a center. Key definitions, standards and assurances
are all spelled out in the new Title VII and have been altered slightly
to fit the philosophical and experimental base the movement now has.
Funding for CILs comes from the Senate version's new Title VII Part
C (replacing the old Part B). Centers currently receiving Title VII
Part B funds who can meet the NCD standards will continue to receive
funds under the new law. As long as the centers meet standards,
the will continue to receive funds. If a center does not meet
standards after the first year, the Feds or states can pull their
funds with only 90 day notice!
- Methods of Funding - In the Senate's
version, how a center gets its money depends upon the level of state
funding going into center operations. If a state contributes
an amount equal to or greater than its current Title VII Part B allotment,
then the state could continue to receive the federal dollars for distribution
to centers. If the state is not contributing an equal
amount, then funding goes directly from RSA to the centers in that
state. Even if a state is contributing more than the Feds, it
could elect to allow the CIL funding to go directly from RSA to the
CILs by not applying for the money itself.
Senate staff are leaning towards a minimum of $500,000 per state with
funds available on a formula basis through grants rather than contracts.
Some states are receiving more than their "fair share" according to the
formula (based upon past grant mechanisms) so they will be "held harmless"
against any losses in funding. In other words, the state will continue
to receive what it is currently getting under Title VII Part B, but may
have to wait for appropriation increases until all states have reached
their appropriate formula percentage of the total amount available.
- Oversight of Title VII - As the
Senate version now stands, oversight responsibility for the "system
change" (new Part B) activities resides with the designated state
agency. Oversight for the CILs is tricky to explain: either
it will belong to the designated state agency or it will belong to
RSA, depending upon which entity contributes the most to CIL operations.
In states like California, Illinois, Massachusetts and New York, the
state contributes more funds to CILs than does RSA. In other
states, RSA contributes more. So, whichever entity contributes
more to CIL operations has oversight responsibility, including compliance
reviews to ensure that CILs meet standards.
- Employability - Many independent
living advocates wanted emplolyment feasibiliyt criterai removed from
the Act altogether, but recognized that this could set up the rehabilitation
system as a funding source for individuals who have no intent of pursuing
a vocational goal. This could have meant that people could use
its funds inconsistent with the Act's basic purpose. For
example, someone with a terminal illness could apply for funds to
cover surgical expenses. But significant changes were made to
the "employment feasibility" issue in other ways.
One significant change involves who is responsible for proving that
an individual with a disability is employable or can benefit from vocational
rehabilitation services. In the Senate version, the burden to prove
that an individual cannot benefit from VR services is not placed
on the VR couselor. The counselor must have "clear and convincing
evidence" that a person cannont benefit - this is the highest civil standard
in the law. If there is confusion or doubt about eligibility because
of the severity of an individual's disability, then the consumer can receive
services through an extended evaluation period for up to 18 months, with
an evaluation every three months to determine progress. Also, a counselor
must determine eligibility in a "reasonable amount of time," but no longer
than 60 days.
- IWRP - In the present Act, the
individualized written rehabilitation plan is developed "jointly'
with the consumer. In the Senate version, it is "jointly" developed,
agreed upon and signed" by the couselor and the consumer. An
innovation here - the IWRP must include a statement by the consumer,
in his/her own words (or the words of a legal parent or guardian),
describing how he/she was informed of options and how goals and objectives
for the plan were selected.
- State Rehabilitation Advisory Councils
- This is new. A consumer advisory council is established to
be involved in the decision-making process, including helping to select
impartial hearing officers. The council will be appointed by
the governor and composed of the chair of the statewide independent
living council as well as representatives of other public and private
organizations involved in rehabilitation.
The Rehabilitation Act needs radical reform if the IL paradigm is to be
retained and reinforced in pursuit of equal access and equal opportunity.
The Act of 1992 is a major beginning. It says, in law, that CILs
must:
-
Establish themselves as private, not-for-profit organizations governed
by an independent board of directors
-
Be community-based and community responsive
-
Maintain a majority of people with disabilities on their boards of directors
and on their staff
-
Truly represent different disability groups; be cross-disability in approach
and composition
-
Provide services, including the "core services: I&R, advocacy, independent
living skills training, and peer counseling", which are directed by "consumers"
themselves, and
-
Advocate for system change, laws, regulations, policies and procedures
which create and maintain equal access for people with disabilities who
want to live independently in the communities of their choice.
|
|
|