Is it interesting to me, becaus of living in a nursing home for three  years. 
Dana

-----  Original Message -----
From: Barbara Duncan
To: [EMAIL PROTECTED]
Sent:  Wednesday, August 20, 2008 11:09 AM
Subject: Publicly-funded nursing home  profits protected from budget cuts,
while vital services are cut for seniors  and people with disabilities


FOR IMMEDIATE RELEASE
Contact:Deborah  Doctor
Legislative Advocate
Protection & Advocacy, Inc. (CA)
Phone:  (510) 928-1768
E-Mail: [EMAIL PROTECTED]


AARP  California
Mark Beach
(916) 556-3015

CA Advocates for Nursing Home  Reform
Michael Connors
(415) 974-5171

Protection & Advocacy,  Inc.
Deborah Doctor
(510) 928-1768

Tuesday, August 19,  2008
Publicly-funded nursing home profits protected from budget cuts, while  vital
services are cut for seniors and people with disabilities

A  coalition of advocates for Californians with disabilities and nursing  home
industry watchdogs has determined that a 2004 bill (AB 1629) enacted at  the
last minute with minimal review by the legislature and less public  scrutiny
has resulted in:

B7     An estimated 150-200  million in annual guaranteed taxpayer-funded
profits for skilled nursing  facility owners, regardless of the quality of
the care they  deliver.
B7     Even the worst nursing homes in the state b  found responsible for
deaths and injuries of residents b received generous  profits from tax
dollars;
B7      A rise in  administratorsb wages by around 11%; and
B7      Coincided  with an upsurge of abuse complaints, ranging from deaths to
dangerous  mistreatment.

Governor Schwarzeneggerbs proposed budget exempts nursing  homes from budget
cuts. Nursing homes will receive a rate increase this year  while other
services are cut substantially, and they are the only Medi-Cal  providers
with a guaranteed profit within their rate.

The law was  intended to sunset this year, but has been extended through
2009, and the  governor and legislature have recommended a two year
extension, without  changes.

AARP California, California Advocates for Nursing Home Reform  and Protection
& Advocacy, Inc. (soon to be Disability Rights California)  are taking the
lead in alerting the legislature, social justice groups and  the public that
the extension of this law must receive full public review and  only be
considered against other state expenditures and cuts directly  affecting the
survival of millions of elderly and disabled citizens.Studies  show immediate
impact of this law

Although supporters of AB 1629 claim  that the law has led to improvements in
care in nursing homes, a University  of California at San Francisco study
(Impact of Californiabs Medi-Cal Long  Term Care Reimbursement Act on Access,
Quality and Costs) convincingly shows  that since more tax dollars starting
flowing to the nursing homes in the  spring of 2006, quantity and quality of
patient care lost ground as  administrative costs and industry profits rose.
For example, in 2006 at least  144 homes that did not meet minimum staffing
standards for the entire year  were awarded substantial increases in
reimbursements and guaranteed  profit.

The study, under the direction of Charlene Harrington, Ph.D of  UCSF, also
showed that substantiated complaints of mistreatment rose 38%  since
enactment of the law. Leslie Morrison, investigating attorney  with
Protection and Advocacy Inc., confirmed that her unit has been  receiving
increasing allegations of abuse of nursing home residents and has  several
open cases.  In fact, under AB 1629, homes with histories of  egregious
abuses and violations are receiving the guaranteed profit,  demonstrating
again how the hundreds of millions of dollars in higher rates  and guaranteed
profits are not tied to any measures of quality of  care.

Free ride of nursing home industry during life-threatening budget  cuts?
The coalition of AARP, CANHR and PAI was assembled to alert the public  and
media to the outrageous inequity of guaranteeing industry profits  for
nursing homes without tying the profits to improved services for  residents.

Deborah Doctor, PAI legislative advocate, points out that the  increased
rates provided to the nursing home industry, while cutbacks  threaten lives
of people with disabilities, shows that the funding is there  but that the
state chose to expend it on institutions instead of  community-based
services.

Michael Connors of CANHR stated that his  organization is working to connect
the new rates to better staffing for the  residents of California nursing
homes, and called for legislators and the  state to require the redirection
of profits to increased  staffing.

Jeannine English of AARP California notes that AB 1629 still  does not
contain meaningful accountability measures to ensure that Medi-Cal  money is
properly spent.  It provides a guaranteed profit to nursing  homes regardless
of their record of quality of care.  In a year when  services for seniors and
disabled face major cutbacks, the state must  demonstrate fiscal
responsibility for every dollar that is spent.  AARP  calls upon the
administration and the legislature to take real action to  improve this
legislation so that it will achieve the goals of improved  quality of care
set by the original legislation.

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




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