An 8.5% Cost-of-Living Adjustment
Due to significant inflation and supply chain disruptions have resulted in significant financial pressure on agencies, necessitating an 8.5% COLA to be included in the 2024 NYS Budget to ensure the long-term sustainability of non-profit disability service providers.
A Direct Support Wage Enhancement of $4,000 per eligible employee
Under the DSWE, provider agencies will receive $4,000 per eligible employee to be used for the purpose of enhancing the hourly rate of pay for all staff that have direct care/support responsibilities for individuals with I/DD.
Address Health Inequity for People with Disabilities
New York State’s failure to recognize and fully support the specialty care for individuals with intellectual and developmental disabilities (I/DD) has created a separate and unequal system of health care. NY’s Medicaid policy has led to people with I/DD being denied equitable access to care simply because the cost of care for their complex needs is higher than that for the typical Medicaid population. People with disabilities require more time, expertise, follow up and care integration, which when provided will save system costs and improve health outcomes.
A full report on health equity for the I/DD population written in 2022 outlines several recommendations to resolve this problem; however, there are a few immediate steps that must be included in the FY 2024 budget:
- Increase the APG payment rates for people with disabilities (code 95 and code 81) by 30% to cover current losses due to higher care needs.
- Provide public goods funding specifically for clinics supporting complex, high needs patients to ensure clinics can remain open across NYS.