STATEMENT BY HIS SECRETARY DONNA E. SHALALA

SUPPORTING THE PRINCIPLES OF HOME AND COMMUNITY CARE AND CONSUMER CHOICE AND SELF-DETERMINATION

I want to take this opportunity to reaffirm our support for the principles of emphasizing home and community based services and offering consumers the maximum amount of choice, control, and flexibility in how those services are organized and delivered. Specifically, we support the principles of:

• promoting greater control for consumers to select, manage, and direct their own personal attendant services;

• expanding community-based, non-institutional supports;

• promoting the use of functional assessments to determine eligibility for home and community based services;


• offering opportunities for states to: (a) provide services in both in-home and out-of-home locations; (b) provide services at any time during the day or night; and (c) offer back-up and emergency services;

• experimenting with alternative ways to finance services (such as vouchers and direct cash payments) in addition to the traditional agency-based model;

• encouraging the use of alternative providers, including informal providers such as friends and relatives;

• developing new ways to help consumers train and manage their attendants;

• demonstrating a commitment to the quality of life of the people who provide attendant care; and


• encouraging the use of agreed-upon individualized plans for attendant care.

The Administration has been steadfast in its support for community care for people of all ages who have disabilities. We know that most people prefer home and community supports and we are pleased that many states are moving aggressively to use their own funds and federal support to improve the quality of life of people who use these supports and those who provide them.

We also recognize that the vast majority of home and community care today is provided by family members and friends. They are there because they choose to be there to support their loved ones. But they need some support and reinforcement. One of the key ways government can help families is to offer some relief, in the form of home and community based services.

Sukurta

Antradienis 16 Liepa 2013

Paskelbta

Penktadienis 13 Rugsėjis 2019

Albumai

• Baltimore - Washington DC, Spring 1995

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144

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Make

Canon

Model

Canon EOS 40D

DateTimeOriginal

2013:07:16 12:24:27

ApertureFNumber

f/11.0