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[Headline] Louisiana FY 2001

[Subheading] The Worst in the Country

[Subheading] Background Information.
Louisiana spends 90.3% of Medicaid Long Term Care (LTC) dollars on nursing homes and ICF-MR facilities;

This funding bias exists:

• 30 years after the passage of Section 504

• 12 years after the passage of the ADA

• 2 years after the Supreme Court's Olmstead decision

[Subheading] The Numbers:

• Nursing Homes: 69% on facilities for people with disabilities, old and young

• ICF-MR: 21.3% on facilities for people with developmental disabilities

• Community spending: 9.7% (Medicaid waivers, Home Health)

Total Louisiana Medicaid LTC spending: $1.68 billion

Louisiana Medicaid spending on nursing homes: $1.16 billion

Louisiana Medicaid spending on ICF-MR: $ 355.27 million

Louisiana Medicaid total spending on Community: $ 163.43 million

State's ratio of nursing home beds per capita exceeds national average by more than 50%. This means Louisiana has more beds than it needs (20 % are empty).

States ratio of ICF-MR beds is three times the national average.

Louisiana Medicaid per capita spending nursing homes: $259.43 (over 70% higher than national average)

National Medicaid per capita spending nursing homes: $150.04

Louisiana Medicaid per capita spending on ICF-MR: 79.57 (over 115% higher than national average)

National Medicaid per capita spending on ICF-MR: $36.35

Louisiana Medicaid per capita spending on Community: $36.60 (Less than 1/2 the national average)

National Medicaid per capita spending on Community: $77.99

Access to Long Term Care is uncoordinated across programs.

Louisiana's system is fragmented and difficult for people to access.

Attendant wages average $5.56 - only 7% have health benefits.

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