THEREFORE BE IT RESOLVED that the National Governors Association, NGA, by a vote of the membership and the Executive Committee supports the following:

A) The current long term services and support system has an institutional bias that must be reformed through a cooperative effort by the federal government, the states and the disability/older community including those who use services; and

B) The long term services and support system must include the principles that home and community services and supports are the first priority and that support services should be provided in the most integrated setting; and

C) No person with a disability or older American should be forced into a nursing home or other institution because of the lack of integrated home and community options; and

D) People with disabilities and older Americans must have full inclusion in the design, implementation and review of the long term services and support system; and

BE IT FURTHER RESOLVED that the NGA supports the passage and funding of the Medicaid Community Attendant Services and Supports Act, MiCASSA (currently S971-HR 2032) and legislation that include the Money Follows the Person initiative (currently S.1394-HR 1811); and

BE IT FURTHER RESOLVED that the NGA work with the individual states to assure that the Supreme Court's Olmstead decision is aggressively implemental and that the measure of this implementation be, in a year, how many people have gotten out of nursing homes and other institutions and how many people have been diverted from nursing homes and other institutions; and

BE IT FURTHER RESOLVED that the NGA work with the states to assure that any 1115 waivers submitted by a State should have statewide public hearings before development and submission to HHS, and that the 1115 waiver process should not be used to undercut current community Medicaid services and federal protections; and

BE IT FURTHER RESOLVED that the NGA supports reform of the long term services and support system that does not result in block granting, capitating or otherwise reducing or eliminating funding to the states or the removal of the current national Medicaid protections.

Passed this day ___ July 2004

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Tuesday 23 July 2013

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Friday 4 December 2020

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• Seattle, July 2004

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