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Federal Disability Employment Policy
Alison BarkoffDirector of Advocacy
Center for Public [email protected]
Autism Society of America Annual ConferenceJuly 10, 2019
WhatIstheVisionofPeopleDisabilities?• Peoplewithdisabilitieswanttolivetheirliveslikepeoplewithoutdisabilities (withsupportsasneeded)
• Wantopportunitiesfortrueintegration,independence,choice,andself-determinationinallaspectsoflife– wheretheylive,spendtheirdays,andcommunitymembership
• Wantqualityservicesandsupportsthatmeettheirneedsandhelpthemachievegoalstheyhaveidentifiedthroughrealperson-centeredplanning
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EmploymentisKeyToThisVision
• Supportingpeopletoworkincompetitiveintegratedemploymentiscriticalto:– Helpingpeoplewithdisabilitiesaccessthegreatercommunity;– Facilitatingrelationshipswithpeoplewithoutdisabilities;– Buildingnewskillsandself-esteem;– Helpingbringpeoplewithdisabilitiesoutofpoverty;– ReducingutilizationofotherMedicaidservices;and– Providingmeaningfulwaysforpeopletospendtheirdays.
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CriticalTimefortheDisabilityCommunityToAdvocateForDisabilityEmployment
• WorkwithCongressonlegislationtoadvanceCIE• Workonsuccessfulimplementationoffederalpoliciesatthestatelevel
• Advocateagainsteffortstoroll-backkeyfederalstatutes,regulations,andguidancethatadvanceCompetitiveIntegratedEmployment(CIE)
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FederalLegislationRe:DisabilityEmployment
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LegislationRegardingDisabilityEmployment• TransformationtoCompetitiveEmployment(H.R.873/S.260)
– FirstbilltocombinefundingforcapacitybuildingofCIEwithaphaseoutofsub-minimumwageunderSection14(c)
– Wouldcreateagrantprogramtostates(andtoprovidersifinstatesthatdon’tgetagrant)forprovidertransformation
– 6yearphaseoutofSection14(c);immediateprohibitiononnewcertificates
– DisabilitycommunityisworkingtoeducatemembersofCongressandseekco-sponsors
– HearingonMay21st intheHouse;expectwillmovetomark-upthisspring
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DisabilityEmploymentLegislation(cont’d)• CAPABILITYAct(H.R.3070)
– FocusedonimprovingCIEoutcomesfortransition-ageyouthwithintellectual,developmental,mentalhealthorothersignificantdisabilities
– Providesstategrantsforcustomizedemploymentandotherbestpractices
• RaisetheWageAct (S.150/H.R.582)– Billtoraisethefederalminimumwage(to$15/hour)– Includespeoplewithdisabilities;hasa6yearphaseoutofsub-minimumwageunderSection14(c)
– Disabilitycommunityhassupportedinclusionof14(c)phaseout 7
DisabilityEmploymentLegislation(cont’d)• DisabilityEmploymentIncentivesAct(S.255)
– Encouragesemployerstohireandretainworkerswithdisabilitiesthroughincreasesto3existingtaxcredits:• WorkOpportunityTaxCreditsforhiringandretainingaworkerwithadisabilityreferredthroughastateVoc Rehabagency
• DisabilityAccessExpenditureTaxCreditforsmallbusinesses• ArchitecturalandTransportationBarrierTaxcreditforincreasingworkplaceaccessibility
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FederalLegislation:WhatYOUCanDo
• EducateyourmembersofCongressthatalltypesofpeoplewithdisabilitiescanandwanttowork– Keeptellingthosesuccessstoriestocounterthenarrativethatemploymentisonlyforsome,notforeveryone!
• EducateyourmembersofCongressaboutimportantdisabilityemploymentbills– Askthemtobeaco-sponsorandfortheirsupport
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WorkforceInnovationandOpportunityAct(WIOA)
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WIOA:SettingtheEmploymentVision• Statuteprioritizesandincreasesemploymentofpeoplewithdisabilitiesincompetitiveintegratedemployment– DefinesCIEasworkatoraboveminimumwage,withwages&benefitscomparableto,&fullyintegratedwith,co-workersw/odisabilities
• Clearstatutorygoaltolimitsignificantlytheuseof14(c)sub-minimumwage– Requiresanyoneunder24toexploreandtryCIEbeforetheycanbeplacedinasub-minimumwagesetting;prohibitsschoolsfromcontractingwithsub-minimumwageproviders;andrequiresatleastannualengagementofanyoneinsub-minimumwagesetting
• Statuterecognizestheimportanceofandrequirescross-agencycollaboration(includingVR,MedicaidandIDD) 11
WIOAImplementationOpportunities
• TheimpactofWIOAisstartingtochangestatepractice!• InteragencycollaborationthroughMOUsisstartingtohappen
– Butmoreworkneededtomakesureallagenciesareincluded
• StartingtoimpactSection511outreachre:interestinCIEfortransitionageyouth&peopleinshelteredworkshops– ButmoreworkneededtomakesurepeoplewhoexpressaninterestinCIEgetthatopportunity
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Challenges:WIOA’sCIEDefinition• Startingin2017,therehasbeenapushfromsomeprovidersandsomemembersofCongressontheDepartmentofEducationtochangethedefinitionofCIE.
• Specificpushbackon:– Focusof“integration”oninteractionwithco-workers– WhetherAbilityOne jobsareCIE-- longstandingVRpolicytoevaluateindividualsettingsbutguidanceacknowledgesmanyA1programsmaynotmeetthedefinition
– “Typicallyinthecommunity,”meaningnotajobjustcreatedforpeoplewithdisabilities
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Challenges:EffortsatRegulatoryChanges
• Throughout2017and2018,strongadvocacyagainstopeningtheregulations– Lettersfromabroadrangeofdisabilitystakeholdersopposingopeningtheregulations
– ReportsfromNationalCouncilonDisabilityandSenateHELPCommitteeadvocatingforadditionalTA,notregulatorychanges
– Consensusletterfromdisabilityadvocacygroupsandprovidersrecommendingadditionalsub-regulatoryguidanceandtechnicalassistance,notopeningtheregulations
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Challenges:EffortsatRegulatoryChanges(cont’d)
• USDepartmentofEducationhasgivenpublicnoticethroughitsunifiedagendaforrulemakingthatitplanstore-opentheWIOAregulations– Initiallyonthespring2018agenda,estimatedforSeptember2018– Thenonfall2018agenda,estimatedforJanuary2019– Onrecentspring2019agenda,estimatedforDecember2019
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WIOA’sCIERegulations:WhatYouCanDo
• WeexpectthataNoticeofProposedRulemaking(NRPM)willbeoutinthenextseveralmonths– NPRMsmustbeputoutforpubliccommentandtheagencymustrespondtothecommentswhenfinalizingarule
– ITWILLBECRITICALFORPEOPLEWHOSUPPORTCOMPETITIVEINTEGRATEDEMPLOYMENTTOCOMMENT
• AcoalitionofnationaladvocacyorganizationswillbeprovidinginformationabouttheNPRMandhowtocommentoncetheruleisout.– Resourceswillbeathttps://integratedemploymentnow.org/
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MedicaidHCBSSettingsRule
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SystemsChangeThroughtheHCBSSettingsRule
• HCBSSettingsRule,finalizedin2014,forthefirsttimesetsclearstandardsforcommunityintegrationforallMedicaid-fundedhomeandcommunitybasedservices
• TheRuleitselfspecificallyrequiresthatHCBSprogramsprovide“opportunitiestoseekandworkincompetitiveemployment”– ImportanttoconstantlyremindstakeholdersthattheRuleappliestobothnon-residentialandresidentialservices
• TheHCBSSettingsRulecanandshouldbeagamechangerforincreasingopportunitiesforcompetitiveintegratedemployment 18
ChoiceofNon-DisabilitySpecificSetting• Rulerequiresstatestoofferindividualsachoiceofa“non-disabilityspecificsetting”– Appliestobothresidentialandnon-residentialsettings– Thatmeanstheopportunitytoworkincompetitiveintegratedemployment
• CMShasmadeclearinapprovallettersthatstatesshouldassesstheircurrentcapacityofnon-disabilityspecificsettingsanddevelopaplantoincreasecapacitysoallindividualshavearealandmeaningfulchoice
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TieredStandards• Stateshaveflexibilitytosetdifferentstandardsforexistingandnewsettingsthroughtheirstatewidetransitionplan– Statemaysetstandardsfor“modelsofservicethatmorefullymeetthestate’sstandards”forHCBSandrequireallnewservicedevelopmenttomeetingthehigherstandards
– Thisallowsstatesto“closethefrontdoor”tosettings/services– Numerousstatesareusingtieredstandardstomoveawayfromfacility-baseddayandtofocusonCIE
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HCBSSettingsRule:WhatYOUCanDo• Publicinputisrequiredintostate’stransitionplans(STPs)• Itiscriticalthatstakeholdersmaketheirvoicesheard• MakesureyourstateisincludingafocusonemploymentinitsSTP
• EncourageyourstatetoalignHCBStransitionactivitieswiththeirownstateinitiativesandotherfederalobligations:– State“EmploymentFirst”initiatives– State’sWorkforceInnovationOpportunityActplans– State’sOlmsteadplansorsettlementagreements
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AReminderofWhyThisMatters
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RoleofEmploymentinEvan’slife
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SkillsandRelationshipsIntheWorkplace
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RelationshipswithCo-workersOutsidetheWorkplace
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WorkHelpsPeopleAffordtoLiveIndependently
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WorkHelpsPeopleAffordaSocialLife
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WorkBuildsSelfAdvocacySkills
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Resources
• CoalitiontoAdvanceCompetitiveIntegratedEmployment:www.IntegratedEmploymentNow.org
• HCBSSettingsRuleimplementation:www.hcbsadvocacy.org(HCBSAdvocacyCoalition)&www.medicaid.gov/hcbs (CMS)
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