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From: "I. Stephen Margolis" <[log in to unmask]>
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Subject: FW: our emancipation proclamation
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Dearest Mag,


If this has not been posted at CPL, please be so kind to do.

My regards to all.

ISM

-----Original Message-----
From: [log in to unmask]
[mailto:[log in to unmask]]On Behalf Of Stephanie Thomas
Sent: Wednesday, July 05, 2000 6:27 PM
To: micasa-list
Subject: FW: our emancipation proclamation

 And now July 1 has passed and we can see how quickly the Show Me State
gets em out!  Congratulations Missouri!

June 28, 2000 -- Jefferson City, Missouri

<?bigger><?bigger>Memo

<?/bigger><?/bigger>To: The World
From: Candace Hawkins

It happened, and I was there. At 10:45 am on June 28, 2000, Governor Mel
Carnahan signed eleven state appropriation bills for fiscal year 2001's
$17 billion budget. Buried in the bills funding highways and prisons,
schools and bridges, state parks and economic development was the
emancipation proclamation we had been working for -- a passport to
freedom for people whose long-term care services are funded by Medicaid.
House Bill 1111, thanks to the work of Rep. Quincy Troupe and Senator
Joe Maxwell, contained language allowing consumer choice in the use of
the long-term care dollars.
Here are those amazing "follow the person" words:
"Provided that an individual eligible for or receiving nursing home care
must be given the opportunity to have those Medicaid dollars follow them
to the community and choose the personal care option in the community
that best meets the individual's needs. This includes the Consumer
Directed Medicaid State Plan Amendment that is administered by the
Department of Vocational Rehabilitation and the Department of Education.
It further provides that individuals eligible for the Medicaid Personal
Care Option must be allowed to choose, from among all the options, that
option which best meets their need; and also be allowed to have their
Medicaid funds follow them to whichever option they choose."

Let us clarify here that this follow-the-person language does not apply
only to people forced to live in nursing homes. It's for everyone
receiving Medicaid long-term care funding. Missouri is the first -- but
not by any means the last -- to emancipate all of its law-abiding
citizens with disabilities.
Few of the 150 people crammed -- standing room only -- into the
Governor's oval office understood the importance of that last bill. Kay
Arnold did. Early at 4:30 am that day, weary workers at Kay's nursing
home struggled with the change in their routine. They were busy getting
the 50-something-year-old woman ready to catch the 5:30 a.m. bus to
Jefferson City - -she was going to see the Governor. Kay would attend
the 9 a.m. bill signing.
There were speeches aplenty as the governor signed bills in numerical
order. HB 1101 - Public Debt. HB 1102 - Elementary and Secondary
Education. HB 1103 - Higher Education. One by one, state departments
received the okay and their marching orders for FY 2001 spending. The
budget bills were being signed just in the nick of time, with the new
state year starting on July 1. Speech-giver after speech-giver thanked
the Governor for his leadership as he signed his final budget.
Finally HB 1111 - Social Services, the very lowest priority in MO
government spending -- services for the poor, elderly and children
without health insurance, Medicaid, child support enforcement, and that
much maligned "old" idea, welfare -- was up for signature. Kay Arnold's
physical therapist raced to push her chair through the crowd to the edge
of the table. Kay would sit beside the Governor for the signing. After
all the politicians and state department folks did their speechifying,
Kay jumped in. Her soft voice was so low that the governor asked her to
repeat her words.
"Thank you Governor," she said. "Now I can go home."

Most bureaucrats and cynical staffers in the room, so wise and
all-knowing, were sure she meant that now she could get out of that
crowded room. One mumbled under his breath, "Yeah, we can all leave."
But as Governor Carnahan leaned over and asked to hear Kay repeat her
thanks, I do believe he at least got it. As she spoke those words again,
it was magic -- one of those crystal-clear moments I'll always remember.
The thirty-five advocates in the room, and the governor himself, could
taste freedom in the air.
A moment later, Governor Carnahan handed Kay a signed copy of the bill
with his signature pen. To most, this was only a nice souvenir of an
everyday occasion in Missouri's capital. But that bill held the keys to
Kay's own freedom. She knew that now she would be going to HER home, a
real home, at last.
We hope, and we will work to see, more states follow Missouri into
Olmstead territory. There are, today, 53,576 more Americans, once
imprisoned for the crime of having a disability, who are now free to
choose where they live. These formerly disposable Americans will take
their rightful place in our land. And Kay Arnold will be among them.
Welcome to freedom, all of you. With you by our sides, we will at last
make America's promise of freedom come true for us all, coast to coast.
Meantime, happy birthday to our ADA!

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<p class=3DMsoNormal><span class=3DEmailStyle16><font size=3D2 color=3Dnavy=20=
face=3DArial><span
>Dearest
Mag,</span></font></span><font size=3D2 color=3Dnavy face=3DArial><span
><br
>
<![if !supportLineBreakNewLine]><br>
<![endif]><span class=3DEmailStyle16><font color=3Dnavy><o:p></o:p></font></=
span></span></font></p>

<p class=3DMsoNormal><span class=3DEmailStyle16><font size=3D2 color=3Dnavy=20=
face=3DArial><span
>If this
has not been posted at CPL, please be so kind to do.<o:p></o:p></span></font=
></span></p>

<p class=3DMsoNormal><span class=3DEmailStyle16><font size=3D2 color=3Dnavy=20=
face=3DArial><span
><![if !supportEmptyParas]>&nbsp;<![endif]><o:p></o:p></span></font></span><=
/p>

<p class=3DMsoNormal><span class=3DEmailStyle16><font size=3D2 color=3Dnavy=20=
face=3DArial><span
>My regards
to all.<o:p></o:p></span></font></span></p>

<p class=3DMsoNormal><span class=3DEmailStyle16><font size=3D2 color=3Dnavy=20=
face=3DArial><span
><![if !supportEmptyParas]>&nbsp;<![endif]><o:p></o:p></span></font></span><=
/p>

<p class=3DMsoNormal><span class=3DEmailStyle16><font size=3D2 color=3Dnavy=20=
face=3DArial><span
>ISM<o:p></o:p></span></font></span></p>

<p class=3DMsoNormal><span class=3DEmailStyle16><font size=3D2 color=3Dnavy=20=
face=3DArial><span
><![if !supportEmptyParas]>&nbsp;<![endif]><o:p></o:p></span></font></span><=
/p>

<p class=3DMsoNormal><font size=3D2 color=3Dblack face=3DTahoma><span
10.0pt;font-family:Tahoma;color:black'>-----Original Message-----<br>
<b><span>From:</span></b> [log in to unmask]
[mailto:[log in to unmask]]<b><span>On
Behalf Of </span></b>Stephanie Thomas<br>
<b><span>Sent:</span></b> Wednesday, July 05, 2000
6:27 PM<br>
<b><span>To:</span></b> micasa-list<br>
<b><span>Subject:</span></b> FW: our emancipation
proclamation</span></font><font color=3Dnavy><span
windowtext'><o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D3 color=3Dnavy face=3D"Times New Roman"><s=
pan
><![if !supportEmptyParas]>&nbsp;<![endif]></span></font><font
color=3Dnavy><span><o:p></o:p></span></font></p>

<p class=3DMsoNormal><font size=3D2 color=3Dblue face=3DArial><span
10.0pt;font-family:Arial;color:blue'>&nbsp;And now July 1 has passed and we=20=
can
see how quickly the Show Me State gets em out!&nbsp; Congratulations
Missouri!&nbsp;&nbsp;&nbsp; </span></font><font color=3Dblack><span
><br>
<br>
June 28, 2000 -- Jefferson City, Missouri<br>
<br>
<?bigger><?bigger>Memo<br>
<br>
<?/bigger><?/bigger>To: The World<br>
From: Candace Hawkins<br>
<br>
It happened, and I was there. At 10:45 am on June 28, 2000, Governor Mel
Carnahan signed eleven state appropriation bills for fiscal year 2001's $17
billion budget. Buried in the bills funding highways and prisons, schools an=
d
bridges, state parks and economic development was the emancipation proclamat=
ion
we had been working for -- a passport to freedom for people whose long-term
care services are funded by Medicaid. House Bill 1111, thanks to the work of
Rep. Quincy Troupe and Senator Joe Maxwell, contained language allowing
consumer choice in the use of the long-term care dollars.<br>
Here are those amazing &quot;follow the person&quot; words:<br>
&quot;Provided that an individual eligible for or receiving nursing home car=
e
must be given the opportunity to have those Medicaid dollars follow them to=20=
the
community and choose the personal care option in the community that best mee=
ts
the individual's needs. This includes the Consumer Directed Medicaid State P=
lan
Amendment that is administered by the Department of Vocational Rehabilitatio=
n
and the Department of Education. It further provides that individuals eligib=
le
for the Medicaid Personal Care Option must be allowed to choose, from among=20=
all
the options, that option which best meets their need; <b><span
>and also be allowed to have their Medicaid funds
follow them to whichever option they choose</span></b>.&quot;<br>
<br>
Let us clarify here that this follow-the-person language does not apply only=
 to
people forced to live in nursing homes. It's for everyone receiving Medicaid=
 long-term
care funding. Missouri is the first -- but not by any means the last -- to
emancipate <b><span>all</span></b> of its law-abiding
citizens with disabilities. <br>
Few of the 150 people crammed -- standing room only -- into the Governor's o=
val
office understood the importance of that last bill. Kay Arnold did. Early at
4:30 am that day, weary workers at Kay's nursing home struggled with the cha=
nge
in their routine. They were busy getting the 50-something-year-old woman rea=
dy
to catch the 5:30 a.m. bus to Jefferson City - -she was going to see the
Governor. Kay would attend the 9 a.m. bill signing. <br>
There were speeches aplenty as the governor signed bills in numerical order.=
 HB
1101 - Public Debt. HB 1102 - Elementary and Secondary Education. HB 1103 -
Higher Education. One by one, state departments received the okay and their
marching orders for FY 2001 spending. The budget bills were being signed jus=
t
in the nick of time, with the new state year starting on July 1. Speech-give=
r
after speech-giver thanked the Governor for his leadership as he signed his
final budget.<br>
Finally HB 1111 - Social Services, the very lowest priority in MO government
spending -- services for the poor, elderly and children without health
insurance, Medicaid, child support enforcement, and that much maligned
&quot;old&quot; idea, welfare -- was up for signature. Kay Arnold's physical
therapist raced to push her chair through the crowd to the edge of the table=
.
Kay would sit beside the Governor for the signing. After all the politicians
and state department folks did their speechifying, Kay jumped in. Her soft
voice was so low that the governor asked her to repeat her words. <br>
&quot;Thank you Governor,&quot; she said. &quot;Now I can go home.&quot;<br>
<br>
Most bureaucrats and cynical staffers in the room, so wise and all-knowing,
were sure she meant that now she could get out of that crowded room. One
mumbled under his breath, &quot;Yeah, we can all leave.&quot; But as Governo=
r
Carnahan leaned over and asked to hear Kay repeat her thanks, I do believe h=
e
at least got it. As she spoke those words again, it was magic -- one of thos=
e
crystal-clear moments I'll always remember. The thirty-five advocates in the
room, and the governor himself, could taste freedom in the air.<br>
A moment later, Governor Carnahan handed Kay a signed copy of the bill with=20=
his
signature pen. To most, this was only a nice souvenir of an everyday occasio=
n
in Missouri's capital. But that bill held the keys to Kay's own freedom. She
knew that now she would be going to HER home, a real home, at last.<br>
We hope, and we will work to see, more states follow Missouri into Olmstead
territory. There are, today, 53,576 more Americans, once imprisoned for the
crime of having a disability, who are now free to choose where they live. Th=
ese
formerly disposable Americans will take their rightful place in our land. An=
d
Kay Arnold will be among them. Welcome to freedom, all of you. With you by o=
ur
sides, we will at last make America's promise of freedom come true for us al=
l,
coast to coast.<br>
Meantime, happy birthday to our ADA! </span></font><font color=3Dnavy><span
><o:p></o:p></span></font></p>

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