http://www.thedailylight.com/articles/2011/03/25/opinion/doc4d8b732276ccb347317444.txt AARP statement on budget’s impact on seniors
Published: Thursday, March 24, 2011 11:42 AM CDT
AUSTIN, Texas –The preliminary budget just passed by the House Appropriations Committee would balance the state’s finances on the backs of Texas’ most vulnerable seniors, AARP officials said Wednesday. House Bill 1 would cut one-third or more from the current funding levels for critical long-term care programs, including cost-effective community care services and nursing homes.
Ollie Besteiro, President of AARP Texas, said the proposed cuts to Medicaid-funded nursing homes and community-based long term care are unacceptable. Under the proposed budget, home health care agencies would struggle to even pay minimum wage to attendants, causing many agencies to go out of business. Since two-thirds of Texas seniors in nursing homes rely on Medicaid to partially fund their care, many nursing homes would struggle under the cuts to hire quality staff or to even stay in business.
“Long term care support for our seniors, already stretched to the limit, simply cannot withstand cuts of this magnitude,” Besteiro said. “It adds insult to injury.”
Besteiro said that for the more than 125,000 seniors in community-based long-term care services – such as the Primary Home Care Program and the Community Attendant Services – the funding cuts would severely reduce the supply of home care workers, pushing more frail seniors into inadequately funded nursing homes.
“Texas has done a good job of developing cost-effective alternatives to nursing home care,” added Besteiro. “Since these community programs cost less than a third of nursing home care, the rate cuts proposed by the committee make no sense at all, either from a financial or human perspective.”
Direct care workers in Texas often make about minimum wage for what is typically very demanding and intensely personal work. Because of this, it will be much more difficult for seniors who need care at home to find reliable attendant services, funneling them into already underfunded nursing homes. Texas already pays the second lowest nursing home reimbursement rates in the country and AARP maintains there is a strong relationship between the number, skill level and longevity of nursing home staff and the safety and dignity of Texans in nursing homes.
“The proposed Medicaid provider rate cuts would force nursing homes to cut staff, placing the lives of more than 54,000 vulnerable Texas nursing home residents at risk,” Besteiro said.
Earlier this year, AARP surveyed its members on the state budget shortfall and found that three out of every four members (76 percent) oppose cutting health and human services, including long-term care services for older persons. The opposition to such cuts came across party lines (Democrats, 77 percent; Independents; 68 percent; Republicans, 57 percent). The survey of 1,501 members has a sampling error of plus or minus 2.5 percent.
AARP has more than 2.2 million members in Texas.