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You can also download this guide to Paraquad’s 2022 legislative priorities.

2022 Legislative Priorities

People with disabilities should have access to home-and-community based services that allow them to live independent lives in their homes and communities.

  • We support increasing funding for the Consumer Directed Services (CDS) program to 100 percent of the funding for nursing home care, thereby allowing people with disabilities who meet a nursing home level of care to choose in-home support to remain independent.
  • We support responsible reform of the CDS program to ensure the integrity of this essential service.
    Download our CDS policy brief
  • We support an increase to CDS Provider Rates to ensure that participants are able to recruit and retain quality attendants and live independently in their own homes and communities.
    Download our provider rate policy brief

People with disabilities should have opportunities to achieve economic self-sufficiency.

  • We support changes to the Missouri’s MO HealthNet Buy-in (MBI) Program—the Ticket to Work Health Assurance Program—that increase the likelihood that people with disabilities who need to access MO HealthNet can do so while still being employed to their greatest capacity.
  • People with personal care needs can only access these supports at very low-income levels, which limits work opportunities for people with disabilities.
  • The State should not consider retirement accounts or a spouse’s income, up to $50,000, when determining eligibility
    Download our Medicaid Buy-in policy brief

People with disabilities should be employed in community settings for at least minimum wage

  • 51% of Missourians with disabilities without a job would like one.
  • In 2017, people who were placed through supported employment had an average annual increase in wages of $13,156.
  • We support a statewide “Employment First” policy that prioritizes integrated employment settings where disabled workers interact with nondisabled coworkers over sheltered workshops.
    Download our Medicaid Buy-in policy brief

People with disabilities should have access to quality, affordable health care that meets their needs.

  • We oppose any efforts to weaken the vital “safety net” (e.g. implementation of block grants or per capita models of Medicaid).
  • We oppose implementing work requirements for Medicaid recipients.
  • We oppose efforts to include people with disabilities in managed care delivery systems that do not ensure access to quality, affordable health care for people with disabilities.
  • As Missouri implements Medicaid expansion, it should provide equal coverage for the expansion group and cover home and community-based services.

Paraquad supports increasing Independent Living funding to the level recommended by the federal government

  • Centers for Independent Living (CILS) are nonprofit organizations in place to provide broad services, supports, and resources to help Missourians live and remain independent at home. Every county in Missouri is served by a CIL.
  • CILs serve people with ALL Disabilities and those of ANY AGE; they are disability resource experts that are well connected to assist those who are born with a disability, acquire a disability in life, or develop an age-related disability.
  • According to a 1990 National Base Level Funding Study, Centers should be funded at $250,000 each– Most Missouri Centers fall below this level at $239,695 – that would have been a $10,305 SHORTFALL per Center 30 years ago. Per 2014 data, Centers should be funded at $570,000 each.
    Download our independent living funding policy brief