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Testimony presented to:
Date:
September 2005
Subject: Health care / Welfare reform / Preserving MassHealth coverage for people with disabilities



Testimony in Support of H. 2787, S. 758, and S. 745
Preserving MassHealth Coverage for Disabled Persons

In August 2003, the Division of Medical Assistance applied to the Secretary of Health and Human Services for a waiver of existing Medicaid laws to enable Massachusetts to use a more restrictive standard of disability than the federal Supplemental Security Income (SSI) standard when it determines eligibility for MassHealth on the basis of disability. That waiver application is still pending as of September 2005.

Legislation is needed to stop the Administration from trying to change the current standard of disability in MassHealth through this ill-considered waiver request.

  • Not since 1974 has a state been allowed to use a disability standard more restrictive than SSI. Currently, only two states use a disability standard more restrictive than SSI in their Medicaid programs.
  • The Administration’s waiver request will result in people with identical conditions being treated differently based solely on whether MassHealth or Social Security decides if they are disabled.
  • With a more restrictive standard of disability, some people now considered disabled will lose medical benefits even though their health has not improved in any way.
  • Anyone who meets the strict SSI standard of disability needs access to full Medicaid benefits to prolong life, reduce suffering, and maximize the ability to function in the community.

House Bill 2787, and Senate Bills 758 and 745, require MassHealth to use no more restrictive standard of disability than the federal SSI standard. The individuals and organizations listed below strongly support these bills.

Alzheimers’ Association
Kathleen Doyle

311 Arsenal Street
Watertown, MA

The Arc of
Massachusetts
Leo Sarkissian

217 South Street
Waltham, MA

Boston Center for Independent Living
Bill Henning

95 Berkeley Street
Boston, MA

Boston Health Care for the Homeless Program
Robert Taube

729 Massachusetts Avenue
Boston, MA

Cambridge Commission for Persons with Disabilities
Michael J. Muehe

51 Inman Street
Cambridge, MA

Cape Organization for the Rights of the Disabled (CORD)
Cathy Taylor

1019 Iyannough Road
Hyannis, MA02601

Disability LawCenter
Linda Landry

11 Beacon Street
Boston, MA

Attorney Ronald B. Eskin
228 Central Street
Lowell, MA

Greater Boston Legal Services
Nancy Lorenz

197 Friend Street
Boston, MA

Health Law Advocates
Laurie Martinelli
30 Winter Street

Boston, MA

Health Synergies, Inc.
Michael Cronin

53 Elm Street
Worcester, MA

Health Law Institute, a program of JRI Health
Justice Resource Institute
Jon M. Argenziano

130 Boylston Street
Boston, MA02116

Janet Hirschhorn
58 Ashland Avenue
Methuen, MA

Independent Living Center of the North Shore and Cape Ann, Inc.
Mary Margaret Moore

27 Congress Street
Salem, MA

Massachusetts Home Care
Al Norman
24 Third Avenue

Burlington, MA

Massachusetts Law Reform Institute
Vicky Pulos

99 Chauncy Street
Boston, MA

Massachusetts Office of Disability
Myra Berloff
1 Ashburton Place
Boston, MA

Mental Health Legal Advisors Committee
Susan Fendell

399 Washington Street
Boston, MA

MetroWest Center for Independent Living, Inc.
Paul W. Spooner

280 Irving Street
Framingham, MA

Personal Disability Consulting, Inc.
Lee Rachel Jurman

68 Craftsland Road
Chestnut Hill, MA

Stavros Center for Independent Living
Jim Kruidenier

691 South East Street
Amherst, MA

Treatment Access Expansion Project
Robert Greenwald

32 Sheridan Street
Boston, MA