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- Title
Olmstead, New Freedom, and Real Choice System Change Grants: Bringing the Disability Movement to Older Adults.
- Authors
Milne, Dann
- Abstract
The Americans with Disabilities Act (ADA) of 1991 was a landmark in developing understandings about reasonable accommodation for people with disabilities. The Supreme Court's 1999 Olmstead decision, based on the ADA, required state Medicaid programs to refrain from forcing people to live in nursing homes to get their medical care. This ushered in a period of state planning for Olmstead-compliant programs (monitored by the Office Civil Rights and George W. Bush's New Freedom Initiative). Beginning in 2001, a series of Real Choice System Change Grants were awarded, all of which helped create an infrastructure for HCBS. This article briefly reviews the events leading to Olmstead and a decade-plus of post-Olmstead activities, and also touches on the fact that though impetus for change began on behalf of younger people, both the ADA and Olmstead have benefitted all consumers of long-term services and supports.
- Subjects
GOVERNMENT aid; LONG-term health care; CIVIL rights; COURTS; DECISION making; ENDOWMENTS; INTEGRATED health care delivery; MEDICAID; MEDICARE; ORGANIZATIONAL change; PATIENTS; PEOPLE with disabilities; PSYCHOTHERAPY patients; PATIENT participation; ACCESSIBLE design of public spaces; ELIGIBILITY (Social aspects); ACTIVITIES of daily living; AMERICANS with Disabilities Act of 1990; INDEPENDENT living; TRANSITIONAL programs (Education); PATIENT-centered care
- Publication
Generations, 2012, Vol 36, Issue 1, p44
- ISSN
0738-7806
- Publication type
Article