5104.0: Wednesday, November 15, 2000: 12:30 PM-2:00 PM

Health Care Access for Individuals with Severe Disabilities: The Income Dependency Link

Current federal and state law requires dependency on cash transfer payments by individuals with severe disabilities as a requisite to eligibility for publicly financed health care coverage, namely Medicare and Medicaid. To exacerbate this policy conundrum, the private health care insurance market has effectively underwritten most people with severe disabilities out of coverage through the pre-existing medical condition clauses. Research has demonstrated that income dependency and poverty are precursors to a range of secondary health conditions including depression and substance abuse. The Building Health Systems for People with Chronic Illness Initiative funded by the Robert Wood Johnson Foundation has made a substantial investment in supporting work incentive demonstrations in OR, WI and VT for people living with severe disabilities. Additionally, RWJF funded an external evaluation of these initiatives as well as an advocacy and technical assistance grant to assist these and other states in their policy reform efforts. The panelists in this session will highlight the intervention strategies employed by the states and the challenges and successes each state has encountered during the first two years of program implementation as well as the research challenges they invoke. Session participants will better understand the disincentives to employment in current disability policy; the relationship between perceived employment barriers and work activity; between work and health status; and learn about the innovative ways that states have uncoupled health care coverage from cash transfer payment systems by jerry-rigging policies, rules, and regulations to assure health care coverage for severely disabled workers as they pursue their employment goals
See individual abstracts for presenting author's disclosure statement.
Learning Objectives: Refer to the individual abstracts for learning objectives
Presider(s):Nancy Mudrick, PhD
Panelist(s):Peter Baird, MS
Lynnae Ruttledge
Barry Delin, PhD
Jay Wussow, MPH
Organizer(s):Pamela P. Hanes, PhD
12:30 PM3 States’ work incentive initiatives: From problem identification to program implementation
Peter Baird, John Reiser, Lynnae Ruttledge
12:45 PMDocumenting impacts: Doing research in a turbulent policy environment
Pamela Hanes, PhD, Tina Edlund, MS, Amy Maher, MPH, Barry S. Delin, PhD
1:00 PMDocumenting the problem: States and RWJF come together to form a nucleus for change
Jay Wussow, Mary Ridgely, Peter Baird
1:15 PMManaging the policy environment: State initiatives pushing for federal policy reform
Allen Jensen, Robert Silverstein, JD
Sponsor:Disability Forum
Cosponsors:Community Health Planning and Policy Development; Health Administration; Social Work; Socialist Caucus

The 128th Annual Meeting of APHA