ACCESSIBLE, AFFORDABLE, INTEGRATED
HOUSING
ACCESS ACROSS AMERICA (AAA)
BACKGROUND
- Over 250,000 people in nursing homes want to return to the
community;
- There are over 2 million people with disabilities of all ages in
nursing homes and other institutions;
- The Supreme Court and the Bush administration have said states
and federal government should work to solve this problem, yet HUD has
done almost nothing.
- HUD has no program that coordinates accessible, affordable,
integrated housing for individuals who want to return to the community;
- Money Follows the Person is a 5 year federally mandated grant
program through CMS that helps states identify and move people who want
out of nursing homes and other institutions and get services in the
community;
- Multi-year waiting lists for all subsidized housing and lack of
affordable, accessible, integrated housing options force people with
disabilities to remain or go into nursing homes and other institutions.
The Problem
Even with the increased availability of Medicaid community-based
services and supports, people with disabilities are being stopped from
relocating to housing in the community because they cannot get access to
vouchers or to accessible, affordable, and integrated housing options.
This affects all disabled people who have gone into nursing homes and
due to Katrina and the HUD cuts the situation has worsened. Thousands
of disabled and elderly people wait. Many people have dropped out of
transitioning programs, losing hope when they could not get any
assistance to coordinate their Medicaid community-based services and
supports with any real access to affordable, accessible, integrated
housing.
SOLUTION: ACCESS ACROSS AMERICA
We are looking for 1,000 vouchers per
year for the five years, so a total of 5,000 vouchers.
WHAT IS: ACCESS ACROSS AMERICA?
Access Across America is a proposal to HUD for a national program to
help people coming out of nursing homes, or at risk of going into a
nursing homes, because they cannot get affordable, integrated and
accessible housing. This program coordinates the receipt of subsidized
housing vouchers with Medicaid-eligible persons transitioning out of
nursing homes or at risk of going into a nursing home due to a housing
crisis, who are receiving home and community-based services and
supports.
Directs HUD and HHS/CMS to collaborate, coordinate and improve services
to low income persons with disabilities, thus ensuring that they can
truly live in the most integrated setting.
- Improve the timing and coordination of affordable, accessible,
integrated housing with the receipt of home and community support
services;
- Facilitate the rebalancing of the long term care system
- Implement the goals of the New Freedom Initiative;
- Assist states in implementing the Supreme Court's Olmstead decision.
WHO IS ELIGIBLE FOR ACCESS ACROSS AMERICA?
- Individuals with disabilities and older Americans who are in
nursing homes or other institutions;
- Those who have chosen to leave the nursing home or other
institution;
- Individuals who will be transitioning from the nursing home or
other institution within the next 60 days or may be forced back into a
nursing home over a housing problem;
- Individuals at imminent risk of going into nursing homes or
other.
HOW WILL ACCESS ACROSS AMERICA BE IMPLEMENTED?
HUD, coordinating with HHS/CMS, will work at the state and local levels
with federally authorized community-based organizations such as
Independent Living Centers and Area Agencies on Aging, to facilitate the
coordination of and implementation of the ACCESS ACROSS AMERICA program.
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