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Legislative Issues

Advocacy Report

Tell Congress to Permanently Repeal the Medicare Therapy Cap! 

ACTION IS NEEDED TODAY 

Please contact your elected officials and tell them that now is the time to permanently repeal the Medicare therapy cap.

Congress needs to take action.

What can you do?


  • Call your elected officials. Contact the United States Capitol switchboard at (202) 224-3121.
  • Connect with your elected officials on Twitter or Facebook and use hashtag #StopTheCap or join the Thunderclap below to make our message even louder.
  • Email your elected officials. Visit www.senate.gov or www.house.gov for information.

The Brain Injury Association of America (BIAA) has created a sample letter for you to use when you email your elected officials. Click here to download the letter. You can also use the talking points below.

Talking Points

  • I am a constituent and an individual with a brain injury, caregiver, or a brain injury professional and I am concerned about the Medicare therapy caps.
  • The therapy cap impacts Medicare beneficiaries, like individuals with brain injury, who need rehabilitation services the most. Repealing the Medicare therapy cap would ensure high-quality, ongoing treatment and remove the uncertainty of care for both therapy providers and recipients.
  • Individuals who sustain brain injuries must have access to comprehensive rehabilitation with therapies of sufficient scope, duration, and intensity that allow them to regain lost skills and live as independently as possible.
  • Please support The Medicare Access to Rehabilitation Services Act (H.R. 807/S. 253)

If you're active on social media, please click the button below before 12 p.m. EST today to sign up for our Thunderclap. Everyone who joins will have the same message and hashtag post at the same time on their social media, allowing us to have the largest impact possible.

Join the Thunderclap

Contact Senator Roy Blunt

Senator Roy Blunt Email Form

Cape Girardeau
Phone: 
573-334-7044
Fax: 
573-334-7352

Columbia

Phone: 
573-442-8151
Fax: 
573-442-8162

Kansas City 
Phone:
 816-471-7141
Fax: 816-471-7338

Springfield

Phone: 417-877-7814
Fax: 417-823-9662

St. Louis 
Phone: 314-725-4484
Fax: 314-727-3548

Washington D.C. 
Phone: 202-224-5721

Contact Senator Claire McCaskill 
Senator Claire McCaskill Email Form

Cape Girardeau
Phone: 573-651-0964
Fax: 573-334-4278

Columbia
Phone: 573-442-7130
Fax: 573-442-7140

Kansas City
Phone: 816-421-1639
Fax: 816-421-2562

Springfield

Phone: 417-868-8745
Fax: 417-831-1349

Saint Louis

Phone: 314-367-1364
Fax: 314-361-8649

Washington D.C.

Phone: 202-224-6154
Fax: 202-228-6326



Services Are At Risk

Thousands of survivors of brain injury in Missouri need Medicaid for healthcare and community supports. These individuals often have long-term disabilities such as limited mobility, vision, hearing or balance impairments, mental health disorders and much more. The services needed are at risk of being eliminated or reduced due to budget cuts.

The current proposed Federal FY18 Budget includes block grants and per capita caps for Medicaid. Block grants and per capita cap funding are when the Federal government has a pre-determined amount for the State of Missouri to provide Medicaid services for individuals, including persons with brain injury.

Historically, the amount of money for block grants and per capita cap funding does not increase – EVER.  The amount received in year one is the same as in year 10, 20 and so on. The result is cuts in services for survivors of brain injury who need healthcare and community supports through Medicaid to live within the community. The alternative is individuals living in nursing homes at a higher cost to taxpayers.

The Brain Injury Waiver was a promising option for survivors of brain injury to receive rehabilitation and transitional support services within their home. This hope is now gone, or at least delayed, with the veto of House Committee Bill (HCB) 3 in June 2017.

The $500,000 that was included in HCB3 through a legislative process of using surplus revenue from various Funds would have enabled the Brain Injury Waiver to move forward. Without this FY18 funding the Brain Injury Waiver application developed by the Department of Health and Senior Services, with input from stakeholders, including BIA-MO, survivors of brain injury and family members, had to be put on “hold” until funding is available.

Good news is that the all-rider motorcycle helmet law in Missouri is still in effect. During the last week of session in May 2017, amendments to repeal our motorcycle helmet law were added to unrelated bills. Missouri Senators and Representatives showed leadership and commitment to save lives by removing these amendments during bipartisan, House-Senate Conference Committee meetings.

During most of the Missouri legislative sessions, there are threats to our all-rider motorcycle helmet law. Our motorcycle helmet law is one of the strongest in the country and it saves lives, prevents brain injuries and saves taxpayer dollars.

What are the next Advocacy steps?

  • Sign-up for Advocacy Alerts from the Brain Injury Association of Missouri by sending an email to Advocacy@biamo.org. The Brain Injury Association of America has a Policy Corner e-newsletter that you may subscribe to at     www.biausa/biaa-advocacy.htm.
  • Contact your US Senator or Congressperson at 1-202-224-3121, or their local offices, with the following message:

OPPOSE Block Grants and Per Capita Caps for Medicaid in the FY18 Budget. The result will be cuts in services for persons with brain injury and resulting disabilities.

  • Contact your Missouri State Senator and Representative at 1-573-751-2000 or their local office to share the following message:

SUPPORT funding of $500,000 or more for a Brain Injury Waiver. These services are desperately needed for survivors of brain injury to receive rehabilitation and transitional support services so they have better opportunities to return to work and live within the community.

OPPOSE any legislation that repeals or weakens the Missouri all-rider motorcycle helmet law. Your NO vote will save lives, prevent brain injuries and save our tax dollars.

 

Our voices need to be heard by elected officials at local, state and federal levels. Your sharing of personal and professional stories will educate your representatives about brain injury and issues important to survivors, families and the community.

It only takes 10 emails, phone calls or letters for an elected official to take notice of an issue and the requested position of constituents. Please be one of the 10 people to contact your elected official today.


Please let me know any questions at MCunningham@biamo.org or 314-426-4024.


Brain Injury Association of Missouri, Inc.

2265 Schuetz Road

Saint Louis, Missouri 63146

Toll Free 800-444-6443

Phone 314-426-4024

Fax 314-426-3290