Money Follows the Person Demonstration Housing Task Force ______________________ June 20, 2007

1. Achieving the Vision:Community Integration of People with Disabilities in Virginia After Olmstead Money Follows the Person Demonstration Housing Task Force ______________________ June 20, 2007 Julie A. Stanley, Director, Community Integration for People with Disabilities

2. Background and Time Line • Virginians With Disabilities Act (1985) • Americans With Disabilities Act (1990) • Olmstead v. L.C (1999) • Virginia’s Olmstead Task Force (2002-2003) • Executive Order 61 (2004) (Governor Warner) • Executive Order 84 (2005) (Governor Warner) • Executive Order 2 (2006) (Governor Kaine) • Executive Directive 6 (2007) (Governor Kaine)

3. Virginia’s Approach to Community Integration • Cross-governmental: State agencies across secretariats working together regularly as a Team • Cross-disability: No populations excluded • Inclusive: Nothing about people who use services without them at the table • Sustained over time

4. Recent Results • Community Integration Advisory Commission codified • Cross-Governmental Strategic Plan developed • Major CMS grants awarded • Emergency planning with people with disabilities emphasized

5. Community Integration Advisory Commission • Codified July 1, 2006 (Va. Code §§ 2.2-2524 – 2529) • 11 of 21 seats held by people with disabilities • Appointments by Governor, Senate Rules, House Speaker • Monitors implementation of community integration laws, including: • Americans With Disabilities Act • U.S. Supreme Court Olmstead decision • Virginians with Disabilities Act

6. Strategic Plan for Community Integration • Goals: • Help people move from institutions to the community • Prevent unwanted institutionalization • Used Olmstead Task Force consensus vision to identify 7 “critical success factors” based on expectations of people with disabilities • Multiple action plans and strategies for each critical success factor—with steps, dates, lead agencies

7. VISION and GOALS Agency Visions/ Missions CRITICAL SUCCESS FACTORS Board Advice Agency Strategic Plans ACTION PLANS Expectations Strategies Implementation Action/s Date/s Agency/cies responsible Cost/s Outcome measure/s Strategic Planning Model

8. Strategic Plan for Community Integration • The Seven Critical Success Factors • Plan, understand, choose and self-direct services and supports • Choose among quality providers • Locate and obtain appropriate housing • Locate and obtain a job • Access appropriate transportation • If applicable, access a qualified surrogate decision-maker • Access and self-direct ongoing services and supports in the community

9. Strategic Plan for Community Integration: Housing Expectations • #1: Housing will be accessible for people leaving institutions or at risk of becoming institutionalized. • #2: Housing will be affordable for people leaving institutions or at risk of becoming institutionalized. • #3: Housing will be available and appropriately located.

10. Strategic Plan for Community Integration: Housing Strategies • #1: Eliminate physical, social and other barriers that impede a person’s ability to live in the most integrated environment possible. • Accessibility means different things for different people. • For a person with a mobility limitation the elimination of structural barriers might result in accessibility. • For a person with a developmental disability, accessibility might be a system of supports that mitigate limitations and perhaps include a congregate living model.

11. Strategic Plan for Community Integration: Housing Strategies • #2a: Produce more units for people above 60% of the area median income (AMI) that can be occupied using no more than 30% of available income. • #2b: Provide income supplements to people below 60% of the AMI such that no more than 30% of their available income is spent for housing

12. Strategic Plan for Community Integration: Housing Strategies • #3a: Make specific financing resources available. • #3b: Increase local capacity to undertake development. • #3c: Insure appropriate enforcement of laws and regulations.

13. Strategic Plan for Community Integration: Transportation Expectations • People with disabilities leaving institutions or at risk will be aware of available transportation options. • People with disabilities leaving institutions or at risk will know how to take advantage of available transportation services and the process to file an appropriate complaint. • The State will leverage funding to support current and increased transportation services.

14. Strategic Plan for Community Integration: Transportation Strategies • Educate and publicize available transportation options to people with disabilities. • Train CILs, CSBs, AAAs, ESOs, case managers and other key personnel to train end users. • Coordinate transportation services to maximize efficiencies to support additional transportation services.

15. Strategic Plan for Community Integration: Next Steps • VALHSO, VML, VACO, Virginia First Cities, VACSB and VACIL join the Team • Three small Team groups, each with Commission Liaison, working on progress updates • Draft Plan to be sent to local government and PDC officials for review and input this summer • Team and Commission will consider final Plan with progress updates August 2 • Plan and Updates to be submitted to Governor Kaine for approval by August 31 • In Fall, focus will turn to outcomes and baseline measurements

16. YOUR SOURCE FOR RELATED INFORMATION www.olmsteadva.com