About a year ago, in my role as a member of the Board of the Autism Society of South Central Wisconsin, I joined with other disability advocates to encourage the Joint Finance Committee to reject Governor Walker’s budget proposal to eliminate IRIS, which stands for, “Include, Respect, I Self-Direct.” IRIS is Wisconsin’s self-directed, community- based, long-term care program for adults with disabilities & older adults with long-term care needs. People using IRIS have the flexibility to self-direct their plan of care within an authorized budget based upon their individual needs and desired outcomes. IRIS participants choose and direct the services and supports that make it possible for them to live, work, and participate in their communities, allowing more people to stay in their homes and avoid costly nursing homes and other institutions.
We were partially successful. Both the Joint Finance Committee and the Wisconsin legislature rejected Gov. Walker’s radical upending of Wisconsin’s long-term care system. However, in doing so, the budget which ultimately passed directed the Wisconsin Department of Health Services to obtain public input and propose a new system that would be managed by private health insurance companies, instead of the current non-profit care management organizations. This has become known as Family Care/IRIS 2.0.
Yesterday, I co-signed a letter from the three Autism Society affiliates to the Joint Finance Committee in which we state that we:
do not believe the Department of Health Services has justified the disruption of care to the 55,000+ people currently enrolled in Family Care and IRIS programs.
Specifically, we are concerned about:
- The uncertain future of self-direction and the IRIS Program: The concept paper does not reflect the level of self-direction of the current IRIS program. There remain significant questions as to how current IRIS participants will experience self-direction as they do now.
- The uncertain future of Behavioral Health Services: The concept paper is lacking details on how behavioral health services may be integrated in the new model.
We also share many of the conclusions made by the Wisconsin Long Term Care Coalition in their Analysis of the Numbers behind Family Care/IRIS 2.0 on May 11, 2016.
Given that there are no projected savings in long term care as a result of Family Care/IRIS 2.0 and there are still significant questions about the concept plan, we believe that moving ahead at this point would unnecessarily disrupt the lives of over 55,000 Wisconsin residents.
We are writing to ask members of the Joint Finance Committee not to move forward with the Family Care/IRIS 2.0 concept plan as currently written.
The good news is that since Family Care and IRIS operate under a federal Medicaid waiver, they cannot be modified without federal approval. The Walker administration has already conceded that it understands this cannot happen until at least 2018. Hopefully, the next President will accept the recommendations of Wisconsin elders and people with disabilities, their families and friends, who are generally satisfied with the current Family Care/IRIS long term care system and do not want their lives disrupted, their independence lost, and their futures controlled by for-profit health insurance companies.
For more information on how Jeff Spitzer-Resnick can help you accomplish effective, progressive systems change contact him by visiting his web site: Systems Change Consulting.