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Volume 21, Number 5
Minnesota’s Disability
Community Newspaper
May 10, 2010
The story of us:
20 years of MN disability news coverage remembered As covered by Access Press Complied by Jane McClure The story of disability in Minnesota, as told through the pages of Access Press, is one of victories and defeats, activism and accolades. Come with us on a trip back through the past two decades. This installment covers the first five years of newspaper coverage. Subsequent installments will appear in future issues.
May 1990 Access Press published its first issue, describing itself as “a new monthly publication assumes an advocacy role for tens of thousands of previous under-represented Minnesotans – those with physical or mental disabilities.” The issue included a congratulatory letter from Gov. Rudy Perpich, who wished founding Editor Charlie Smith good luck in the new venture. The first-ever Access Press Direc-
tory of Organizations was published. A profile featured Rep. Lee Greenfield, DFL-Minneapolis, who had been involved with key human service legislation over the past 12 years. Greenfield was a strong advocate for the disability community. Another article described the approaching vote in Congress on the Americans with Disabilities Act (ADA). Access Press published a detailed summary of the proposed legislation.
June 1990 This issue was not found.
July1990 Articles described the difficulty of finding accessible public transit. The Regional Transit Board (RTB) hosted meetings to seek input on the need for better transit access. Metro Transit buses were being equipped with lifts, but it would
nation in transportation, telecommunications, public accommodations and employment.” But while ADA was celebrated, another story raised concerns about spend-down requirements passed by the Minnesota Legislature. Amendments to state law, to comply with federal law, put many Minnesotans in a bind. Wage earners with disabilities were now required to spend more of their income on medical costs than previously required. Some feared losing their homes or having to quit jobs and apply for assistance. Other features included political questionnaire about universal health care and a deAugust 1990 Passage of the ADA was scription of accessibility imfront-page news. “The bill is provements at the upcoming the most comprehensive anti- Minnesota State Fair. Founding Editor Charlie Smith discrimination law to go into September 1990 effect since the 1964 Civil Several thousand low-in- are eligible for cash benefits tal Security Income (SSI) ProRights Act,” an article stated. “The ADA will bar discrimi- come older Minnesotans who from the federal Supplemen- 20 years - cont. on p. 4 take 12 years to make the bus system 100 percent accessible. A feature began on community agencies, with a profile of Midway Training Services, a Ramsey County day habilitation and training service for adults with developmental disabilities. Another new feature was The Frugal Diner, which focused on area restaurants in terms of costs as well as accessibility issues. Survivors of traumatic brain injury were invited to join a support group organized by the Minnesota Head Injury Association. The Community Support Network Program was working to reduce barriers.
HCMC opts into health program; other bills uncertain by Jane McClure As the 2010 legislative session wound down, things were more uncertain than ever thanks to high-profile disputes between Gov. Tim Pawlenty and state lawmakers, and a groundbreaking Minnesota Supreme Court ruling. In a 4-3 decision May 5, the court ruled against Pawlenty in the unallotment case that challenged whether Pawlenty’s emergency budget cuts from last year were legal. The decision could mean an even bigger budget deficit. Some state lawmakers indicated it could force the need for a special legislative session. It wasn’t immediately clear whether the ruling affects all of the $2.7 billion in cuts Pawlenty imposed last summer, or if it is narrowly focused on the nutrition program for the poor that served as the genesis for the case. As Access Press went to press, indications were that
the entire cut was back on the table. Other issues are also in flux. The General Assistance Medical Care (GAMC) compromise crafted by state lawmakers this session took a hit when the Hennepin County Board of Commissioners initially rejected its terms. The County Board oversees Hennepin County Medical Center (HCMC), which sees more GAMC recipients than any other hospital in Minnesota. GAMC provides coverage to low-income people, many of whom have disabilities. Until recently, this program provided coverage for more than 36,000 people. The program ended this spring but was replaced with a smaller compromised program. State health officials did negotiate a plan with Hennepin County May 6. But the decision was at a time when there was more instability than ever
about health and human services funding. The 2010 legislative session must end May 17. But as Access Press went to press there was much uncertainty over an array of health and human services funding. Aid to local governments, some of which funds health, human services and civil rights programs at the city and county levels of government, was also in jeopardy. Pawlenty declared May 4 that he would make $536 million in budget cuts if state lawmakers failed to do so. He also vowed to veto the health and human services omnibus bill passed May 4 by the House. The House cut $164 million in health and human services spending, but Pawlenty said that wasn’t enough. He also opposes a plan included in the bill to replace GAMC. The governor said the state cannot count on $408 million in promised federal aid to help
balance the state budget, as that money isn’t in hand yet. In the meantime, GAMC continues to face a shaky future with the Hennepin County decision. The Hennepin County Board unanimously approved a resolution April 27, offered by Board Chair Mike Opat, stating that the board does not accept the draft Coordinated Care Delivery System (CCDS) contract presented by Minnesota Department of Human Services (DHS) to HCMC, and will not authorize participation by HCMC as a CCDS under the contract proposed by DHS. The resolution also states that the board is willing to pursue good faith negotiations with DHS that bases HCMC’s participation as a CCDS on sound financial terms, recognizing the fiscal and physical capacity of HCMC to provide care for the GAMC popula-
tion. The resolution passed by the Hennepin County Board states that “if only a few hospitals participate, the financial risk to Hennepin County Medical Center, Hennepin County and Hennepin County taxpayers, in serving the GAMC population, becomes excessive and unquantifiable, thus jeopardizing the ability of HCMC to continue its mission to provide health care and related services to the general public, including the indigent.” HCMC already sees more GAMC patients than any other hospital in the state. Legislators approved compromise GAMC legislation earlier this year, but it was vetoed by the governor. Another compromise was then worked out and signed into law. But the revamped GAMC is raising red flags among potential provider hospitals. The
Hennepin County Board initially acted after most hospitals in the state chose not to participate in a new program to provide care to GAMC patients. The compromise bill creates a new care system in which participating hospitals would provide needed care to GAMC enrollees, but would receive greatly reduced funding from the state. The premise of the compromise legislation was that hospitals statewide would participate, thus sharing the risk. But only five of 17 hospitals statewide that could participate in the new plan have indicated they would do so. All five are in the Twin Cities area; no Greater Minnesota hospitals have opted in. And at least one metro area hospital, North Memorial in Robbinsdale, has indicated it won’t participate if HCMC opts out. The new program is scheduled to begin June 1. ■