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Obama Plan Would Empower People with Disabilities

By Brenda Brown-Grooms

During the 23-month primary and election campaigns, President-elect Barack Obama and Vice President-Elect Joseph Biden were among the two strongest and most consistent respondents to questions from the disability community concerning their stands on what the U.S. government should maintain and put in place to better serve the roughly 54 million Americans (1in 6) with disabilities. Since the election, the two have published a position paper (www.barackobama.com) that both outlines the problem, as they perceive it, and proposes what their administration will do about it.

According to the position paper, since Congress enacted the Americans with Disabilities Act (ADA) in 1990, "Americans with disabilities still do not have an equal opportunity to fulfill the American Dream. In 2006, working-age Americans with disabilities were almost three times more likely to live below the poverty line than those without disabilities. While the average annual household income of individuals in the United States without disabilities was $65,400 in 2006, the average annual household income for people with disabilities was $36,300 (a difference of $29,100). And the employment rate for persons with disabilities in 2006 was at least 40 points lower than the employment rate of working-age individuals without disabilities. These dismal statistics offer evidence of severe shortcomings in our country's efforts to break down the barriers that exclude people with disabilities and deprive them of true equality of opportunity and independence."

Obama and Biden say that the United States should show the rest of the world how a compassionate, civilized country "empowers people with disabilities (PWD) to take full advantage of their talents and become independent, integrated members of society." To that end, they have both pledged to have the U.S. sign the United Nations Convention of the Rights of Persons with Disabilities, the first human rights treaty approved by the U.N. in the 21st century. The treaty is seen as foundational to respecting the rights of PWD worldwide.

In keeping with their campaign pledges, Obama and Biden have outlined a four-part plan to provide Americans with disabilities "the greatest possible access to the same opportunities as those without disabilities." The plan includes 1) educational opportunities, 2) increased vigilance to end discrimination and promote equal opportunity, 3) increased employment of workers with disabilities, and 4) support of independent, community-based living for those with disabilities.

Educational Opportunities The pledge to provide increased educational opportunities for Americans with disabilities rests on fully funding the Individuals with Disabilities Education Act (IDEA). Although Congress has pledged to ante up 40% of each state's "excess cost" of educating children with disabilities, the federal government has never kept its promise to do so beyond 17% of that cost. Not only do Obama and Biden promise to fully fund IDEA, they also say they will ensure "effective implementation and enforcement of the act."

The president-elect and vice president-elect have pledged to invest $10 billion per year in early intervention educational and developmental programs for children with disabilities age 5 and under. The plan will expand Early Head Start and include Early Learning Challenge Grants. Implementation will include integrating IDEA Part C with otherThe incoming administration supports vocational rehabilitation programs for students with disabilities who graduate from high school to help them face the unique challenges that may prevent them from going to college or getting a job, such as obtaining funding. early childhood programs.

Because fewer than half of the states screen all infants for the American College of Medical Genetics' full recommended panel of 29 disorders, and so many of those conditions, if caught early, can be treated before they result in permanent impairments or even death, the Obama administration supports universal screening. In addition, it supports rescreening for all 2-year-olds, the age at which some conditions, including autism spectrum disorders, begin to appear. The aim is to coordinate fragmented community programs "to help provide parents with information about screening for disabilities as infants and again as 2-year-olds."

The incoming administration supports vocational rehabilitation programs for students with disabilities who graduate from high school to help them face the unique challenges that may prevent them from going to college or getting a job, such as obtaining funding.

Obama and Biden want to improve college opportunities for high school graduates with disabilities, make college more affordable, strengthen community colleges and begin a comprehensive study of students with disabilities who make the transition to work and higher education.

Vigilance to End Discrimination To end discrimination of the disabled and promote equal opportunity, the new administration proposes to 1) restore the Americans with Disabilities Act, 2) appoint judges and justices who respect laws designed to protect people with disabilities, 3) increase funding for enforcement, 4) support the Genetic Information Nondiscrimination Act (GINA), which prohibits discrimination "on the basis of genetic information by employers and health insurers" and the disclosure of genetic information, 5) guarantee health care coverage and 6) improve mental health care.

Obama supports the ADA Restoration Act -- championed by Senator Tom Harkin, D-Iowa -- that seeks to overturn recent Supreme Court decisions that limited the ADA's coverage and effectiveness. The president-elect has promised to sign the bill into law.

Obama and Biden have promised to "fully fund and increase staffing" for the Equal Employment Opportunity Commission (EEOC) and the Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) "to reduce charge backlogs and to prosecute efforts to remedy systemic discrimination." In addition, Obama will appoint a chairperson of the EEOC and nominate commissioners "who are committed to enforcing anti-discrimination laws."

Concerning health care, the new administration is proposing a plan to: 1) provide a subsidy to help people with disabilities who lose their Medicare or Medicaid coverage to purchase new coverage, 2) prevent insurers from denying coverage on the basis of pre-existing conditions and 3) offer coverage for serious mental illnesses on the same terms and conditions as other illnesses and diseases. In addition, the president-elect has promised that veterans will have mental health care during recruitment, deployment and re-entry into civilian life.

Increased Employment of PWD
Obama and Biden note that the federal government is the United States' largest employer and, as such, "it must recruit, hire, retain and advance workers with disabilities." To achieve this end, Obama will reinstate Executive Order 13173 (issued but not fulfilled by President Bill Clinton before he left office), mandating the hiring of 100,000 federal employees with disabilities within five years; designate a senior White Office official to assure that all federal departments and agencies meet the mandate; and make sure that "all electronic and information technologies employed by the federal government are fully accessible to federal employees and members of the general public with disabilities, as required by Section 508 of the Rehabilitation Act."

To assure the enforcement of affirmative action in employment for adults with disabilities, Obama "will direct all of his department and agency heads to bring their agencies into full compliance with all aspects of the Rehabilitation Act and adopt regulations (that) assure that result. "

Obama and Biden have said that they "will launch an aggressive effort" to educate employers about tax benefits that accrue to those who hire more PWD. They have also said that they will establish a National Commission on People with Disabilities, Employment and Social Security, which will include presidential and congressional appointees, the commissioner of the Social Security Administration and the secretaries of the U.S. Labor Department and federal Department of Health and Human Services as ex-officio members.

Their mandate will be to:

  • Examine and propose solutions to work disincentives in the SSDI, SSI, Medicare and Medicaid programs.
  • Revisit the Ticket to Work Act.
  • Look for opportunities to improve the relationships between DDSI and the SSI programs and the Workforce investment and vocational rehabilitation systems.
  • Examine the SSDI and SSI benefits levels in view of available work opportunities for PWD who are of working age.
  • Redefine the "substantial gainful activity" level in the SSDI program and "whether it should indexed to average hourly wages or some other measure."
  • Study programs that help young people obtain work rather than join the SSI rolls.

In addition, Obama and Biden will seek to support small businesses owned by PWD and grant workers with disabilities and family caregivers the flexibility at work they need. They hope to accomplish the latter by expanding the Family and Medical Leave Act, encouraging states to adopt paid leave, mandating a reasonable amount of paid sick leave and protecting against caregiver discrimination.

In addition, Obama and Biden will seek to support small businesses owned by PWD and grant workers with disabilities and family caregivers the flexibility at work they need. They hope to accomplish the latter by expanding the Family and Medical Leave Act, encouraging states to adopt paid leave, mandating a reasonable amount of paid sick leave and protecting against caregiver discrimination.

Support of Independent, Community-Based Living
Obama and Biden pledge to develop incentives for states to provide PWD the ability to choose the most appropriate care for their individual needs. The incentives include additional grants for new communities and community expansions.

The Community Choice Act and direct care workers will be a priority in the new administration. This means that community direct care services must be expanded, pay and benefits increased and more flexibility extended to direct care workers.

Obama and Biden support the Community Living Assistance Services and Supports (CLASS) Act so as to "create a voluntary, budget-neutral national insurance program to help adults who have or develop functional disabilities to remain independent and in their communities."

They agree that the Social Security approval process must be streamlined and that more staff and technology are needed to expedite final decisions. They say that the voting rights of Americans with disabilities must be protected and voting must be accessible for the elderly and handicapped. Obama strenuously opposes voter ID laws requiring mandatory photo identification at polling places because, he said, it has the effect of "disproportionately disenfranchising Americans with disabilities, more than 3 million of whom lack a government-issued form of identification."

Amending the Medicare "homebound" rule, investing in assistive technologies, protecting the safety of individuals with special needs, supporting Americans with autism spectrum disorders and strengthening Veterans Administration specialty care are all issues on the Obama agenda.

Brenda Brown-Grooms is an independent living coordinator with the Blue Ridge Independent Living Center in Roanoke, Va.


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