HCBS and Medicaid Waivers


A few States are asking CMS to favor new Medicaid Waivers as well as revising existing Medicaid Waivers that conceivably undercut;

  1. the Supreme Court's Olmstead choice
  2. the government direction's  “most integrated setting” order
  3. the DOJ's Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C.


Please help disability advocates fight Medicaid Home and Community Based changes that States might seek, via a Medicaid Waiver, that will harm people with disabilities.


First, the Medicaid federal regulations, 42 C.F.R. § 304(f), requires notice of waiver changes:



The [State] agency must establish and use a public input process, for any changes in the services or operations of the waiver.


(1) This process must be described fully in the State's waiver application and be sufficient in light of the scope of the changes proposed, to ensure meaningful opportunities for input for individuals served, or eligible to be served, in the waiver. [Italics added.}


(2) This process must be completed at a...

Book files legislation to require generators at nursing homes

Sen. Lauren Book, D-Plantation, filed a bill Friday in response to deaths at a nursing home after Hurricane Irma knocked out air conditioning.

SB 284 would require nursing homes and assisted living facilities to have working generators.

“There is no excuse for failing to protect those most vulnerable among us,” Book said.

She also cosigned a letter to Gov. Rick Scott requesting the Florida Department of Law Enforcement open a formal investigation, her office said.

The legislation would add electricity and emergency power sources to unannounced inspections of nursing homes and assisted living facilities, as well as require equipment sufficient to provide adequate day-to-day electricity, a fully operational emergency power source, and a supply of fuel sufficient to sustain the emergency power source for at least five days during a power outage.

Rep. Evan Jenne, D-Dania Beach, who grew up half a mile from the nursing facility, said there is a groundswell of support in the House to make changes to improve safety for seniors following a hurricane or other natural disaster, according to Matt Dixon of Politico.

Senate President pro tempore Anitere Flores, R-Miami, told reporters in...

Hurricane Irma Cleanup

After a storm of this size, there are many things that need to be done in the aftermath. Power and Clean Water are typically the first things to be restored, but after that, comes the clean up. This is probably the most labor intensive thing on the to do list of many Floridians in the aftermath of Irma. However for many elderly and floridians with disabilities, this can be overwhelming to say the least. Volunteer Florida has stepped up to help Floridians. They are now coordinating residential home clean up for damages from Hurricane Irma. These tasks can include items like tree removal, yard clean up, tarping roofs, removing drywall etc. If you or anyone you know need any assistance Please call 1-800-451-1954.  

Florida Counties Designated for Individual Assistance

Individuals from Broward, Clay, Duval, Flagler, Palm Beach, Putnam, St. Johns, harlotte, Collier, Hillsborough, Lee, Manatee, Miami-Dade, Monroe, Pinellas, Sarasota, Alachua, Baker, Bradford, Columbia, Gilchrist, evy, Nassau, Suwanne, Dixie, Lafayette, nd Union counties may now apply for federal disaster assistance for uninsured and underinsured damages and losses resulting from Hurricane Irma. 

To be eligible for federal aid under FEMA’s Individual Assistance Program, storm damage and losses from the hurricane and flooding must have occurred as a result of Hurricane Irma, beginning on September 4.

Survivors are encouraged to register with FEMA as soon as possible. If you preregistered with FEMA, you do not have to apply again. If you have phone and/or internet access, you may register:

Online at, or On the FEMA Mobile App, or by
Calling 800-621-3362 (FEMA). 

Applicants who use 711 or Video Relay Service may also call 800-621-3362. People who are deaf, hard of hearing or have a speech disability and use...

New Wheelchair Making Florida's Beaches more accessible

For somebody in a wheelchair, strolling along the beach can seem like a distant dream. But no more. At locations all around Florida, there are beach wheel chair rentals that make it easy to do just that.


De-Bug Beach Wheelchairs, created by Mike Deming was built out of necessity. After his wife Karen was injured in a car accident that left her quadriplegic, he wanted to make sure that she was able to experience life to the fullest. Since 1994 he has been developing and building this amazing device that easily rolls along the sandy beaches of Florida. These chairs are available for rent in dozens of cities from Pensacola to Miami and so many places in between.

De-Bug Beach Wheelchairs provides these Beach Wheelchair rentals as well as Surf Chairs and other mobility products designed for use on rugged terrain.

The Beach Wheelchairs are available in Eastpoint, St. George Island, and Apalachicola, Sanibel Island, Captiva, Crescent Beach, Sarasota, Fort Meyers, Naples, Miami, Miami Beach, Fisher Island, Key Biscayne, Surfside, Sunny Isles Beach, North Miami,...