TX: Budget Shortfall Forces Big Cuts for Disabled

Barbara Cullison waited eight years and eight months to get community-based care for her profoundly autistic daughter Audrey through a popular Medicaid waiver program designed to keep people with disabilities out of institutions. Now, Audrey and thousands of other Texans with disabilities fear losing their services because of budget cuts demanded of state agencies.

Advocates say the Department of Aging and Disability Services’ baseline budget request eliminates financing for more than 13,000 people — the majority of them waiting to receive so-called Medicaid waiver services in private homes, group homes or other community settings. Agency officials say an “unknown number” of people already receiving the services could lose them.

Lawmakers would have to approve another $317 million off of the agency's budget wish list — called "exceptional items" — to keep the services intact, a pipe dream when the state is facing an estimated $21 billion shortfall and has asked agencies to submit options for cutting their budgets another 10 percent.

“If this goes away, what are we going to do?” asked Cullison, whose daughter just came off of the waiting list for community services in September. “I need that safety net, need to know [that] when I can’t take care of her anymore, there’s a place for her that’s set, that’s paid for. After nine years, I thought I didn’t have to worry about this anymore.”

Agency officials acknowledge their hands are tied.

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Budget Shortfall Forces Big Cuts for Disabled