The Canadian Record (Canadian, Tex.), Vol. 91, No. 13, Ed. 1 Thursday, March 27, 1980 Page: 4 of 32
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4
New welfare rules threaten aid for nursing home resident
3JU Canadian RECORD
CANADIAN. HEMPHILL CO.. TEXAS
THURSDAY 27 MARCH 1980
Dear Editor,
There is a situation develop-
ing regarding the placing of
nursing home residents that is
of a growing concern to me, and
I would like to share these
thoughts with the rest of Cana-
dian.
The Medicaid program has
been in effect for about eleven
years now. Under this program,
people who need nursing home
care, but are unable to pay for
it, may receive assistance from
the state. This assistance is
granted through the Texas De-
partment of Human Resources
— formerly the Department of
Public Welfare. It is subject to
rules set up by HEW, since 50%
of the funding is from federal
funds. In previous years a larger
percentage has been federal.
This assistance has been
granted for those with a finan-
cial need, on three levels of
care: Level II. intermediate
care; Level III. Intermediate
care; and Skilled care. During
the last hours of the last
legislative session, the Texas
Legislature passed a rider on an
appropriation bill, directing
Human Resources to discon-
tinue Level II care and instead
refer these people to alternate
and less costly forms of care.
They are to pay for one level of
Intermediate care and Skilled
care.
Public hearings were held to
make comment on the proposed
new regulations that were the
result of this action by the
legislature. The new rules have
become final and went into
effect March 1, 1980. Under
these rules, persons already in
nursing homes are to continue
to receive nursing home care as
long as they continue to have a
medical need, and their income
does not go up enough for them
to be ineligible.
It has become apparent to me
through discussions with people
It's the kids that count
TAKING TESTS
DO have a written study schedule so you'll
know how much time you have to spend on
each activity.
DO review regularly, not just when exams are
scheduled.
DO make reviewing an active process. Study
class notes, skim textbook material, relate major
topics to the total subject.
DONT wait for inspiration to strike before
studying and reviewing.
DON'T wait until the teacher assigns a test
before you start preparing for it.
DON'T cram for exams. This may only mix
you up on what you've already learned. It may
also cause you to hate and fear all tests.
Remember, tests can be useful tools to show
how well you are doing in school subjects, to
help you learn the areas you may need im-
provement. Tests can also reveal your general
strengths and weaknesses and are therefore
useful in helping you plan your
future schooling and also
your entire life.
Teachers care
about kids.
Help them.
Get inotved in
your school.
CANADIAN HEMPHILL
TEACHERS ASSOCIATION
TEXAS STATE TEACHERS AMOCIATION~P.lt
31S WMt 12th. Austin, Tint 7S701
Plooto Mitrf mor Information
ta*tag testa
NmmO-
— State
Zip_
letters
to the editors
in both agencies that the pre-
sent Level II residents of nurs-
ing homes will be subject to
extremely close scrutiny as to
their nursing care needs, and
many will be denied the need for
nursing care. Human Resources
has arranged to have the Health
Department evaluate these res-
idents. according to the criteria
established bv Human
Resources. When these people
cannot be in the nursing home.
Human Resources presumably
has other solutions available,
such as Personal Living Homes.
Day care centers. Home health
aides and Homemaker services.
Last week four persons were
denied at the home in McLean.
It was covered on television, and
I understand there will be more
on TV about the McLean home
this weekend. At our own
survey last week, it was pro-
posed that one of our residents
be denied, but this was not
actually carried out. However, a
couple in Canadian whose
family felt they needed to be in
the Home, were not approved
for a nursing care need.
It is my fear that many people
will be sent "home'" who do not
in fact have homes to go to.
Their children are not always in
a position to take them in, and
many do not have any children.
We know that homemaker ser-
vice at the minimum wage that
the state is prepared to pay is
hard to come by in Canadian —
or anywhere. At the hearing on
the proposed rules that I at-
tended in Amarillo in Decem-
ber, only one individual com-
mented on a day care program
that was actually in operation. It
was being run at a cost of S18.30
per day per patient. At that time
the state reimbursement rate
was $20.64 per day for Level II
nursing care.
When residents are "kicked
out of the Home", it is the
Nursing Home that will be
getting the criticism. Health
Department will be getting
some blame also, as well as
Human Resources for establish-
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Canadian, Texas
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.J
ing the rules. However
source of all of this is the stü]
legislature, and it is our leg
tors that need to be asked wk
their intention was when
passed that law.
Part of the situation
results from HEW's rule
garding the transfer of property!
Presently, a person can signhJ
property over to someone i
usually a son or daughter,
by thus impoverishing hin
become eligible for assist
There are many persons no 'i
the program who could
afforded to pay for their
care. This money could havt
been spent for the aid of th
who really need it.
The Edward Abrah
Memorial Home is in a positioi
now. with our Foundation ia
come and gas well income,
grant some assistance to
needy, but we could hardly pid
up the share that the state b|
now paying for very many of o
residents «ho may possibly
dropped. There is a lot moret
this problem than I have
able to explain in this alreadjl
too-long letter. The State
give us information as to
thousands of recipients in ead
category from year to year,
administrator of the nursini
home, how ever. 1 tend to see t
effect on our individual
dents. It is my fear that manyl
people w ill be sent home to die.j
or left home to die. before the
rules are changed and a sati
factory solution reached.
Elinor Muhl. Administrator,]
Edw ard Abraham Memo
Hon
Is YOUR house. buslnewi
mobile home numb
correctly?
2nd GREAT EASTER PARADE
Sponsored by Canadian Retail Merchants
will be held Saturday# April 5
Each participating merchant will award
gift certificates of $25, $15 and $10
in a drawing to be held at 4 p.m. in the afternoon
Winners to be announced on Cable Six between 4 and 5
EASTER BONNET CONTEST
among owners and employees of participating businesses
Prizes of $25 for first place. $15 for second place
and $10 for third place
Based on the decision of out-ot-town Judges
Watch for the Easter Bunnies
in the windows of
participating businesses
WW,
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Ezzell, Ben & Ezzell, Nancy. The Canadian Record (Canadian, Tex.), Vol. 91, No. 13, Ed. 1 Thursday, March 27, 1980, newspaper, March 27, 1980; Canadian, Texas. (https://texashistory.unt.edu/ark:/67531/metapth184163/m1/4/: accessed July 5, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting Hemphill County Library.