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January 30, 2008
Carcieri wants to cut money for elderly, nursing homes
Governor Carcieri today unveiled a broad plan to save millions of dollars by moving the elderly and the disabled from nursing homes into less-expensive options in the community.
He also suggested, as part of a proposal to change that state's welfare system, steps to encourage two-parent families. He acknowledged these changes would not realize savings next year.
The governor said the plan can save $67 million in state funds for fiscal 2009, which begins July 1, and is part of Carcieri's overall budget plan slated to be unveiled Friday. The administration plans to divert $7 million into community programs to ensure there are sufficient resources to allow the elderly to be cared for at home.
Under the plan, the state hopes to divert around 10 percent of the patients referred to nursing homes each year into alternatives such as adult daycare, assisted living, or in-home care.
The governor's proposal is expected to face opposition from the nursing home industry, as the administration estimates 100 patients would leave the institutions in the coming months and that nursing home populations would decrease by as much as 600 next year as vacancies are not filled.
"We’re not in the business of trying to make somebody close their business," said Department of Human Services Director Gary Alexander. "If they happen to close as part of the market forces, I don’t think we’re saying that we’re going to bail them out."
Carcieri's plan to curtail welfare benefits also contains a provision to encourage two-parent families. A goal is to "prevent and reduce the incidence of out-of-wedlock pregnancies" and "encourage the foundation and maintenance of families." It relies on faith-based institutions to promote marriage and offer programs that promote marriage and oppose out-of-wedlock births.
It is not forecast to provide deficit-closing savings next fiscal year.
Carcieri said at this morning's State House news conference that "we can disagree, but a family is a father and a mother, nurturing their children and building a future for themselves."
The governor acknowledged the state can't force people to marry or stay together, but he said, "You can set a tone and you try to teach people as to what's best."
-- With reports from Steve Peoples of the Journal State House Bureau
Posted by Mike McKinney
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To the Editor:
In regard to Nursing Home adjustments I fail to see where the cost/benefit analyses were conducted to arrive at the cost savings decisions. Long overdue studies could have provided the rational for cutting programs or services by determining the Return on Investment (ROI) for each.