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Policy Areas

Office of Developmental Programs (ODP) Quality Management (QM) Virtual Certification Classes Registration Now Open for January – June 2022

Announcement 21-070 includes the dates for ODP’s Quality Management Virtual Certification Program for the first half of 2022. To register for a training class, you must log into MyODP and navigate to the 2022 Quality Management Certification Program – Virtual Training course (Training > Quality Management > Quality Management Certification Program > 2022 Quality Management Certification Program – Virtual Training) or by using this link.

Grab your lunch and help us celebrate!
Thursday, October 28, 2021
12:00 pm to 1:00 pm (Eastern)

An informative, virtual celebration featuring:

  • Opening remarks by Congressman Brendan Boyle, Member, Coalition for Autism Research and Education (CARE)
  • A panel discussion on employment and disability in 2021
  • Invited panelists include: 
    • William Krebs, Advocacy Coordinator, Keystone Human Services
    • India Scott, Certified Supports Broker
    • Peter O’Halloran, Administrative Assistant, Quality Progressions
  • Facilitator:
    • Jamie Ray-Leonetti, Associate Director of Policy, Institute on Disabilities

Please register in advance here: NDEAM 2021 Virtual Celebration

After registering, you will receive a confirmation email containing information about joining the meeting.

For information or to request accommodations, contact: jamie.ray-leonetti@temple.edu
Accommodations must be requested by October 21, 2021.

  • Some workers with disabilities earn less than minimum wage
  • Changes to law are possible but could hurt workers, some worry
By Paige Smith / October 12, 2021 04:46AM ET / Bloomberg Law
Nearly 80 miles outside of Washington, a low-slung, almost windowless building abuts train tracks. Inside, socially distanced people work at long tables, some for less than minimum wage. Linoleum floors and graphic signage conjure memories of elementary school.

This is where Benji K. reports to work five days a week, as he’s done for 28 years. He’s nearly 50 years old now, with a graying mullet and a firm handshake. He wears a Kiss T-shirt—he’s a diehard fan, after seeing them perform live when he was young. He’s created a Kiss museum in his basement, where he collects band memorabilia, and dolls in particular—”too many to count,” he says.

Listen to this story here .

Here at NW Works Inc., Benji, identified by his first name to help preserve his anonymity, assembles screw kits for SouthernCarlson, a tool and supply distributor. He uses a customized and color-coded pegboard to methodically count out the required number of screws. Benji then puts the screws in individual plastic bags. He’s paid based on the number of screw kits he completes each day.

“This is my favorite right here,” Benji said, referencing the kits. “I did 50 yesterday.”

Benji is one of nearly 44,000 workers in the U.S. who legally earn less than the minimum wage solely because he has a disability. For many, their hourly pay is far lower than the federal minimum wage of $7.25. At Benji’s workplace in Virginia, workers earn an average of $5.46.

Benji K. has worked at NW Works in Virginia for the past 28 years and now assembles screw kits at the facility. Debera Taylor, NW Works CEO, is Benji’s boss.

Employers can pay people with disabilities less than the minimum wage if they hold a “14(c) labor certificate.” The policy has come under scrutiny by disability advocates, businesses, states, and even Congress.

Some argue these workers shouldn’t be paid less than minimum wage under any circumstances because it’s discriminatory and amounts to “unjustified segregation.” Others say the program is the best chance for some people with disabilities to earn wages and feel productive. The law raises questions about whether the program offers work opportunities for people who otherwise might not have them, or if it exploits people with disabilities for low-cost labor.

“Their jobs are important to their self-esteem,” said Peter Berns, CEO of The Arc of the U.S., an advocacy group for people with intellectual and developmental disabilities. “We do really care what happens to these people, that they have employment opportunities, or that they have other good opportunities for how they spend their day.”

But Berns adds, “It is going the way of the dinosaur, so to speak. There are better ways to incentivize employers to hire folks with disabilities.”

A proposal that encourages states to end the program was included in the House Democrats’ $3.5 trillion dollar spending and tax reconciliation package. It would provide grants to states to support alternative business models or help workers find jobs elsewhere, in exchange for states ending the payment of subminimum wages over a five-year period.

The legislation is in line with a recommendation from the U.S. Commission on Civil Rights. Some Republicans oppose proposals to terminate the 14(c) program, and the reconciliation package’s ultimate fate in Congress is uncertain.

Paying ‘Commensurate Wage’

The Fair Labor Standards Act of 1938 created the certificate program under the law’s Section 14(c), a carve-out to legally pay people with disabilities a subminimum wage that’s remained on the books for eight decades.

Only certain disabled workers can be paid a subminimum wage under the FLSA, defined as individuals “whose earning or productive capacity is impaired by a physical or mental disability,” such as developmental disabilities, blindness, cerebral palsy, alcoholism, and drug addiction. Workers with disabilities are more widely protected by the 1990 Americans with Disabilities Act, which prohibits employers from discriminating against people with disabilities, including in pay.

Yet unemployment among people with disabilities has remained consistently high. The unemployment rate for persons with a disability was 12.6% in 2020, compared to 7.9% for those without a disability, according to U.S. Bureau of Labor Statistics data.

More than 43,900 workers are employed under the 14(c) program, according to Bloomberg Law data, and as of July 1, employers held 702 active certificates.

The U.S. Department of Labor’s Wage and Hour Division oversees the 14(c) program, both rubber-stamping the certificates and ensuring employers comply with its requirements. The agency found violations in 83% of the 3,325 14(c) investigations it conducted from 2005 to 2020, WHD Acting Administrator Jessica Looman said in an email.

President Joe Biden has called for Congress to eliminate the subminimum wage for disabled workers, a WHD spokesman said when asked about the agency’s stance on the 14(c) program.

Litigation challenging the program has been rare. However, the Civil Rights Commission report last year criticized the DOL and the Justice Department for “persistent failures in regulation and oversight” that allow businesses to profit from the workers’ labor while limiting their “full potential.”

Employers must pay a “commensurate wage,” which is determined through time studies to evaluate a worker’s productivity. The exact dollar amount is then analyzed in proportion to the wage and productivity levels of people without disabilities, according to a DOL fact sheet.

“We know that people with disabilities can work,” said Cheryl Bates-Harris, a senior disability advocacy specialist with the National Disability Rights Network. “We know how to support people with disabilities, we know people can work in thousands of occupations, but we’re just not.”

Berns, CEO of The Arc, also said that there is tremendous unemployment and underemployment for people with disabilities. Berns’ organization has state and local chapters nationwide. Some chapters of The Arc hold 14(c) certificates, though Berns says the organization is working to eliminate them.

The Arc also has other employment options available for people with disabilities beyond its 14(c) programs, as well as day programs and residential services, giving Berns some flexibility. They’re “definitely moving away from the 14(c) program,” he said. “You’re seeing the pace of that exit really escalate.”

It’s a Balance

Debera Taylor isn’t waiting around to find out what might come out of the debate over how to proceed with Section 14(c). Taylor, who is Benji’s boss, has served as chief executive officer of NW Works in Virginia since 2019.

NW Works holds a 14(c) labor certificate and also offers other employment opportunities for workers with disabilities—many of which pay the minimum wage or above. It’s located around the corner from a large Rubbermaid manufacturing facility, and the company is one of NW Works’ longest-standing business partners.

With the writing on the wall as states phase out 14(c) programs, Taylor’s goal is to transition away from that model and she is grappling with how to do so.

“What does that financial impact look like on the organization? Do we have to subsidize any of that contract?” said Taylor. For businesses, it’s not an easy task, but she said it will be possible for her company to remain viable if 14(c) ends.

She said the value NW Works offers, as well as their relatively low overall labor costs to companies, helps attract prospective businesses. Contracting with NW Works for workers who earn minimum wage or above is “still a lower cost solution” for companies looking to work with the organization, she said.

“It is a balance between, ‘how can we balance providing the production to the partner, the vendor partner, and hitting their goals, and still remaining a viable partner for them with the labor and what they pay for us?’” said Taylor.

She would, however, like to see the earnings cap raised for people with disabilities. Currently there is an earning ceiling of $1,310 per month for non-blind workers with disabilities, and workers who earn more than that are in danger of losing federal benefits like Social Security pay.

“If 14(c) goes away and we work our way out of 14(c) and we are paying our clients minimum wage or better, we need to make sure that we’re not putting their other benefits at risk,” Taylor said.

Benji uses a board to count out the correct number of screws for a kit.

Building in Flexibility

Taylor said workers paid under the 14(c) program fulfill jobs for manufacturers, but they also have flexibility because NW Works offers a range of activities for the people who enter the facility each day.

In Benji’s case, that could mean computer time spent looking up pictures of Kiss.

“Maybe he’s just not feeling productive today, he doesn’t want to work, and the job coaches in the back see that,” she said. In that case, workers can go into the facility’s community day program, or volunteer in the community in some capacity.

“It’s about choice,” Taylor said.

Kevin Fritz, an attorney with Seyfarth Shaw LLP in Chicago, has counseled employers interested in learning more about the 14(c) program, and said that “in all cases,” he’s advised against it.

“I’ve never, ever recommended that they apply,” he said. “I’ve never seen this as an area where I’ve found it to be appropriate.”

Fritz said it was important to know what the U.S. Equal Employment Opportunity Commission thought about the program, the agency which enforces federal workplace anti-discrimination law, including the ADA. The agency declined to provide a response on its official stance, though it has previously won judgments against employers that paid “severely substandard wages” to workers with intellectual disabilities.

“The world has changed so much, even in the past 10 years, that individuals with disabilities are able to participate in ways that they never have been able to before,” Fritz said.

Will Workers Be Left Behind?

No one really knows what could happen to the workers, though, if Section 14(c) is phased out, and whether workers with disabilities would lose employment opportunities.

Alaska, Maine, Maryland, New Hampshire, and Vermont have fully done away with a subminimum wage for workers with disabilities. California, Colorado, Hawaii, Oregon, and Washington have passed laws that will do the same in the coming years, according to Bloomberg Law research. On Oct. 4, Illinois banned state agencies from entering into new contracts that pay a subminimum wage and mandated they re-negotiate existing contracts to pay at least the minimum wage.

There aren’t, however, extensive studies on what’s happened in those states for workers who were previously employed by 14(c) labor certificate holders.

“There are people who can be moved to competitive employment and there are people who would have great difficulty doing that,” said Peter Blanck, head of the Burton Blatt Institute at Syracuse University. Blanck has studied disability law, as well as the 14(c) program.

“We’re at a novel time where people are looking for ways to reform the 14(c) program, and it’s not as simple as just raising the minimum wage for everyone,” Blanck said. “You might have the same outcome whereby many people with disabilities who don’t need to be there just stay there.”

Hugo Dwyer, the executive director of the advocacy group Voice of Reason, agreed that if 14(c) goes away, workers will be left behind.

“You’ve got two places to go; either competitive employment, and if you can’t do that, then you go back to a day center,” Dwyer said. “It’s cutting them off gradually, but it’s cutting them off.”

As for Benji, when asked what he would do if his job of assembling kits was no longer available to him, he had a straight-forward answer: “Whatever they want me to do.”

—With assistance from Christine Pulfrey and Jasmine Han.

To contact the reporter on this story: Paige Smith in Washington at psmith@bloomberglaw.com

To contact the editors responsible for this story: Cheryl Saenz at csaenz@bloombergindustry.com; Jay-Anne B. Casuga at jcasuga@bloomberglaw.com

 

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Summarized below are the dates for the PA Family Network workshops and monthly events for the remainder of October and into the first week of November. The corresponding flyers are also included.

October 11, 2021 • 6:00 pm – 8:00 pm
Safety in the Community Workshop

October 18, 2021 • 6:30 pm – 8:00 pm
SIBLING Good Life Group

October 20, 2021 • 6:30 pm – 7:30 pm
Family Forum: Updates

October 21, 2021 • 12:30 pm – 2:30 pm
DIRIGIR. El camino a las Relaciones Saludables
(L.E.A.D. the Way to Healthy Relationships Workshop IN SPANISH)

October 21, 2021 • 6:00 pm – 8:00 pm
Long Term Planning

October 23, 2021 • 10:00 am – 12:00 pm
Safety in the Community Workshop

Combined on One Flyer:
October 26, 2021 • 10:00 am – 12:00 pm
Waiver Basics (101) Part 1 Workshop

October 26, 2021 • 1:00 pm – 3:00 pm
Waiver Basics (101) Part 2 Workshop

October 27, 2021 • 6:00 pm – 8:00 pm
L.E.A.D. the Way to Healthy Relationships Workshop for SIBLINGS

October 28, 2021 • 6:00 pm – 8:00 pm
Safety in the Community Workshop

Combined on One Flyer:
November 2, 2021 • 6:00 pm – 8:00 pm
Waiver Basics (101) Part 1 Workshop

November 4, 2021 • 6:00 pm – 8:00 pm
Waiver Basics (101) Part 2 Workshop

November 6, 2021 • 10:00 am – 12:00 pm
L.E.A.D. the Way to Healthy Relationships Workshop

Did you know that StationMD is more than just a telehealth provider? At StationMD, our goal is to provide superior care for the individuals served by our clients. For that reason, we have developed an educational component to our service to provide education and information to client staff via our educational webinars.

The session topics are supported by evidence-based best practices, and have been created and reviewed by our Chief Medical Officer. Upon request, talks can be presented live by one of our board-certified doctors and can be tailored to various audiences including DSPs, nursing staff, and family members. StationMD clients can easily access recorded sessions via our website.

Some of our current webinar topics include:

  • COVID-19;
  • Abnormal Glucose Guidelines;
  • Infection;
  • Vitals;
  • Agitation; and
  • Wound Care.

Contact us to learn about other benefits we provide to our clients.


This post is part of StationMD’s “Did You Know?” series. Each month, we share good-to-know information about our telemedicine service that is dedicated to individuals with intellectual and/or developmental disabilities (IDD) so that you can have a deeper understanding of how StationMD works.

To read previous topics, use this link

Photo by Markus Winkler from Pexels

On September 28, 2021, AmeriHealth Caritas, which operates Medicaid managed care plans in 13 states and the District of Columbia, launched a new wholly-owned subsidiary called Social Determinants of Life, Inc. The subsidiary will invest in, support, and deploy solutions to help members build resilience, and help improve their health and create a path out of poverty. AmeriHealth Caritas is currently hiring for key leadership positions at the new company.

As the first step for Social Determinants of Life, Inc., AmeriHealth Caritas invested $29 million in Wider Circle in a $38 million funding round, becoming Wider Circle’s largest shareholder. Wider Circle is a California-based startup that builds tech-enabled, hyper-local health programs and peer-to-peer social networks. Its community care model is centered around trust, where culturally competent community engagement leaders and volunteer member ambassadors form groups with their neighbors to inform, support, and motivate one another to be more engaged and proactive about their health. Wider Circle is using the investment funds to continue developing and expanding its model. AmeriHealth Caritas has not released details about how Social Determinants of Life will leverage the Wider Circle model.

Commenting on the funding round, Darin Buxbaum, president and chief operating officer of Wider Circle said, “With the support of AmeriHealth Caritas’s new Social Determinants of Life, Inc., Blue Venture Fund and others, Wider Circle is well positioned to extend our proven hyper-local engagement model to improve health outcomes in communities nationwide.” Wider Circle offers programs to tens of thousands of members in more than 320 communities nationwide across the country

Wider Circle works with Medicare Advantage plans, Medicaid managed care organizations and capitated provider organization groups. The company seeks to align with the health plan sponsors through a per engaged member per month payment model. In this model, Wider Circle is paid for each actively engaged member as long as the member remains engaged in the Wider Circle group. The groups meet 10 or more times each year at favorite local public meeting spots, and connect on the phone every other week.

Wider Circle uses an evidence-based, data-driven approach to identify and group health plan members at the local level based on demographic and similar backgrounds. The company hires community engagement and outreach specialists from the same communities to invite health plan members to participate in the local groups. From there, neighbors help the group recruit other neighbors and open doors that would otherwise remain closed.

Trained facilitators build trusted groups of neighbors in a culturally competent manner by engaging members via weekly small-group meetings for six weeks. During this group formation period, the facilitators recruit and encourage able members to become volunteer “ambassadors” to help lead the group and ensure that members are informed about planned meetings and have access to the resources they need. To support the group leaders Wider Circle has employees in every community supported by Area Managers and state and account leadership.

After training, the group members support one another through tailored in-person and virtual interactions. The groups can meet in restaurants, parks, community centers, houses of worship, and other public gathering areas. The group members meet almost every month and chat on the phone every other week.

Wider Circle programs have helped Medicare and Medicaid plan members improve preventative care utilization and vaccine adoption rates while reducing hospital days. During the coronavirus disease 2019 (COVID-19) public health emergency, the Wider Circle groups supported participants facing isolation, delivered more than 180,000 meals, and helped participants access comprehensive social support services.

AmeriHealth Caritas serves nearly 5 million Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) members through its integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, and behavioral health services.

OPEN MINDS last reported on AmeriHealth Caritas in the following articles.

For more information, contact:

OMHSAS Offers Free Virtual Training:
The Coach Approach Workshop for Young Professionals

Message from OMHSAS:

The Office of Mental Health and Substance Abuse Services (OMHSAS), in collaboration with the PA Care Partnership, is excited to announce that we will be offering a free, two-day virtual workshop entitled “The Coach Approach Workshop for Young Professionals” to be held on October 22, 2021, 9:00 am–3:30 pm and October 25, 2021, 9:00 am–3:30 pm.

The Coach Approach for Young Professionals Workshop was developed to support young professionals and various organizations that provide services and supports build stronger relationships, collaborations, and teams through equity and partnership rather than taking control or giving advice. A detailed overview of the workshop can be found here.

As a follow up to the great work that our Healthy Transitions (HT) counties accomplished under the HT grant, we would like to offer this first two-day workshop to young adult professionals and providers from Berks, Bucks, and Washington Counties, as well as participants from any of our System of Care (SOC) counties. This will be the first of three workshops that will be offered across the state, and based on your experience and expertise, we are very interested in your participation and feedback in order to shape how this continues forward.

*Please note, this is an interactive virtual workshop via Zoom and will require you to use a camera.

Participation is limited; please email to reserve your space.

The Pennsylvania Department of Aging recently announced a “Save the Date” for an upcoming virtual forum with the Alzheimer’s and Dementia Related Disorders Task Force on November 4, 2021 from 9:00 am–12:30 pm. The primary topic of the virtual forum is Physician and Consumer Education in Early Detection, Diagnosis, and Treatment.

Registration will open on October 13, 2021. Questions should be directed to Heidi Champa, Aging Services Specialist.

More than $12 million in federal grant funding for services and supports designed to improve outcomes for individuals in recovery from substance use disorder has been awarded to Pennsylvania grantees.

The Department of Drug and Alcohol Programs (DDAP) will administer funding to grantees to provide employment support services, expand and enhance community recovery supports, and provide supports services to pregnant women and postpartum women in recovery from SUD. The grants are part of $55 million in federal funding awarded to Pennsylvania through the SAMHSA Substance Abuse Prevention and Treatment Block Grant Program COVID-19 Supplemental Awards.

Please read the press release.