New York’s I/DD community needs investments to save the state’s care service system that supports thousands of New Yorkers with intellectual and developmental disabilities.
New York Disability Advocates (NYDA) is a statewide coalition of more than 300 non-profit organizations providing vital services and support to more than 130,000 New Yorkers with intellectual and developmental disabilities. Across the state, these organizations provide comprehensive and individualized services and programs that support people with developmental disabilities in all areas of their lives—from physical and behavioral health services, to cooking and feeding, to creating meaningful employment opportunities.
The COVID-19 pandemic and subsequent economic crisis exposed the vulnerabilities of this essential system of care and had a devastating effect on individuals with I/DD, who are at increased risk of contracting and suffering serious complications from the coronavirus. Now, this system is on the verge of crumbling as a result of looming budget cuts, chronic underfunding, and the impacts of the pandemic.
90% of the sector’s funding comes from the state government. Therefore, to sustain the system long-term and allow organizations to continue to provide lifelong support and care, New York State must:
COLA – 8.5% FOR SFY 2024
Following a decade of provider agencies not receiving the statutorily required Cost of Living Adjustment (COLA), the inclusion of the 5.4% COLA in SFY 2023 was a crucial investment in our field. However, due to significant inflationary growth and the global supply chain, agencies’ operating cost has increased significantly necessitating the COLA be included in the Executive’s SFY 2024 Budget.
Significant cost increases related to mandated fringe benefits, repairs and maintenance, utilities, food, supplies, transportation, and insurance over the past 12 months have resulted in significant financial pressure on agencies. Additionally, since the I/DD provider agencies are solely funded by Medicaid, agencies are unable to increase reimbursement for services to compensate for increased costs of operations.
DIRECT SUPPORT PROFESSIONALS
Permanent investment in Direct Support Professionals’ (DSP) salaries is essential to recruit and retain staff for the future viability of the field. As highly skilled professionals dedicated to the essential care of individuals with I/DD, DSPs take on numerous critical responsibilities to uplift the safety, productivity, and well-being of the entire I/DD community.
DSPs are responsible for providing important practical & administrative support such as first aid & CPR, administering medication, meal preparation or transport facilitation, as well as, attending to the comprehensive social, emotional, & psychological needs of those they care for. Whether it’s teaching personal care skills and money management or directing crisis de-escalation, DSPs are required to be well trained, skilled, and constantly prepared for all the essential life-support services their profession demands.
Through their fundamental support & services, DSPs are integral pillars of support for New York’s I/DD community and are crucial in ensuring that over 130,000 New Yorkers with I/DD can live their highest quality of life.
DIRECT SUPPORT WAGE ENHANCEMENT
NYDA is recommending the establishment of a new Direct Support Wage Enhancement (DSWE) as part of the SFY 2024 New York State budget. Through the proposed DSWE, provider agencies would receive an annual funding allocation of $4,000 per eligible employee to be used for the purpose of enhancing the hourly rate of pay for all staff that have direct care/support responsibilities for individuals with I/DD. This will provide agencies with the ability to increase the hourly pay by approximately $2.19/hour annually for eligible staff presuming each staff member receives the same increase. Funding must be utilized by provider agencies to enhance the rate of pay for direct support employees.
Fosters independence, support families and prioritize inclusion
Employs more than 120,000 New Yorkers, mostly women and minorities
The I/DD service sector is frequently one of the largest area employers, driving increased economic activity in communities
Addresses external health impacts and providing cost-effective delivery of care
Join the effort to make New Yorkers with intellectual and developmental disabilities a priority! Send a message to the State to save this system of care.