CDCAN LogoDISABILITY RIGHTS NEWS REPORT
California Disability Community Action Network: Advocacy Without Borders: Connecting People With Disabilities, Mental Health Needs, Seniors, Traumatic Brain & other injuries, People with MS & other health needs, including People of color, different languages, cultures,  Families, Workers, Providers, & Organizations to Rights & Unified Action

REMEMBERING SHIRLEY KLEIN WHO DIED AT AGE 74
Report #066-2007  May 6, 2007 Sunday
To respond to this email, reply to: martyomoto@rcip.com   CDCAN website: www.cdcan.us


FEDERAL NEWS
* President Nominates Kerry Weems New Medicare & Medicaid Chief
* Currently Deputy Chief of Staff to HHS Secretary Mike Leavitt
*  Impacts Relationship with California's Medi-Cal Program

SACRAMENTO -   President Bush nominated last week Kerry N. Weems, a long time federal health official with a strong financial background, asNew CMS Administrator Kerry Weems (sitting) the new chief to oversee the federal Medicare and Medicaid programs (called the "Centers on Medicare and Medicaid Services" or CMS) that impact millions of seniors, people with disabilities and the low income families across the nation.  Weems (pictured right, sitting, in a 2005 photo) currently is the deputy chief of staff to Secretary Mike Leavitt of the US Department of Health and Human Services - the agency that oversees the Centers of Medicare and Medicaid Services.  He succeeds Mark McClellan, who resigned in October.   The nomination requires approval by the US Senate. [Note: CDCAN will be scheduling a Townhall Telemeeting with the new administrator in the coming weeks - watch for announcement] 

President Bush also nominated Tevi David Troy, currently deputy assistant to the president for domestic policy,  to be deputy secretary at the US Department of Health and Human Services.

Some observers said that  the nomination of Weems, who has worked over 24 years in the US Department of Health and Human Services is unsual since the high profile position usually is filled by not by a career department official but a political  appointment.

Secretary Leavitt however said that "Both Troy and Weems] bring a broad array of knowledge, management experience and expertise that will enhance our ability to advance effective policies to improve Americans' health." 

And a former department official, Alex Azar, former Deputy Secretary of the department praised Weems long department experience, saying  that , "If you're looking for somebody who knows the programs inside and out, and knows also how to get things done in the government with no transition period, he's it. He's been at the center of all that."

The Bush Administration has less than two years to go before a new president takes office. 

Medicaid Program Serves Over 6.8 Million People In California -  Impact of New Appointment
* Medicaid, with a budget of about $200 billion in 2006, provides health coverage across the nation to nearly 53  million people with disabilities, low income seniors, the blind and people who meet eligibility requirements under the old "Aid to Families with Dependent Children or AFDC" (called "CalWORKS"in California). Nationwide, in 2007, persons on Medicaid include 5 million seniors 65 and over, 8.5 million blind or persons with disabilities (including developmental), 11.1 million are needy adults and 23.5 million who are needy children.
*  In California the Medicaid program is called "Medi-Cal" and has about 6.8 million people total enrolled, with about 1.6 million of that number persons with disabilities, seniors or the blind.  This includes people who receive In-Home Supportive Services, many regional center funded community-based services, persons in developmental centers, many persons in skilled nursing and other health facilities, and also includes thousands who are eligible for both Medi-Cal and Medicare services. 
* The federal Medicare program provides coverage for about 43 million seniors and persons with disabilities, with a budget in 2006 of about  $408 billion.
* The new Administrator for the Centers of Medicare and Medicaid Services will have important impact to the Medi-Cal program in California, especially as the State moves forward in several areas requiring special approval from the federal government including the waiving of existing Medicaid rules for special programs and grants, and additional funding - some of which is targeted as part of the different major health care reform measures pushed by Gov. Arnold Schwarzenegger and the Democratic legislative leadership.
* The new Administrator can also have impact on further implementation of the federal 2005 Deficit Reduction Act impacting the Medicaid Program. 

Acting CMS Administrator Will Stay On Until New Chief Is Approved by US Senate
Leslie Norwalk, who is serving as acting administrator of the Centers on Medicare and Medicaid Services (CMS)  since Mark McClellan resigned in October, previously withdrew herself from consideration for the nomination saying that  "I believe the next administrator must be committed to stay for the remainder of the administration. It was not easy, but I decided early in the search process that I could not commit to staying for another two years..." though said she would remain as acting administrator until Weems is confirmed by the US Senate. 

McClellan announced his resignation on Sept. 5, 2006 saying that he wanted to spend more time with his family and  later joined a center for regulatory studies run by two think tanks in Washington, the Brookings Institution and the American Enterprise Institute.

An economist and doctor, McClellan helped put in place the controversial Medicare Part D prescription drug crisis that went into effect January 1, 2006 sparking a crisis for hundreds of thousands of seniors, people with disabilities eligible for both Medicare and Medicaid benefits, unable to get needed prescription drug medications.  In California last January, the Governor issued an emergency order providing emergency drug coverage to tens of thousands of people with disabilities and seniors eligible for both Medicare and Medicaid and unable to get their drugs. 

Secretary Leavitt Praises Nomination

Photo Michael O. Leavitt, Secretary of US FDepartment of Health and Human ServicesSecretary Leavitt (pictured left) said that he was "...pleased that the President has announced two strong nominees for the [Department of Health and Human Services] senior leadership team.  Both bring a broad array of knowledge, management experience and expertise that will enhance our ability to advance effective policies to improve Americans’ health."

Leavitt noted that Weems' "...wealth of experience as an advisor to several [Department of Health and Human Services] secretaries and as a manager of large budgets and organizations will make him successful in the role of Centers for Medicare & Medicaid Services (CMS) Administrator."
 
"He understands the large fiscal challenges facing Medicare and Medicaid and what it will take to strengthen and sustain those programs for the future.  Further, he has been a leader in this department's efforts to accelerate adoption of health information technology and better financial management systems, which will be a valuable asset to CMS" said Leavitt, adding that Weems is "...well respected within the health care community and will be valuable [asset] to the department..."

He urged the US Senate - controlled narrowly by the Democrats, to act quickly on both nominations. 

Background on Weems
* Weems, who has worked within for the US Department of Health and Human Services for 24 years, previously served as acting assistant secretary for budget, technology and finance under Secretary Tommy Thompson, Leavitt's predecessor, and as chief financial officer for the department. In that role he provided advice and guidance on budget formulation, analysis and preparation; managed department wide financial management issues; and oversaw the department's chief information officer.
* Weems has been one of Secretary Leavitt's most trusted advisers on budget issues
* Since June 2002, until becoming deputy chief of staff to the Secretary, Weems has served as the deputy assistant secretary for budget, where he provided expertise and advice on the largest budget of any federal department.
* Weems was responsible then for all budgetary program policy and management issues, including the development of the US Department of Health and Human Services budget and its presentation to the federal Office of Management and Budget and to the uS Congress.
*  Weems began his role as deputy assistant secretary in an acting capacity in January 2001. Previously, he served as the director for the Division of Budget Policy, Execution and Management.
* Weems has received a number of department awards, including the Presidential Rank Award in 2001, the Secretary's Distinguished Service Award in 1995 and an HHS Senior Management Citation in 1993.
* Weems earned a master's of business administration from the University of New Mexico in 1981, and earned two bachelor's degrees in philosophy and management from New Mexico State University.

REMEMBERING SHIRLEY KLEIN
[CDCAN Note: I will include other selections of her poems in my tribute to Shirley and post on the CDCAN website]

Signing of the ADA (Dedicated to my father, William Klein, who died the next day)
By Shirley Klein


When the last pen stroke died
my father slept assured
that promises would finally open their front doors to me
which I could enter on ramped opportunities
into broad hallways
that no longer held the tyranny UPSTAIRS,
- that I could see the splendor of Beethoven
or feel the texture of Michaelangelo;;
- that I could read the voice of a distant child
or hear the softness in my lover's eyes
or type the answer to my mother's touch
- that my learning would be measured by my will
and not by barbed numbers
- that my wheels could take flight to open adventures
or ride the rails of access through the beauty of my land
Yes, my father could finally rest
After the pen parted the waters
And he saw me to the shore
That had eluded us so long


Published 1993 - Seedlings



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MANY THANKS to Manteca CAPS, Training Toward Self Reliance, UCP, California NAELA, Californians for Disability Rights, Inc (CDR) including CDR chapters, CHANCE Inc, Parents Helping Parents, Arriba, Strategies To Empower People, Parents Helping Parents, Asian American parents groups, Resources for Independent Living and many other Independent Living Centers, several regional centers, People First chapters, IHSS workers, other self advocacy and family support groups, developmental center families, and hundreds of individuals.