Speaking out for People with
 Intellectual and Developmental Disabilities

Status of Provisions in the Build Back Better Act

The US Senate has been unable to pass the Build Back Better Act as written. However, several provisions of the bill are likely to be brought before congress in existing bills, as new bills, as part of appropriations bills or continuing resolutions, or bundled together with other bills and passed as new legislation. We are tracking those efforts and will keep our members informed as they appear.

The provisions of the Build Back Better Act that have concerned our families include:

  • An increase in FMAP (federal matching funds) for HCBS services only. VOR has requested parity for ICFs and other congregate care facilities for people with I/DD.
  • Increased pay and training for Direct Support Professionals who serve in HCBS settings. VOR believes all DSPs deserve better wages and training, regardless of the settings in which they serve. Supporting workers in HCBS settings only will make it iimpossible for ICFs to compete in staffing their facilities.
  • Provisions in the BBB Act would have awarded grants to states to create new opportunities for Competitive Integrated Employment, but only on the condition that they phase out 14(c) certifiacates and facility based employment with commensurate wages. VOR supports all opportunities for the diverse I/DD population and allowing individuals and families to choose what is best for them.
  • Permanent authorization of Money Follows the Person. VOR believes that MFP has been used to erode the ICF system, and should be examined by a congressional committee in order to remedy its misuse before being re-authorized.