Texas Mental Retardation Services System

A Crisis That Must Be Dealt With Now

For over thirty years, Texas has built a statewide system of community supports for individuals with mental retardation.  Over the past six years however, population growth, rising health care costs and limited access to funding resources have threatened the availability and quality of not only services to those currently being served, but to those in need.  It is a crisis that nobody wants to talk about.

The critical under-funding of mental retardation services in our state has prompted a call for action by a coalition of all the major mental disabilities advocates in Texas.  The Community Services Coalition asks that you work to provide our most vulnerable citizens with the highest standards of care and the opportunity to lead a productive and dignified life that every Texan deserves. 

Join the Community Services Coalition by supporting and allocating:

$15.9 million (state funds, biennial) to Maintain Current Services for HCS Waiver Program.  Without these dollars, an estimated average of 183 persons will lose their services.  The HCS Waiting List is currently over 18,000; Texas cannot afford to allow persons with critical needs to loose their services.

$80.4 million (state funds, biennial) to Address Equity Funding Issues Across the Local Community Mental Retardation Authorities.  This request is intended to address areas of the state with below average per capital funding levels for community mental retardation services by distributing Medicaid HCS Waiver slots (1,344) to the local MRAs that are below the mean.  If this item is not funded, TDMHMR will not achieve its objective of equity funding for mental retardation.

$6.8 million (state funds, biennial) to Upgrade Salaries for Nurses in Community Direct Care Settings.  This request will help address recruitment and retention issues for nurses employed by community centers and by private providers of waiver and ICF-MR services.  As the national nursing shortage worsens, community providers will continue to have difficulties in staffing and retaining nurse positions.  These medical positions are critical to client care and compliance with accreditation standards.

$81.1 million (state funds, biennial) to Upgrade Salaries for Community Direct Care Staff.  These funds are requested to provide for a salary increase for community direct care workers and their supervisors to address critical recruitment and retention issues experienced by community care providers.  This request will provide for close to a 10% salary increase for direct care workers in the community, bringing these workers closer to the salaries paid to direct care workers in TDMHMR facilities (state schools).

$71.3 million (state funds, biennial) to Reduce the HCS Waiver Waiting List.  This request will provide waiver services to 1,200 persons who are on the HCS Waiting List.  This item, the beginning of a multi-year effort to address the waiting list, will address 15% of the current HCS waiting list.

Remedy the crisis!

Support $255.5 million (state funds, biennial) for community mental retardation services.

 

BACK