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Consumer Directed Attendant Care Stays Alive

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Both the House and Senate saved bills that give Iowans with disabilities two options in self-directing their care. These bills both preserve options for people who want to self-direct their care, either with a Consumer Directed Attendant Care (CDAC) agreement or a Consumer Choices Option (CCO) employment agreement.  While both bills have the same goal, they are not the same:

  • House  File 2097 by Representative Dawn Pettengill eliminates the requirement passed by the Legislature last year to move to agency-based CDAC providers, returning everything to the way it is now (individuals can act as CDAC providers and individuals do not have to go through an agency to find a person to provide the services).  The bill also clarifies that a person can be both CDAC provider and legal guardian.
  • Senate File 2066 by Senator Tom Courtney was amended to require DHS to redo its rules so that a person may serve as both a legal guardian and CDAC/CCO provider.  Beginning July 1, 2016, DHS is allowed to require CDAC services be delivered through an agency, but also requires that the Consumer Choices Option be available to people wishing to self-direct their care with an individual that they hire.   However, any CDAC provider providing services when this change goes into effect on July 1, 2016 will be able to continue to work as an individual, and not required to become affliliated with an agency.