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Governor Terry Branstad signed Senate File 2320, which makes sure Iowans with disabilities have options to self-direct their care.  Last year, the Iowa Legislature approved language that would have required providers of Consumer Directed Attendant Care (CDAC) services to be affiliated with an agency.  Under this change, CDAC providers would no longer be able to also serve as their clients' legal guardians. So many family members that provided CDAC services would have had to become employees of an agency and stop being their loved ones' legal guardians in order to continue to provide care.

This year, legislators reversed this decision, allowing a more orderly transition that gives Iowans with disaibilities more options in self-directing their care. Senate File 2320 allows any CDAC providers under contract as of June 30, 2016 to continue to provide services independently (not affiliated with an agency).  Beginning July 1, 2016, people with disabilities wanting to self-direct their care can hire an agency-affliated CDAC provider or hire an independent provider through the Medicaid Consumer Choices Option (CCO).  Providers may continue to be their clients' legal guardians, but they will need to include safeguards in their contract that spell out the payment rate, prohibit billings of more than 40 hours per week, and outline a contingency plan if they are not able to perform their duties because of illness or other unexpected event.  You can see the final bill here.