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Seeking equity, parity and recognition for the Recovery Community on Long Island

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Access to Treatment Bill Insurance Reform Update

LIRA is pleased to be one of the voices working closely with other groups and agencies on Long Island and across the state to support passage of Legislation (Senate Bill S4623) Assembly Bill (A7003) that would give decision making authority for addiction treatment (type and duration) to Qualified Health-care Professionals (QHP) in New York State.

Each week someone we know shares another horrendous story about coverage for sorely needed life saving treatment being denied as insurers continue to discount the rights of those in need of addiction treatment. We view these practices as civil rights violations, discriminatory in nature and devastating to families across New York. We must remain steadfast and united until these gross injustices are righted and people can access the treatment they need to get well.

Nationwide there are more then 23 Million Americans in Recovery, many of who have been able to find the path to freedom from addiction after building a strong foundation at an inpatient treatment center..

We are determined to stay the course until these discriminatory barriers are removed.

We urge everyone to Support NY State Senate Bill S4623 and Assembly Bill A7003.

Involuntary Treatment Legislation
Due to the cunning presence of denial as a key defense mechanism in the addiction process  LIRA supports creation of an involuntary treatment law; where family members and concerned others can petition the courts to mandate addiction treatment against the will of an individual. This life saving legislation already exists in states like Florida & Kentucky

Timothy's Law (top)
LIRA worked feverishly for over three years in support of Timothy’s Law and despite our relentless efforts a compromise was reached which excluded coverage for addiction treatment.  While we are pleased that progress was made and those with mental health issues, including MICA (dual diagnosis) have gained additional coverage, we will continue to do battle to gain equality for chemically dependent people.
Read more.

Federal Parity (top)
In October 2008 President George W Bush signed the federal Mental Health Addiction Treatment Parity Act into law. This major victory for recovery advocates requires insurers to cover addiction treatment in the same manner as they do other medical conditions ending years of discriminatory practice that prevented many in need from accessing sorely needed services.  We are proud to have been a driving force in New York having assembled a Parity group of more then 20 organizations who worked together with other local, state and federal stakeholders to help make parity a reality.  This team approach reinforces what we can accomplish by working together with other groups and all levels of government.

Sober Homes (top)
Major progress has been made on the sober housing front since LIRA first identified this as an area of concern back in 2000. Our sober housing team under the umbrella of Long Island Congregations Associations and Neighborhoods (LICAN) was the driving force behind the issue seeking to improve living conditions, confront disreputable outfits and reward good providers for a job well done. Significant  progress has been made.

Since we began work on this crucial recovery issue back in 2000 much has transpired.

After initial complaints from sober homes residents inspired an investigation our LICAN team devoted a great deal of time and energy into researching the history of the issue on Long Island.

Our initial gestures and offer to work cooperatively with the identified housing operators were rebuffed so we regrouped and outlined a strategy.

After bringing Newsday & Cablevision Channel 12 on board we recruited IAF Senator Chuck Schumer to Long Island for a press conference as our team continued to increase public pressure.  Senator Schumer called for a federal probe of one of the outfits in question and then two public assemblies were held in Brentwood and Huntington, attracting more then 400 people and the media.

Next we targeted OASAS involvement and pressed OASAS officials to take action.
As a result of their extensive investigations two large treatment organization groups with extensive housing operations were found to be in violation of OASAS standards and as a result were fined a combined several million dollars and these operations were ultimately issued cease and desist orders, after failing to respond to overtures to make improvements and work with OASAS and Long Islands Recovery community.

In response to the closing down of these outfits OASAS then designated a whopping $26.6 million dollars to LI for the creation of 100 new community residence beds.

The LICAN housing team initiated the creation of the Sober Living Network of Long Island (SLN)  More then 40 people attended an invitational meeting of the Sober Living Network of LI. 15 separate groups applied for membership willing to agree to quality standard(s) and pay dues for support of the group to provide oversight, inspection of homes and handle disputes and grievances.

Teams of designated inspectors visited about two dozen applicant homes and were prepared to work next with Suffolk County to find funding and support for the grassroots community group.

Another result of the effort led to a statewide OASAS residential needs task group being formed and members of LIRA, LICAN, QCSC along with OASAS reps and other treatment folks and interested groups began regular meetings via tele-conference between LI and Albany.  This group totaled nearly 50 people from across the state.

Suffolk County became more actively involved and Legislator Kate Browning worked diligently to address complaints in her Eastern Long Island district.

She met with many of us and was invited to tour a respected home in Flanders where we met again to outline a plan of action. 

The Suffolk legislature charged its Welfare to Work (WTW) commission with investigating the issue in earnest.  The WTW did a thorough job meeting with many of our experienced leaders and holding two public hearings which contributed to the findings in the report delivered to the legislature.

Suffolk County Welfare to Work Commission Sober Homes Report to The Legislature

Nearly every suggestion from our housing team was adopted into the report.

The Legislature then directed Suffolk DSS to create a Request for Qualifications  (RFQ) for operators of quality sober homes. In exchange foe agreeing to hands on oversight and a commitment to quality standards and safety this initiative would increase the reimbursement rate for qualified high quality housing operators from $309.00 per month to $500.00 for room and from $448.00 to $600 for those providing room & board.

While difficulties remain with the implementation and functional criteria of this plan, the progress should not be underestimated.  The $309.00 rate had remained without an increase for over 40 years.

Our OASAS task force met again and several of our reps encouraged DSS to offer more liberal criteria allowing several respected and deserving operators to qualify for the RFQ.  As of March 2012 further action on this request is still in the works

Most recently The Suffolk Legislature created a Sober Home Oversight Board and LIRA and our friends are represented and helping to shape the scope of work for this pro-active group.   LIRA remains committed to represent the voice and needs of the recovery community.

We look forward to further developments and we support efforts of the recovery community and their legal advisors in Brooklyn as they seek to tackle an emerging and similar issue.

The Suffolk County Sober Homes Oversight Board continues to meet and a revised RFQ has been released that will provide increased revenue to quality operators.  48 Beds will be used as the pilot LIRA & The Long Island Council Alcoholism and Drug Dependence (LICADD) and Long Island Congregations Associations & Neighborhoods (LICAN) are collaborating to revive our plan to create a sober living network consisting of quality recovery home operators that will oversee the quality, safety and performance of existing homes on LI. Inspections and self regulation will be key components as we seek to build on the recent efforts to reign in wayward providers and reward the good providers who put a quality residential experience at the forefront of their operations.

Additional updates will be posted as they become available.

F.I.S.T.- Families In Support Of Treatment (top)

Please sign and circulate this important access to treatment petition. Click here to download the petition. for additional information including where to submit the petitions.