The state had clear warning: come up with a plan to improve conditions at the Austin State Supported Living Center by June 17 or lose $29 million in federal assistance. June 17 came and went, but the facility is still out of compliance.
It is unclear, however, if the feds will make good on their threat to cut off the Medicaid funding. Though the situation is far from being clearly delineated, it would be wise for officials responsible for the operation of the Austin facility and 13 others like it scattered around the state to plan on how the lost funding will be made up — obviously the short-term solution. The longer term solution will be for the Legislature to take a long, hard look at fixing an obviously dysfunctional system of care for people with intellectual disabilities.
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