Easterseals Louisiana requests $465K to enhance support coordination services for individuals with disabilities

The Finance Committee of the Louisiana Legislature convened on May 22, 2025, to discuss critical funding for disability services in the state. A representative from Easterseals Louisiana, a nonprofit organization established in 1951, presented a request for an appropriation of $465,000 from the State General Fund as part of House Bill 1. This funding aims to support coordination services for individuals with disabilities.

Currently, approximately 31,000 individuals in Louisiana benefit from Medicaid waiver home and community-based services, which enable them to receive essential support in their homes rather than in more restrictive environments. The representative emphasized the role of support coordinators, who serve as the central point for service delivery, ensuring that individuals receive necessary care and assistance. These coordinators maintain long-term relationships with participants, sometimes spanning decades, to ensure ongoing support and eligibility for services.

However, the organization faces significant challenges due to inflation outpacing the stagnant Medicaid reimbursement rates, which have only increased by about 8% since 1999. This discrepancy has led to financial strain on support coordination agencies, which also perform essential intake activities without reimbursement. The lengthy process for Medicaid to determine eligibility—averaging six months—further complicates the situation, as agencies continue to provide necessary services during this waiting period without compensation.

The discussions highlighted the urgent need for increased funding and support for disability services in Louisiana, as the current system struggles to meet the growing demands and costs associated with providing adequate care. The Finance Committee's decision on the funding request will be crucial for the future of support coordination services in the state.