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Wyoming task force narrows ‘essential services’ for vulnerable adults, urges agencies to refine recommendations

5923258 · August 23, 2024
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Summary

The Mental Health & Vulnerable Adult Task Force reviewed a drafted list of essential services and voted to have the Legislative Service Office work with state agencies to refine a policy recommendation and include resource shortfalls in a report.

The Mental Health & Vulnerable Adult Task Force reviewed a condensed list of “proposed essential services” for vulnerable adults and voted to direct the Legislative Service Office to work with state agencies to finalize language for the task force’s report.

The vote, moved by a task force member and approved by the group, followed extended discussion about who should provide housing, temporary safe places, medical care, transportation and case management for adults who are elderly, functionally impaired or otherwise vulnerable.

Task force members said the draft deliberately emphasizes leveraging existing programs rather than creating large new state services. “We need to do better with what we have,” Director Johansen said as the group described using Medicaid waivers, Department of Health home-based services and senior-center programs to meet many needs. Director Schmidt told the committee: “We receive $80,000 of biennium to provide all of these services,” and said those funds are limited and intended for short-term emergency support rather than long-term housing or care.

Why it matters: task force members said Wyoming’s aging population and rising demand for adult protective services make clearer definitions of state and local roles urgent for communities and service providers. The group framed its work as producing policy recommendations—rather than new statutes—to guide agency implementation and budgeting.

Discussion and supporting details

Members debated how the draft treats housing needs for people who are homeless or living in unsafe homes. Senator Bartle said the draft appears to presume a person “is not homeless” and urged the wording and responsibility column be clarified for homeless adults. Director Johansen and Director Schmidt described current practice: DFS can arrange temporary emergency housing (hotel or similar) for short periods while casework proceeds, but the agency lacks authority and funding to place or finance long-term housing.

On medical care, task force members noted that most clinical services for vulnerable adults are covered by Medicaid or Medicare, but caseworkers sometimes need short-term funds while eligibility or enrollment are being established. The group also emphasized transportation as a recurring barrier—local funds and federal transportation dollars can be used but coordination is uneven.

Case management and “someone who cares” drew sustained attention. Director Schmidt described adult protective services casework as generally time-limited—“less than six months” in typical practice—and said finding a durable community-based support person or organization can be lengthy. Members discussed guardianship and supported decision‑making as distinct paths to providing longer-term decision support for adults lacking capacity.

Budget and capacity details

- Director Schmidt (DFS) said the department operates with $80,000 per biennium intended for emergent services across all vulnerable-adult functions. - Task force members said ARPA funds had previously purchased 20 guardianship slots for $364,000 (used as an example of one-time funding to cover guardianship services). - Participants emphasized that the state role is often to identify and stabilize cases and then connect people to community providers and existing eligibility-based programs (Medicaid waivers, home-based health services, senior-center supports). The task force repeatedly described the state role as leveraging existing resources rather than creating broad new entitlement programs.

Action taken and next steps

The task force approved a motion to continue refining the draft and to have the Legislative Service Office work with the agencies to produce a letter or portions of the task force report incorporating these recommendations. The motion passed by voice vote. LSO will incorporate the committee’s verbiage changes and include explicit statements about resource shortages where members requested them.

The group also asked agencies to return with clarifications—particularly about funding assumptions, statutory limits on adult protective services, and the feasibility of expanding guardianship availability or supported-decision frameworks.

Ending

Task force members said they intend to use the refined product as a policy recommendation to be included in the final task force report to management council and to inform agency budget requests. Members emphasized they are not adopting new statutory obligations at this meeting; rather, they are clarifying responsibilities and identifying resource shortfalls to guide future legislative or executive action.