Committee advances appropriations for older blind services and increased rates for IDD home- and community-based services
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Summary
The committee gave due-pass recommendations to SB 1,001 (a $1 million appropriation for services for older individuals who are blind) and SB 10 72 (multiyear appropriations and Medicaid authority to raise reimbursement rates for in-home and room-and-board services for people with intellectual and developmental disabilities).
The Health and Human Services Committee moved two funding bills after public testimony urging more resources for long-waiting seniors with vision loss and for providers serving people with intellectual and developmental disabilities (IDD).
SB 1,001 would appropriate $1 million from the state general fund in fiscal year 2027 to the Department of Economic Security for the Older Individuals Who Are Blind program. Advocates from the National Federation of the Blind and local peer groups described long waitlists, lost independence among seniors, and years without program increases. "In the state of Arizona, there are 179,000 Arizonans living with blindness, low vision," Amy Porterfield said, urging lawmakers to address a program that has not seen an increase since 2008.
SB 10 72 seeks $46 million in FY27 and recurring Medicaid expenditure authority across 2027–2031 to increase reimbursement for home and community-based services for people with IDD; it also includes a $4 million per-year room-and-board increase. Providers told the committee that turnover exceeds 70% in some operations and that existing room-and-board rates (last adjusted in 2017) are insufficient to cover rent, transportation and staffing. Kelly O'Toole, a DDD provider, cited 71.5% staff turnover and said the system is fragile: "We are in the process of closing one of our sites... 30 members in Avondale are not going to have services because we can't find a place to rent." Supporters called the funding a necessary step to stabilize the workforce and maintain services.
Votes: Both bills received due-pass recommendations from the committee after public testimony and sponsor explanation. The committee recorded votes in favor of the measures and several members offered statements explaining their votes.
Next steps: The bills will proceed to the full Senate. Committee members asked for periodic reporting and stakeholder follow-ups to ensure funds translate into recruitment and retention gains.