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Doyle proposes saving part of in-home autism program

(Published Friday, May 2, 2003 09:18:15 AM CDT)

By JR Ross/Associated Press

MADISON, Wis. -- A little more than half of the autistic children who currently receive intensive in-home treatment would still be eligible for the care under a proposal Gov. Jim Doyle released Thursday in hopes of saving part of a program he had originally wanted to scrap.

Doyle's budget had proposed eliminating the program because the federal government would no longer pay for it and the state could not afford it along with a $3.2 billion deficit.

But Doyle changed his mind after hearing from parents of autistic children at almost all of the public meetings he held to gather public input on his budget proposal, spokesman Dan Leistikow said.

"Even with the $3.2 billion deficit, the governor believes we have to stay true to our Wisconsin values, and taking care of children is one of those," Leistikow said.

The program would be overhauled to qualify for federal money again. It currently covers intensive in-home care for autistic children between the ages of 2 and 16.

But Doyle's proposal would limit eligibility to children between the ages of 3 and 7 and would provide 25 to 35 hours a week of in-home therapy while requiring families with children enrolled to pay for part of the therapy based on what they can afford.

Older children would still be eligible for limited in-home care as well as services through other community and school programs.

Leistikow said the changes were necessary to qualify for federal money and to reduce the program's costs.

Wisconsin faces a $3.2 billion deficit for the period through June 30, 2005 because projected revenue does not cover requested spending.

The two-year budget, which starts July 1, pays for services such as education and aid to local governments. Doyle, a Democrat, has ruled out tax increases to fix the deficit, requiring deep spending cuts and other measures.

The state's current autism program is funded by state and federal Medicaid dollars and was expected to cost more than $40 million for the current year.

Doyle's proposal will be included in a waiver that will be submitted to the federal government seeking permission to continue using federal money to pay for the revised program. It estimates the program would cost about $66.5 million over the next two years, with the state picking up about $26.5 million of that tab.

Leistikow said the state's share would come from money within the Department of Health and Family Services budget.

Rep. Kitty Rhoades, R-Hudson, said she was happy Doyle was trying to save the program. But she also wanted more information on how the Department of Health and Family Services would be able to pay for the state's share of the program.

"You can't walk away from these families, and that's what the original budget did," said Rhoades, a member of the Legislature's Joint Finance Committee, which is reviewing Doyle's budget and making changes.

If the state receives approval for the waiver it will submit to federal government, Doyle will submit an amendment to the Joint Finance Committee that it can consider adding to the budget.

During the fiscal year that ended June 30, 1,076 children were enrolled in the program; 630 of them were between the ages of 3 and 7, according to DHFS.

Autism is a developmental disability, typically diagnosed during the first three years of life, that affects the normal development of the brain in the areas of social interaction and communication skills.


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