Your View: Pennsylvania must move to help those with intellectual disabilities
As the dust settles from the 2024 election, Pennsylvania's leaders must now prepare for the 2025 legislative session and the forthcoming budget debate, as families, caregivers, and individuals in the Intellectual Disabilities and Autism community look to Gov. Josh Shapiro to champion crucial funding needs.
Last year's budget delivered a historic funding boost for IDA services, reflecting Gov. Shapiro's deep commitment to this essential community. However, the final enacted budget fell $93 million short of the governor's proposed funding — a shortfall that continues to impact IDA resources today. Now, the six IDA state associations are hopeful Gov. Shapiro will take decisive action to close this funding gap by restoring the full level recommended through an actuarial study conducted in alignment with Pennsylvania's official rules and regulations. This would fulfill the commitment made in last year's budget and provide the critical support needed for the IDA community.
Shapiro has passionately highlighted the challenges faced by elderly parents in their 60s, 70s and even 80s, who are forced to serve as direct support professionals for their adult children due to workforce shortages. "Imagine if this was your reality," Shapiro told lawmakers last session, "if you couldn't find the services they need ... because the state refuses to raise our rate."
Gov. Shapiro and the General Assembly also pledged to eliminate the emergency waiver waiting list, enabling thousands of individuals to access the services they need. Over the past year, more than 1,500 people were informed that they are now eligible for an official waiver, qualifying them for funding support. However, while reducing the waiver waiting list is a positive step, the reality remains challenging: unless families and providers can find direct support professionals willing to work at the low rates set by the commonwealth, the waiver becomes little more than a bureaucratic designation, offering no real increase in services for hundreds or even thousands of individuals with IDA.
To fill these gaps, the state has encouraged family members to step in as direct support professionals, with some compensated for their work. This temporary solution provides relief for some, but it places a heavy and unsustainable burden on elderly parents. The current system relies on these families to fill gaps left by the workforce crisis, forcing them to shoulder roles they are not physically or emotionally able to perform.
Dr. Val Arkoosh, secretary of the Department of Human Services, has been another powerful advocate for the IDA community, speaking to the urgency of this crisis during visits across the state during the past year. "The time to invest in these services and supports is now," she wrote in a statewide op-ed published this year. She appealed to lawmakers to understand the extraordinary sacrifices made by parents and caregivers who are stretched to their limits.
In last year's budget negotiations, both Republican and Democratic members recognized the essential role direct support professionals play in providing stability and care for vulnerable individuals. This bipartisan acknowledgment marked a significant step forward. However, the $93 million funding shortfall has left families without full access to the services for which they are eligible, leaving critical needs unmet.
The IDA community recognizes systemic change cannot happen overnight, especially in the face of a decades-long crisis. However, it is crucial for the commonwealth to remain committed to addressing this crisis with real resources and actual services and supports. Families waiting for services need more than a notification of eligibility — they need a guarantee that services will actually be available. They need direct support professionals paid a wage that reflects their skill and dedication, and families should not have to fill in for a system that continues to fall short.
Gov. Shapiro's commitment to IDA funding has been clear, inspiring hope for families across Pennsylvania. Restoring the $93 million shortfall from last year's appropriation request is not merely a matter of keeping a promise; it's a vital response to the resilience of Pennsylvania's IDA families and the urgency of their needs. These families deserve a system that respects the dignity of individuals with disabilities, acknowledges the indispensable role of direct support professionals and honors the profound sacrifices made by parents and caregivers.
As next year's budget takes shape, all eyes are on Gov. Shapiro to lead with compassion and vision, restoring the full funding needed to stabilize and strengthen Pennsylvania's IDA system. Gov. Shapiro has shown he understands the stakes and now it's time to take the next step. Pennsylvania must rise to the occasion, ensuring people with disabilities receive the support they deserve, caregivers are honored and no family is left to carry the weight alone.
Gary Blumenthal is vice president of government relations and advocacy for InVision, a nonprofit provider of residential and employment services for people with intellectual disabilities. The company is based in Wexford, Allegheny County, and Reading.
