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With the imminent repeal of the Affordable Care Act (ACA) and the subsequent massive cuts to Medicaid, my ability to receive the necessary supports to live and work in my community is at great risk. EVV is an electronic tool used to monitor personal care assistants (PCAs) and home health-care workers.The 21st Century Cures Act mandates that states implement EVV systems by 2019 for PCAs and 2023 for home health-care agencies.With the imminent repeal of the Affordable Care Act and the subsequent massive cuts to Medicaid, my ability to receive the necessary supports to live and work in my community is at great risk. In accordance with the 21st Century Cures Act, PCAs and home health-care workers will be required to utilize EVV systems to enter the activities they perform, the name of the person for whom they provided services, the date and the time they clock in and out, and the location where they provided services.
Because of my PCAs, I have had a very fulfilling and successful life.I truly believe EVV is a frightening step: It diminishes my capacity to be viewed by PCAs as the employer.The EVV will perpetuate the perception that the state, not I, am the employer.States who do not comply will face cuts to Medicaid funding by the federal government.
The looming health-care reform bill has no specific bearing on 21st Century Cures Act.This data is to be tracked via cellphone, tablets, or landline phones, and includes a GPS component that geo-tracks the care provider—and, by extension, the person with a disability receiving the services.