Autism

Advocate for healthcare for autistic, handicapped, elderly, diffabled, et Al   :)

Media release you can use to talk about the Community First Choice Option   :)

Here is a media release you and your groups can use to talk about the
Community Choice First Option.  Feel free to edit and personalize the release,
but if you use Senator Schumer's quote, please don't change it.  You can and
should attribute the other quotes to people from your organization (or change
them), because media people are looking for local stories.  Be sure to change
or add your contact information at the top of the release.

It is critical we get the word out to the media.  We worked very hard to get
this into the healthcare reform bill so we need to make sure it stays in.
Media folks should be interested in this because healthcare reform is a hot
topic AND previously healthcare reform had not addressed the institutional
bias.  So this is NEW!

Don't worry about whether you know a great deal about the Community First
Choice Option.  I found the best way to understand it this: The Community
Choice Act started with a a five year optional period.  This option IS that
optional period without the mandate at the end of five years.

Whether you feel that you can talk about the policy or not, CALL YOUR MEDIA.
You know a great deal about the institutional bias and it's effect on real
people.  That's stuff the media would be interested in because you make this
story personal when you talk about people stuck in nursing facilities and
other institutions who want to get out.

Again, thanks for all of your hard work!

Let's get the word out so we can assure we get to keep this victory!



FREE OUR PEOPLE!



On behalf of the amazing ADAPT Community,

Bruce



************************



For Immediate Release:

September 23, 2009



Contact:

Mike Oxford (785) 224-3865

Marsha Katz (406) 544-9504

Bob Kafka (512) 431-4085



Disability Rights Advocates praise Senator Baucus and other key Senators

for addressing the institutional bias in Senate healthcare reform legislation


Washington, DC -   ADAPT, a national grassroots disability rights
organization, praised Senator Baucus of Montana for including the Community
First Choice Option in his healthcare reform legislation.  If enacted, the
Community First Choice Option would be an optional program that gives states
an enhanced federal Medicaid match for providing attendant services and
supports as an alternative to placement in a nursing facility or other
institution.  The Community First Choice Option was proposed as an amendment
by Senator Charles Schumer of New York and was included in the Chairman's Mark
which automatically incorporates the language in the legislation.


"The elderly and disabled should not have to choose between staying in their
home and receiving the care they need," said Schumer.  "I am gratified that
the Finance Committee agreed to include a provision that will take steps
towards providing home care for those in need, and I will continue fighting
until no one has to choose between their health and their home."


ADAPT groups from across the country praised the announcement.  "This is an
incredible step forward toward eliminating the institutional bias," said
Marsha Katz of Montana ADAPT which is based in Missola, Montana.  "The aging
and disability communities owe a debt of gratitude to Senator Baucus and
Senator Schumer for addressing this critical issue as a part of healthcare
reform."


Advocates also recognized Senator Tom Harkin of Iowa for his efforts to give
seniors and people with disabilities an alternative to placement in an
institution or nursing facility.  Harkin has been the lead sponsor for the
Community Choice Act (S683/HR1670).  This legislation would eliminate the
institutional bias and served as the basis for the state option proposal.
"For years, Senator Harkin has been a champion on this issue," said Mike
Oxford from the ADAPT group in Topeka, Kansas.  "During the last few months,
we have watched in awe as he put in countless hours to advocate for our
cause."


Advocates also praised other initiatives in the Chairman's Mark that addressed
long term services and supports by broadening the eligibility requirements for
the Money Follows the Person Demonstration Program and addressing problems
with spousal impoverishment in community-based services.


FOR MORE INFORMATION on ADAPT visit our website at www.adapt.org

NATIONAL ADAPT MAILING LIST - Adapt Community Choice Act List

http://www.adapt.org

Community First Choice Option and the Chairman's Mark   :)

Original Message -----
From: "Bob Kafka"
To: "Stephanie Thomas"
Sent: Tuesday, September 22, 2009 5:20 PM
Subject: Fw: Huge step forward to ending the institutional bias as a part of
health care reform

Here is language on the Schumer amendment regarding Community First Choice
Option and Money Follows the person.  It comes from the summary you can
access the whole thing at the link below, at the bottom of this message.


> This link below will take you to the modifications to the
> Chairman's Mark.  Long term care is on pgs. 11& 12.

> http://finance.senate.gov/sitepages/legislation.htm
>



To Accept with Modification Schumer Amendment #C13:

On page 50, at the end of the Long Term Services and Supports section

Insert ?The Chairmans Mark would establish the Community First Choice
Option, which would create a state plan option under section 1915 of the
Social Security Act to provide community based attendant supports and
services to individuals with disabilities who are Medicaid eligible and who
require an institutional level of care. These services and supports include
assistance to 12

individuals with disabilities in accomplishing activities of daily living
and health related tasks. States who choose the Community First Choice
Option would be eligible for enhanced federal match rate of an additional
six percentage points for reimbursable expenses in the program. The option
would sunset after five years.?

?The Community First Choice Option also would require data collection to
help determine how states are currently providing home and community based
services, the cost of those services, and whether states are currently
offering individuals with disabilities who otherwise qualify for
institutional care under Medicaid the choice to instead receive home and
community based services, as required by the U.S. Supreme Court in Olmstead
v. L.C. (1999).?

?The Community First Choice Option would also modify the Money Follows the
Person Rebalancing Demonstration to reduce the amount of time required for
individuals to qualify for that program to 90 days.?

Huge step forward to ending the institutional bias as a part of health care reform   :)

The Community First Choice (CFC) Option has been included in the Chairman's Mark.  This means that the CFC Option amendment offered by Senator Schumer is incorporated into the Senate Finance Committee bill and won't need to be debated or approved by the
Committee.

Yes!  You read that correctly!  Yeah!  Yippee!   

Of course the language needs to be in the final version approved by the
Committee and full Senate, but this is a HUGE step forward.

(Can you hear Dawn Russell in Denver screaming with joy?)

As we get more details, we will keep you informed, but it will be important to thank Senator Baucus (MT) and David Schwartz (from the Senate Finance staff) who made this happen. We also appreciate the efforts of Senator Schumer (NY) for submitting the CFC Option amendment and Senator Harkin, our Senate champion who has tirelessly fought to eliminate the institutional bias.

We have more work to do, but this a great step forward!

The cost of the CFC Option is estimated to be 1 billion dollar for 5 years.  There is a sunset provision.  This means that after the five years, Congress will need to go back and approve keeping the CFC Option  in place.  This should not be of any great concern one way or another at this point.

Another great feature of the Chairman's Mark language is that the MFP
program would be modified to move the basic eligibility for MFP of needing
to be in an institution for six months down to only needing to be in for 90 days.

Please contact your Senators and let them know that you support this language and that it is critical they keep it in the final version they approve. You can call using this toll-free number: 866-324-0787.  A switchboard operator will connect you directly with the Senate office you request. 

Keep up the good work!

On behalf of the ADAPT Community,

Mike Oxford
Bruce Darling

NYTimes front page, Great article on leaving the nursing homes and the institutional bias   :)

Date: Sat, 19 Sep 2009 10:56:10 -0400
Subject: NYTimes.com: Helping the Aged Leave Nursing Homes for a Home


FRONT PAGE OF THE NEW YORK TIMES!!!!
(check it out on-line, it has several pictures, etc!)

http://www.nytimes.com/2009/09/19/health/policy/19aging.html?emc=eta1
HEALTH / HEALTH CARE POLICY   | September 19, 2009
Helping the Aged Leave Nursing Homes for a Home
By JOHN LELAND
A growing number of states are aiming to disprove the notion that once people have settled into a nursing home, they will stay
PHILADELPHIA - Walter Brown never wanted to live in a nursing home, but when he had a stroke two years ago, he saw little choice. Mr. Brown, 72, could not walk, use his left arm or transfer himself into his wheelchair.

"It was like being in jail," Mr. Brown said on a recent afternoon. "In the nursing home you've got to do what they say when they say it, go to bed when they tell you, eat what they want you to eat. The food was terrible."

But recently state workers helped Mr. Brown find a two-bedroom apartment in public housing here, which he shares with his daughter. "It just makes me more relaxed, more confident in myself," he said, speaking with some difficulty, but with a broad smile. "More confident in the future."

A growing number of states are reaching out to people like Mr. Brown, who have been in nursing homes for more than six months, aiming to disprove the notion that once people have settled into a nursing home, they will be there forever. Since 2007, Medicaid has teamed up with 29 states to finance such programs, enabling the low-income elderly and people with disabilities to receive many services in their own homes.

The program in Pennsylvania provides up to $4,000 in moving expenses, including a furniture allowance and modifications to the apartment, and Mr. Brown has a home health aide every morning and a care manager to arrange for services like physical therapy. The new programs, financed largely by $1.75 billion from Medicaid, are a sharp departure from past practices, where Medicaid practically steered people into nursing homes.

"Medicaid has had an institutional bias in favor of nursing homes," even for people who do not need them, said Gene Coffey, a staff lawyer at the nonprofit National Senior Citizens Law Center. "Federal law requires states to provide nursing home services. They don't have to provide home or community-based services."

For Mr. Brown, the transition to his own home has changed his life, he said. Now, with his motorized wheelchair, he travels the city on public buses, visiting friends in other neighborhoods.

"It's a great feeling," he said. "In the nursing home I got up at 5 o'clock in the morning, then the rest of the day was just watching the TV or my VCR. I wanted to be able to get out and see people, see the world. I didn't want to be confined. Now I go where I want to go."

States and the federal government hope to save money, though research about cost savings has so far been inconclusive. A recent study by researchers at the University of California, San Francisco, found that home care costs taxpayers $44,000 a year less than a nursing home stay - though this number cannot be used to estimate total savings, because often home-based services replace family care, not nursing home care.

About 1.5 million Americans are living in nursing homes.

"It's amazing how quickly people can end up in a nursing home," said Jean Janik, the director of community living options at the nonprofit Philadelphia Corporation for Aging. "Say you're a single man and have a stroke, and need to go into a nursing home to rehab. You're elderly so you don't quite bounce back quickly. After 60 days, Medicare doesn't pay any longer, so you need a Medicaid grant to stay in the nursing home. Then your Social Security will go to the nursing home."

Many lose their apartments and regular support from family members, Ms. Janik said.

"We meet people who say, 'I went to the hospital and next thing I know, here I am. I don't know what happened to my apartment.' " Ms. Janik added, "We go and check, and it's not in their name. Especially if they don't have a strong family support system in place. A lot of people just think, Uncle Joe fell and broke his hip and now he's in a nursing home, so be it, that's where he'll be. People don't realize they can get services in their home."

Each participating state has designed its own program, called Money Follows the Person. The federal government, which shares Medicaid costs, provides extra financing for the first year.

Some experts worry that the programs will end up transferring some of the expenses of caring for the elderly or the disabled to their family members.

Carol Irvin, a senior researcher at Mathematica Policy Research has been contracted by Medicare and Medicaid Services to study the costs of the program in its first five years.

"It could be shifting costs onto a person's relatives," Ms. Irvin said. "But even if it's not saving money, a lot of people believe living in the community is the right thing for individuals."

Elizabeth Kamara, 72, spent 18 months in a nursing home after having her left foot amputated because of diabetes. Mrs. Kamara can get around using a walker, but in the nursing home she spent whole days in a wheelchair.

"I just let people do things for me," she said. "They say, 'If you fall, we'll get in trouble. Please sit down.' "

Mrs. Kamara has moved into a independent living facility, where she cooks dishes from her native Sierra Leone and navigates the hallways on her own. She gives herself insulin injections and gets a friend to drive her to doctors' appointments. An aide comes twice a week to help clean. "This is my home; I'm free," she said. "In the nursing home it was two persons in one room. Here I have my privacy. I can get my hair done, my nails done."

Susan C. Reinhard, a senior vice president of the AARP Public Policy Institute, said of Money Follows the Person: "It's gotten Congress's attention, and shown that people can leave a nursing home. That is a wake-up."

For Esther Pinckney, 88, who ended up in a nursing home after a stroke, moving out has been literally a breath of fresh air. Ms. Pinckney now lives in a bright subsidized apartment where home aides visit twice a day.

"What didn't I like about the nursing home?" she asked recently. "What would you like about smell, smell, smell, morning, noon and night?"

Because Ms. Pinckney lost her apartment and furniture while she was in the nursing home, the Philadelphia Corporation for Aging bought her new furniture and a microwave oven. Before, she said, her Social Security check went to the nursing home; now she pays 30 percent of her check for her rent. "I couldn't even buy a soda," Ms. Pinckney said. "You want to be independent, don't you? That's what I wanted."

Life on her own has not been perfect, she admitted. Aides often fail to show up or spend their time talking on the telephone.

But her pastor takes her to church four times a week, and she can go to stores near her building. If her health should fail again, she said, she did not like to think about going back into a nursing home.

"Don't mention it," she said, her face tightening. "I don't want to do that."

Fw: ADAPT Has Georgia On Our Minds   :)

If you would like to join ADAPT activists in Atlanta, a few rooms are still available through SEPTEMBER 17.  To receive the ADAPT discounted room rate, reservations need to be made through Tisha Cunningham
in Denver, tisha@atlantiscommunityinc.com. Reservations are due THURSDAY 9/17/09

**************************************



For immediate dissemination
Amber, ADAPT media committee

COMMUNITY ADVISORY

Who: 400 ADAPT activists from across the country
What: ADAPT Fall National Action 2009
When: October 10-15
Where: ATLANTA, GEORGIA!

The collective power of disability rights is about to strike in the hometown of the Reverend Martin Luther King, Jr.  As the nation continues to struggle with the vital issue of health care reform, ADAPT continues to advocate for the end of the institutional bias in Medicaid and a revolution in community choice!  Will you be with us?

The last time ADAPT was in Atlanta was in 1990 and 1996.  The Olmstead Supreme Court case, fought by Georgians, was decided in 1999.  Now, ten years past Olmstead, Georgia is still out of compliance with Olmstead and thousands of Georgians with disabili ties lack adequate access to community supports, like their brothers and sisters across the Southern states.  The percentage of Georgians with disabilities under age 65 who live in nursing home is on the rise.  The Olmstead decision said that based on the ADA, we all have the right to live in the community if we choose, not institutions. As MLK himself would say, "A right delayed is a right denied."  As ADAPTer Johnny Crescendo would say, "Tear down the walls!"

Atlanta is also home to many regional agencies providing disability services.  Neither of Georgiabs Senators officially support the Community Choice Act or Community First Option.  Adequate funding for Georgia disability programs is currently in danger.  Georgians with disabilities are some of our strongest fighters, and we look forward to joining them on their turf.    Federal institutional bias affects every single state, so from Montana to Texas,20California to DC, let's make our voices heard!

To sponsor activists or to donate to the ADAPT legal defense fund, visit http://www.adapt.org/donate.php.  Your dollars empower ADAPT to make a difference through direct action.

If you would like to join ADAPT activists in Atlanta, rooms are still available at the hotel through SEPTEMBER 17 To receive the ADAPT discounted room rate, reservations need to be made through Tisha Cunningham in Denver, tisha@atlantiscommunityinc.com.

If you can't make it to Atlanta, stay up to the minute with Twitter updates and action alerts.  Follow Nationaladapt on Twitter or go to www.adapt.org and hit the ADAPT Twitter button to check out our tweets (messages).

For more information on the Community Choice Act and to contact us, see www.adapt.org.  More to come as we approach October 10!

CCA Support continues to grow after August break...   :)

They're baaaaaaaaack....  So far 2 new co-sponsors from the Summer/August break:

Rep Sanchez, Linda T. [CA-39] - 9/8/2009
Rep Tiahrt, Todd [KS-4] - 9/8/2009

*************

ALL co-sponsors by state:

ALABAMA                         AL
Rep Bonner, Jo [AL-1] - 3/30/2009

ALASKA                          AK
Sen Begich, Mark [AK] - 6/8/2009

Rep Young, Don [AK] - 5/12/2009

AMERICAN SAMOA                  AS
Rep Faleomavaega, Eni F.H. [AS] - 6/9/2009

ARIZONA                         AZ
Rep Grijalva, Raul M. [AZ-7] - 3/25/2009
Rep Pastor, Ed [AZ-4] - 6/26/2009

ARKANSAS                        AR

CALIFORNIA                      CA
Sen Boxer, Barbara [CA] - 4/23/2009

Rep Davis, Susan A. [CA-53] - 3/25/2009
Rep Lee, Barbara [CA-9] - 3/23/2009
Rep Sanchez, Loretta [CA-47] - 3/23/2009
Rep Capps, Lois [CA-23] - 4/1/2009
Rep Woolsey, Lynn C. [CA-6] - 4/29/2009
Rep Filner, Bob [CA-51] - 5/4/2009
Rep Waters, Maxine [CA-35] - 6/17/2009
Rep Farr, Sam [CA-17] - 7/23/2009

Rep Sanchez, Linda T. [CA-39] - 9/8/2009

COLORADO                        CO
Sen Bennet, Michael F. [CO] - 3/24/2009
Sen Udall, Mark [CO] - 5/7/2009

Rep DeGette, Diana [CO-1] - 3/25/2009
Rep Perlmutter, Ed [CO-7] - 3/30/2009
Rep Polis, Jared [CO-2] - 3/25/2009

CONNECTICUT                     CT
Sen Dodd, Christopher J. [CT] - 3/24/2009
Sen Lieberman, Joseph I. [CT] - 4/23/2009

Rep DeLauro, Rosa L. [CT-3] - 3/23/2009
Rep Larson, John B. [CT-1] - 3/23/2009
Rep Courtney, Joe [CT-2] - 4/1/2009
Rep Murphy, Christopher S. [CT-5] - 6/11/2009

DELAWARE                        DE
Sen Kaufman, Edward E. [DE] - 5/7/2009

DISTRICT OF COLUMBIA            DC
Rep Norton, Eleanor Holmes [DC] - 5/12/2009

FLORIDA                         FL
Rep Meek, Kendrick B. [FL-17] - 4/22/2009
Rep Wexler, Robert [FL-19] - 6/16/2009
Rep Hastings, Alcee L. [FL-23] - 7/13/2009
Rep Brown, Corrine [FL-3] - 7/14/2009

GEORGIA                         GA
Rep Lewis, John [GA-5] - 3/23/2009
Rep Bishop, Sanford D., Jr. [GA-2] - 5/7/2009
Rep Johnson, Henry C. "Hank," Jr. [GA-4] - 5/13/2009

GUAM                            GU

HAWAII                          HI
Sen Inouye, Daniel K. [HI] - 3/31/2009

Rep Abercrombie, Neil [HI-1] - 4/22/2009

IDAHO                           ID

ILLINOIS                        IL
Sen Durbin, Richard [IL] - 3/24/2009
Sen Burris, Roland [IL] - 8/6/2009

** Sponsor: Rep Davis, Danny K. [IL-7] (introduced 3/23/2009)
Rep Schakowsky, Janice D. [IL-9] - 3/25/2009
Rep Jackson, Jesse L., Jr. [IL-2] - 4/27/2009
Rep Gutierrez, Luis V. [IL-4] - 4/27/2009

INDIANA                         IN
Rep Visclosky, Peter J. [IN-1] - 4/22/2009
Rep Ellsworth, Brad [IN-8] - 5/12/2009

IOWA                            IA
Sponsor: Sen Harkin, Tom [IA]

Rep Loebsack, David [IA-2] - 3/25/2009
Rep Latham, Tom [IA-4] - 7/13/2009

KANSAS                          KS
Sen Roberts, Pat [KS] - 4/1/2009

Rep Moore, Dennis [KS-3] - 3/23/2009
Rep Moran, Jerry [KS-1] - 3/25/2009
Rep Jenkins, Lynn [KS-2] - 5/7/2009

Rep Tiahrt, Todd [KS-4] - 9/8/2009

KENTUCKY                        KY

LOUISIANA                       LA

MAINE                           ME
Sen Collins, Susan M. [ME] - 6/18/2009

Rep Pingree, Chellie [ME-1] - 6/3/2009

MARYLAND                        MD
Rep Cummings, Elijah E. [MD-7] - 3/30/2009

MASSACHUSETTS                   MA
Sen Kennedy, Edward M. [MA] - 3/24/2009
Sen Kerry, John F. [MA] - 3/24/2009

Rep Olver, John W. [MA-1] - 3/23/2009
Rep Frank, Barney [MA-4] - 3/25/2009
Rep Delahunt, Bill [MA-10] -  6/11/2009

MICHIGAN                        MI
Sen Stabenow, Debbie [MI] - 3/24/2009

Rep McCotter, Thaddeus G. [MI-11] - 4/28/2009
Rep Kildee, Dale E. [MI-5] - 5/4/2009

MINNESOTA                       MN
Rep Peterson, Collin C. [MN-7] - 4/28/2009
Rep McCollum, Betty [MN-4] - 6/11/2009

MISSISSIPPI                     MS
Rep Thompson, Bennie G. [MS-2] - 6/8/2009

MISSOURI                        MO
Rep Carnahan, Russ  [MO-3] - 6/15/2009

MONTANA                         MT
Sen Tester, Jon [MT] - 3/24/2009

NEBRASKA                        NE

NEVADA                          NV

NEW HAMPSHIRE                   NH
Rep Hodes, Paul W. [NH-2] - 4/22/2009
Rep Shea-Porter, Carol [NH-1] - 5/18/2009

NEW JERSEY                      NJ
Sen Lautenberg, Frank R. [NJ] - 4/23/2009
Sen Menendez, Robert [NJ] - 8/6/2009

Rep Payne, Donald M. [NJ-10] - 3/23/2009
Rep Smith, Christopher H. [NJ-4] - 4/22/2009
Rep Pascrell, Bill, Jr. [NJ-8] - 4/27/2009
Rep Rothman, Steven R. [NJ-9] - 7/13/2009

NEW MEXICO                      NM

NEW YORK                        NY
Sen Schumer, Charles E. [NY] - 3/24/2009
Sen Gillibrand, Kirsten E. [NY] - 3/24/2009

Rep Clarke, Yvette D. [NY-11] - 3/25/2009
Rep Hinchey, Maurice D. [NY-22] - 3/23/2009
Rep Israel, Steve [NY-2] - 3/23/2009
Rep Massa, Eric J. J. [NY-29] - 3/31/2009
Rep McHugh, John M. [NY-23] - 3/25/2009
Rep Meeks, Gregory W. [NY-6] - 3/23/2009
Rep Nadler, Jerrold [NY-8] - 3/25/2009
Rep Rangel, Charles B. [NY-15] - 3/25/2009
Rep Serrano, Jose E. [NY-16] - 3/25/2009
Rep Slaughter, Louise McIntosh [NY-28] - 3/25/2009
Rep Velazquez, Nydia M. [NY-12] - 3/23/2009
Rep Maloney, Carolyn B. [NY-14] - 4/22/2009
Rep Bishop, Timothy H. [NY-1] - 5/13/2009
Rep King, Peter T. [NY-3] - 5/4/2009
Rep Towns, Edolphus  [NY-10] - 6/11/2009
Rep Maffei, Daniel B. [NY-25] - 6/11/2009
Rep Engel, Eliot L. [NY-17] - 7/14/2009

NORTH CAROLINA                  NC

NORTH DAKOTA                    ND

NORTHERN MARIANA ISLANDS        MP

OHIO                            OH
Sen Brown, Sherrod [OH] - 3/24/2009

Rep Kaptur, Marcy [OH-9] - 3/23/2009
Rep Kucinich, Dennis J. [OH-10] - 3/23/2009
Rep Kilroy, Mary Jo [OH-15] - 7/13/2009

OKLAHOMA                        OK

OREGON                          OR

PENNSYLVANIA                    PA
Sen Specter, Arlen [PA] - 3/24/2009
Sen Casey, Robert P., Jr. [PA] - 3/24/2009

Rep Brady, Robert A. [PA-1] - 3/23/2009
Rep Carney, Christopher P. [PA-10] - 3/23/2009
Rep Doyle, Michael F. [PA-14] - 3/23/2009
Rep Fattah, Chaka [PA-2] - 3/23/2009
Rep Gerlach, Jim [PA-6] - 3/31/2009
Rep Murphy, Patrick J. [PA-8] - 3/31/2009
Rep Murtha, John P. [PA-12] - 3/30/2009
Rep Platts, Todd Russell [PA-19] - 3/30/2009
Rep Schwartz, Allyson Y. [PA-13] - 3/23/2009
Rep Sestak, Joe [PA-7] - 3/23/2009
Rep Altmire, Jason [PA-4] - 4/27/2009
Rep Pitts, Joseph R. [PA-16] - 4/29/2009
Rep Dent, Charles W. [PA-15] - 6/9/2009
Rep Holden, Tim [PA-17] -  6/11/2009
Rep Kanjorski, Paul E. [PA-11] - 6/26/2009
Rep Murphy, Tim [PA-18] - 7/17/2009
Rep Dahlkemper, Kathleen A. [PA-3] - 7/24/2009

PUERTO RICO                     PR

RHODE ISLAND                    RI
Rep Langevin, James R. [RI-2] - 3/23/2009
Rep Kennedy, Patrick J. [RI-1] - 3/31/2009

SOUTH CAROLINA                  SC

SOUTH DAKOTA                    SD
Sen Johnson, Tim [SD] - 3/31/2009

TENNESSEE                       TN
Rep Cohen, Steve [TN-9] - 3/23/2009
Rep Gordon, Bart [TN-6] - 3/30/2009

TEXAS                           TX
Rep Reyes, Silvestre [TX-16] - 3/25/2009
Rep Green, Gene [TX-29] - 4/1/2009
Rep Gonzalez, Charles A. [TX-20] - 5/21/2009
Rep Sessions, Pete [TX-32] - 7/17/2009
Rep Doggett, Lloyd [TX-25] - 7/31/2009
Rep Johnson, Eddie Bernice [TX-30] - 7/22/2009

UTAH                            UT

VERMONT                         VT
Sen Sanders, Bernard [VT] - 3/24/2009

VIRGIN ISLANDS                  VI
Rep Christensen, Donna M. [VI] - 3/23/2009

VIRGINIA                        VA
Rep Moran, James P. [VA-8] - 3/25/2009
Rep Connolly, Gerald E. "Gerry" [VA-11] - 5/18/2009
\
WASHINGTON                      WA
Sen Murray, Patty [WA] - 4/23/2009

Rep McMorris Rodgers, Cathy [WA-5] - 7/29/2009

WEST VIRGINIA                   WV
Rep Rahall, Nick J., II [WV-3] - 7/9/2009

WISCONSIN                       WI
Rep Baldwin, Tammy [WI-2] - 3/23/2009
Rep Kind, Ron [WI-3] - 3/23/2009

WYOMING                         WY

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