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Moratorium on the TCM Rule is in Danger

Don't Let Congress Drop It!

The moratorium on the targeted case management (TCM) rule is in grave danger of being dropped from the House supplemental war appropriations bill.

We have come a long way in this fight to delay seven harmful Medicaid regulations, including rules on Rehabilitative Services and TCM that threaten the continuance of services for children and youth in foster care.

Both the House and Senate included amendments with strong bipartisan votes to their war supplemental appropriations bills that delay all seven restrictive Medicaid rules. But in negotiations going on right now, there is a possibility that the moratorium on the TCM rule, as well as on other rules, may be dropped.

We cannot allow our momentum to be stopped at this critical time!


Call the Capitol Switchboard to be connected with your member of Congress!

U.S. Capitol Switchboard 1-800-828-0498

If your House Representative is a Democrat:

Urge your member to contact any or all of the following members of House leadership with the message below:

- Speaker Nancy Pelosi (D-CA)
- Majority Leader Steny Hoyer (D-MD)
- Majority Whip James Clyburn (D-SC)
- Caucus Chair Rahm Emanuel (D-IL)
- Appropriations Committee Chairman David Obey (D-WI)
- Rep. Xavier Becerra (D-CA)
- Rep. Chris Van Hollen (D-MD)
- Rep. Rosa DeLauro (D-CT)
- Rep. George Miller (D-CA)


THE MESSAGE for your Democratic Representative to TELL HOUSE LEADERSHIP:

- Keep all seven Medicaid rules, including the TCM rule, in the FY 2008 war supplemental appropriations bill.

- If the TCM rule remains in effect, vulnerable children in foster care may not receive the care and coordination of services that they need.

THE MESSAGE for your Republican House Representative:

- Urge them to contact White House Chief of Staff Joshua Bolton, and urge him to accept a bill with the TCM moratoria.


Over the last year, the Administration has proposed a series of regulations that would threaten access to health care and other needed services for our most vulnerable citizens, including children and youth in our nation's foster care system, people with physical and developmental disabilities, and those with mental illness. The regulations would also shift significant cost to states and localities in a time of serious economic downturn. These regs must be delayed and reconsidered.

It is especially vital to delay the TCM rule, which is largely already in effect, because it is controversial and already wreaking havoc on state agencies and organizations that care for abused, neglected, and otherwise troubled children and youth. Attempting to read through the haze of that particular rule and properly interpret it, states anticipate or are already beginning to eliminate effective services and programs, shut down treatment centers, and/or cut caseworker positions, where severe shortages already exist.

Please stay tuned to the Children's Monitor for the latest updates!

We have come a long way with your help to get a moratorium on these harmful regs - this could be our last chance! Call TODAY!
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