News

Self-Determination Network News: July 2025


By SD Network, 2025-07-11

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Self-Determination Network News:

July 2025

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Federal Fallout Update 

On July  3rd, the U.S. House approved the Senate’s deeper cuts to Medicaid and SNAP by a vote of 218 to 214, and, on July 4th, President Trump signed the bill into law.

The bill rushed through the U.S. Senate without any public hearings in less than three days with parts being written and rewritten until the final hour before the floor vote. The impact of many added or changed provisions had no formal analysis before the U.S. House passed the bill less than 48 hours after receiving it from the Senate.

According to an initial estimate from the Congressional Budget Office—which does not reflect the final language of the bill—the bill would cut Federal spending on Medicaid, Medicare, and ACA Marketplace by more than $1.1 Trillion.  More than $1 Trillion of those cuts come from Medicaid aloneAt least 11.8 M people would lose health care. These numbers will increase when more detailed analysis of the final bill is done.

The bill also cuts $ 300 Billion in food assistancetaking away food from an estimated 5 Million people. 45% of Wisconsin SNAP participants are people with disabilities. Two-thirds of the people who use SNAP/Foodshare in Wisconsin are also Medicaid participants.

The bill means states will receive less Federal Medicaid money to help run current Medicaid programs (like Family Care, IRIS, CLTS, ForwardHealth Card, etc.), shifts new costs onto states that they don’t have now, and creates big state budget holes.

We encourage everyone to watch the recording of the latest webinar from the Wisconsin Board for People with Developmental Disabilities and review the slides. You can register for this week's webinar here.  Keep contacting your legislators and sharing your stories. We can still make an impact!

InControl Wisconsin Mourns the Passing of John O'Brien 

With deep sadness, we mourn the passing of John O'Brien. John was one of the people who brought InControl to Wisconsin. Here is an article from the Inclusion Press about John.

IRIS Waiver Public Comment Period 


A draft of the new 5-year IRIS waiver is available for reading and public comment. The first part of the draft outlines the major proposed changes. 



Comments are due August 8th to: DHSDMSIRISRenewal@dhs.wisconsin.gov
OR you can mail comments to:

Wisconsin Department of Health Services



Division of Medicaid Services

Bureau of Programs and Policy

Attn: IRIS 1915(c) Waiver Renewal

PO Box 309

Madison, WI 53701-0309


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Registration Open! 

Registration is now open for the 2025 Self-Determination Conference. This year's conference will be held October 20th-22nd at the Kalahari Resort in Wisconsin Dells. Self-Determination by Design: Your Life, Your Way is the theme this year. Learn more and register today!

Diehard Award Nominations 

Die Hard applications are now open through August 14th! Nominees must demonstrate some or all of these characteristics: 

  • Excellence in advocacy toward Self-Determination and Self-Direction principles, activities, and outcomes. 
  • Excellence in leadership on systems change in areas of community living, employment, housing, healthcare, education, and technology that enhance the lives of individuals with disabilities and their families throughout Wisconsin.
  • Sets a high standard of excellence that promotes values of independence, productivity, inclusion, and self-determination for people with disabilities and their families.  
  • Commitment to growing Self-Advocacy in Wisconsin.
  • Commitment to ensuring people in unserved or underserved communities from diverse cultural and economic backgrounds have a voice

Nominate someone today!

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The Self-Determination Network includes some very talented members and we want to help you to get to know each other a little better. Member Spotlight is a great way for us to get to know each other better.

In July, we're shining the Member Spotlight on Ms. Wheelchair Wisconsin 2025! Karyn was started platform to diminish the negative label on the disability community. If that’s not enough, she’s a Behavioral Health Specialist and is getting ready to pursue her masters degree. She encourages people to set goals and challenge yourself to try new things. Stop by this month's Member Spotlight to get to know Karyn.    

Who should we shine the spotlight on next?

128 Stacy’s Journal

"That was a first for me and something that I never thought I’d have to do. But, know what? After doing it, a huge weight was lifted off my shoulders. I definitely learned things from the experience and will apply what I’ve learned in future experiences."
In July, Stacy is back with a journal entry talking about how she did something she never imagined she'd have to do. Have you ever found yourself doing something you never thought you'd have to?






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Check out the Latest Videos!

The Self-Determination Channel is a YouTube channel by and for people with developmental or intellectual disabilities. Unlike other channels, the Self-Determination Channel stands stand out from other channels on YouTube because self-advocates host the videos, and decide and create the content. Videos are posted a couple times a month on a variety of topics self-advocates care about such as technology, employment, caregivers, independent living, and advocacy.

Check out the newest videos on the channel:

We encourage you to subscribe to the Channel (you can do so by clicking the red Subscribe button on any of the video pages).



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Take five minutes to check out what's happening on the Self-Determination Network:

  • Accessible Product Line: A major home furnishings retailer is introducing a new line of products designed to make life easier for people with disabilities Learn which store is doing this and what types of products they will be.
  • Many Programs At Risk: As the US Department of Health and Human Services leaders dismantle the small agency that coordinates federal policy on aging and disability, many programs for seniors and people with disabilities are now at risk. Read about what the programs are.
  • Fact Sheets: These fact sheets focus on people who are 50 and older in every state. Look at some of the data.
  • Kennedy's Comments: Autism advocates are pushing back after US Secretary of Health and Human Services Robert F. Kennedy Jr. Made some degrading comments. Learn about what was said and how people are pushing back.
  • Telehealth Survey: A survey is being conducted to find any barriers that people with disabilities disabilities face while using telehealth services.
  • Inclusive Coffee Shop: A coffee shop that stands on inclusivity is making a difference in one Wisconsin community. Find out more about this coffee shop and where it is.
  • Possible Playbook: As Medicaid cuts and the dismantling of support agencies loom, the co-founder of the Autistic Self-Advocacy Network suggests looking to history for strategies. Learn what strategies he's referring to.
  • Effective Strategies: Data for Progress polling reveals effective strategies for advocates opposing Medicaid cuts. Learn what they are.
  • Benefits of Hiring People with Disabilities: Studies have shown that people with disabilities often bring unique traits to the workplace. Learn about some of the benefits of having employees with disabilities in the workplace.
  • Listen: The Work in Progress podcast did an episode about the critical role paid and unpaid caregivers play in our society and the emotional toll they face. Listen to the episode..
  • Caregiving Reform and Analysis: The Wisconsin Department of Health and Human Services is addressing the caregiver crisis to understand what is needed to expand, enhance, and strengthen the direct care workforce. Take a look at some of the surveys and analysis they've done.
  • Service Animal Bill: Under a new bill being introduced in the Wisconsin Legislature, people who falsely claim their pet is a service animal in public businesses could face a $200 fine for their first violation.  Find out more about this bill.
  • The Older Americans Act: The Trump administration is proposing a reorganization and staffing cuts at Department of Health and Human Services that create uncertainty about the potential effects on older adults, who receive services authorized under the Older Americans Act. Read this brief to learn programs and services are provided in this Act.
  • Accessibility 100 List: Forbes released its first-ever Accessibility 100 list highlighting innovators and impact-makers in disability accessibility.  Learn what's on the list.
  • Partners in Policymaking: The Wisconsin Partners in Policymaking program is a six-session advocacy training to prepare future leaders around the state who can work with lawmakers and communities to support the inclusion of people with developmental disabilities in all aspects of life. Applications are now being accepted for the next class. Learn more and apply today!
  • Accessible Technology Research Study: The UW–Madison People & Robots Laboratory is looking for adults with Intellectual and Developmental Disabilities to participate in a paid study about how people interact with security and privacy notification. Find out more about this opportunity.
  • Disability Pride: To celebrate the 35th anniversary of the Americans with Disabilities Act and Disability Pride month, the city of Madison raised a Disability Pride flag over the city. Read more about Disability Pride month.
  • Advocate Slams Medicaid Cuts: The founder of A Day in Our Shoes is denouncing the sweeping cuts in the "One Big Beautiful Bill." Read about a couple of things that will be affected by this bill.

128 Upcoming Events 

Here's a sample of upcoming events listed on the Self-Determination Network:

Post your event on the Self-Determination Network and it can be included in future Network News emails to members! Questions? Suggestions?  Contact Stacy Ellingen. 

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The Self-Determination Network is powered by InControl Wisconsin and supported financially by our members and Sponsors. We couldn't keep this Network going with you!  Find out how you can help support the Network.

 

Lisa Lightner, nationally recognized special education advocate and founder of A Day in Our Shoes, is denouncing the sweeping Medicaid cuts signed into law under the “One Big Beautiful Bill,” warning that the legislation will devastate children with disabilities, overburden schools, and bankrupt families.

Read more

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With deep sadness, we mourn the passing of John O'Brien. John was one of the people who brought InControl to Wisconsin. Below is an article from the Inclusion Press about John.



With profound regret, we announce the passing of our dear friend and lifelong colleague, John W. O'Brien.

John passed peacefully in his sleep on the morning of June 27, 2025.   We welcome reflections and photos which can be sent to inclusionpress@inclusion.com.

Connie, Sean and Kevin have asked a few of us to assist in sharing the notice of our stunning collective and individual loss.

John was working this past week.  We were booked for another meeting on Friday.  He has been (as always) the master mind in assisting us to rethink and redesign the massive website collection of inclusion.com.  The first staggering task has been to enumerate and code hundreds of his articles so they will be more accessible to all of us.  As a living tribute to John and his life work, that will be done.  

Just last week John re-edited his own biography notes for the website (see below).  His humility and generosity of spirit glow – a tribute to six decades of relentless, tireless brilliance and creativity to create better community lives for people with disabilities. He never stopped searching for one more way to help us all to honor the gifts of people he loved – so they could thrive in the world of possibilities they so richly deserved – and were denied over and over.  John never gave up, never gave in.  He was always available as wise counsel, as a treasure trove of wisdoms from the world – always ready to share and to listen and glean yet another story to add to his and our understanding.

There will be a time to acknowledge his creative brilliance cataloged in books, articles, videos and presentations.  His eloquence was shared in hundreds of trainings in dozens of countries – always humble, always wise – and always ready to try the fragrances and spices of a new dish.  Thousands of us have spent hours, days, weeks and months soaking up his insights and strengthening our own convictions and commitments.  The tributes John would appreciate are not the glories of shinny bobbles, but rather the thousands of our individual reflections on what we learned and utilized – as he deepened our understanding and our spiritual connection to this life work.  

Some of us have been privileged to be colleagues and friends – for decades as we collaborated with John’s obsession to explore new ways to engage people’s hearts and minds in the service of people whose gifts have been denied, dismissed and discarded.

There were hundreds of SRV trainings, Citizen Advocacy events, 34 years of Summer Institutes, untold courses almost everywhere – and presentations to people of power and prestige in universities, governments, agencies, organizations – but most importantly families and individuals.  John never forgot the forgotten people and was forever ready to hear a story, celebrate a success and offer elder wisdom to survive hard times.

We suspect all of us – each in our own way – have a personal experience of John listening to us.  There was a way he sat, opening his hands and heart – and then looking into your eyes.  Although words would be spoken, when John listened with his eyes it was as if your story revealed itself – with or without words.  If you choose to write your own reflections, we are suggesting we all adopt one of John’s relentless campaigns – please use HELVETICA.

Like each of you, we are going to miss John – profoundly, daily, endlessly.  We’ll miss him as a gentle font of wisdom; we’ll miss his chuckle and occasional outburst of glee.  We’ll miss him as a buddy, a colleague and friend – a gentle giant of a man who taught us all so much and asked so little.  

And now John has moved on to continue his work with a higher calling.  And our task is to honor John’s work by drawing on the collection of resources he created, to relentlessly sustain the struggle for all to be fully included in meaningful lives in our communities.  That is how to pay tribute to John’s life of service to relationships and friendship with people with disabilities – and all of us.

We invite you to share your reflections, remembrances, and photos with us at inclusionpress@inclusion.com

Jack & Lynda

John in his own words

John recently revised his and Connie’s bio for Inclusion Press. Here’s what he wrote: 

John O’Brien and his wife and partner Connie Lyle O’Brien are lifelong  learners from social innovators who create better community lives with people with disabilities. In addition to co-developing some widely used person-centered planning approaches and hosting many learning opportunities for people with disabilities, their families, and human service workers, they are insightful and sensitive writers. Inclusion Press has been privileged to publish their books.

 

Two quotes from recent interviews with John (with thanks to David Hasbury).

On personhood…

“When we introduce the idea of person, we introduce the notion of mystery. People are not problems to be solved. They're a mystery, to inspire wonder…if we've had a good experience with our planning, there'll be a moment of wonder, of awesomeness. If I catch a glimpse of a person, that is an awesome mystery. They're sitting with us. And we have the privilege to appreciate what that uniqueness might mean.”

On the curiosity that comes with humility, and never ending work…

"I have probably found more ways to fail at influencing people, then anybody else, or anywhere else. And I'm obsessed about this pretty consistent failure. People are sometimes complimentary about what I've got to say. But if you look at the actual impact of lots of it, it doesn't add up to very much. That doesn't bother me probably as much as it should, so much as it keeps me curious. And so I keep looking around to see who else is doing something that might help, that might reduce my next failure, or make my next failure more interesting.”

 

Click here to read and watch some of John and Connie’s incredible contributions to all of us on their Change Makers page.

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To celebrate the 35th anniversary of the Americans with Disabilities Act and Disability Pride month, the city of Madison raised a Disability Pride flag over the city. Disability Pride Month honors the history, challenges, experiences, and achievements of people living with disabilities.

Read more 

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The UW–Madison People & Robots Laboratory is looking for adults with Intellectual and Developmental Disabilities (IDD) to participate in a paid study about how people interact with security and privacy notifications. These notifications include examples like spam email warnings, unsecure website alerts, and cookie prompts on websites. During the study, you will interact with different types of notifications within three tasks, and we will ask you questions about your experience, including what you found helpful or confusing and any suggestions for improving these tools. To be eligible for this study, you must satisfy the following criteria:

  • You have IDD.
  • You are 18 years old or older.
  • You live in the USA.
  • You can communicate feedback on your experience verbally or through other means, such as an AAC device.
  • You are able to participate in one 1-hour session.

Location: UW-Madison Computer Sciences department; however, we are open to discussing other options.

Expected Duration: 1 hour

Payment: $20/hour

Project PI: Dr. Bilge Mutlu (bmutlu@wisc.edu) and Dr. Rahul Chatterjee (rchatterjee4@wisc.edu)

Optional: Additional support individuals are welcome to join.

If you are interested in participating, please scan the QR code on the flyer I've attached or go to the following link: https://forms.gle/oNaByMP5KgVhKmcZ9

If that does not work for you, please email hljohnson22@wisc.edu to schedule a time to meet or ask any questions you may have.

Our first meeting will be an online video call to ask you questions to ensure you are eligible for the study, complete informed consent, and schedule the in-person session.

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The Wisconsin Partners in Policymaking program is a six-session advocacy training to prepare future leaders around the state who can work with lawmakers and communities to support the inclusion of people with developmental disabilities in all aspects of life.

Dates for the Class of 2025/2026 are:

November 14 & 15, 2025 (Madison*)

December 12 & 13, 2025 (Virtual only)

January 16 & 17, 2026 (Virtual only)

February 27 & 28, 2026 (Virtual only)

April 3 & 4, 2026 (Madison*)

May 1 & 2, 2026 (Madison*)

*If attending in person is difficult, please contact Jenny Neugart, Project Manager at Jennifer.neugart@wisconsin.gov to discuss options.

Who can attend? 

We are looking for motivated individuals who want to create inclusive communities and are:

  • Parents or primary caregivers of children under 21 with developmental disabilities
  • Adults with developmental disabilities
  • Adult siblings or family members of individuals with developmental disabilities
  • We want cultural and geographic diversity in the group attending. Participants will be chosen by a team of parents, self-advocates, and professionals.

What is the cost? 

Partners is funded by BPDD and covers costs associated with the training, hotel rooms, meals, and materials.

Topics covered

  • History of the disability rights movement
  • Self-determination, self-advocacy, and person-centered planning
  • Disability policy and ways to change systems of support
  • Community engagement, organizing, and grassroots advocacy
  • School inclusion, integrated employment, and community-supported living
  • The legislative process and legislative advocacy
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Die Hard applications are now open through August 14th! Nominees must demonstrate some or all of these characteristics: 

  • Excellence in advocacy toward Self-Determination and Self-Direction principles, activities, and outcomes. 
  • Excellence in leadership on systems change in areas of community living, employment, housing, healthcare, education, and technology that enhance the lives of individuals with disabilities and their families throughout Wisconsin.
  • Sets a high standard of excellence that promotes values of independence, productivity, inclusion, and self-determination for people with disabilities and their families.  
  • Commitment to growing Self-Advocacy in Wisconsin.
  • Commitment to ensuring people in unserved or underserved communities from diverse cultural and economic backgrounds have a voice.

Sponsorship and Exhibitor applications are also open for the 2025 Self-Determination Conference. Please help us continue to move Self-Determination forward in Wisconsin.

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Stacy's Journal: Never Would I Have Imagined


By Stacy Ellingen, 2025-06-30

Have you ever been thrown into something that you never imagined yourself doing? Whether it’s learning a new skill set to keep your job, traveling around the world to support your significant other, protesting about something at the Capitol, assisting a loved one with intimate cares, or another thing where you were forced to learn how to do something so you or someone you care about could pursue an essential step to move forward in life, almost everyone has experienced some sort of thing where they had to do something that they never imagined themselves doing. Usually, in these situations, although it may be uncomfortable and stressful, people are more than willing to do whatever it is to make life better for themselves or someone they care about.

Thanks to Facebook memories, I was recently reminded that we have been hiring, scheduling, and managing caregivers for over nine years. I say “we” because it’s really a team effort. Nine years ago, I had made the decision to leave the agency I was with for only eight months due to major safety concerns. We had reached other options, and, as is still true today, we learned that doing it ourselves was the only option if I wanted to continue to live in my apartment. I fully admit, I had no idea what I was getting into. I had talked with a couple of friends who had been doing it for awhile and they gave me some tips. I have no HR or management degrees, but, oh, did I learn quickly.

Everything from creating an ad, to finding free websites to advertise on, to doing background checks on CCAP, to interviewing hundreds of people, to completing thousands of pages of paperwork, to waiting weeks on end for someone to be approved only to have the person not responding when you try to setup a time for training, to having people not show for training and shifts, to creating schedules with several people, to having people quit or call in with little to no notice… The list of things that is truly endless. To say I’ve learned a lot in nine years is a huge understatement.

One of the most important things I’ve learned is how to do what’s best for me. That sounds really selfish, but, when you’re reliant on caregivers to literally help you live your life, you have to be very specific about how you want to live. Of course, it’s a very fine line because you can’t be too picky or nobody is going to want to work with you. On the other hand, though, it is YOUR life. For both the client and the caregiver, sometimes it’s hard to remember that.

With all the Medicaid stuff going on, there’s a meme going around on social media saying, “I do not live in your workplace. You work in my home.”  This quote couldn’t be more accurate. My workers are in my home to help me live MY life. The timing of this meme was pretty ironic for me personally. 

I like to think of myself as a pretty patient and understanding person. Even when caregivers have no similar interests and have very different personalities than I do, I can usually find common ground somewhere—at least enough to have a cordial working relationship with the person. As I’ve discussed in past entries, I’m not going to be best friends with every caregiver and that’s perfectly fine. Having said that, when a caregiver has completely different interests and doesn’t respect your requests after being asked repeatedly, you are bound to run into some problems. This is what happened recently. The particular worker was with me for just under six months, and I really tried to make it work. She was punctual and able to physically do the work; however, not only did she have nothing in common with me, she said some very inappropriate and bizarre things. In addition, there were other concerns with things like privacy, respecting boundaries, and not following directions. It was really affecting my mental health. Each counseling session, we’d spend at least half the hour talking about how to deal with her.  It came to a point where I knew I had to let her go for my own sanity.

I had dismissed people based on attendance (basically when they stopped showing for shifts) before, but I had never let someone go for other reasons. I talked with a couple of people and my mom and I came up with a plan. The obvious first step was to make sure I had enough people to cover all of my shifts. It took a few months, but I finally had enough people to cover the majority of the shifts this month. Then, my mom and I came up with an outline for the conversation with the person. I did feel bad knowing how this would affect the person, but I had to do this for myself. Again, I’m not in HR, so I had no idea how this was going to go. It went as well as expected. It wasn’t a pleasant experience, but it had to be done.

That was a first for me and something that I never thought I’d have to do. But, know what? After doing it, a huge weight was lifted off my shoulders. I definitely learned things from the experience and will apply what I’ve learned in future experiences. Never in my wildest dreams did I ever think I’d be hiring, scheduling, and managing caregivers this long, but here I am. I know that my years of doing this are really numbered, so I’m really trying to relish the remaining years. Sometimes, we are forced into doing things that we have no desire to in order to accomplish our hopes and dreams or help someone accomplish theirs!

***The views expressed here are strictly those of the author and do not necessarily reflect those of InControl Wisconsin, the Network or any of our sponsors

Member Spotlight: Karyn


By SD Network, 2025-06-28

IMG_0964.jpegMeet Karyn. As recently crowned Ms. Wheelchair Wisconsin, she was started platform to diminish the negative label on the disability community. If that’s not enough, she’s a Behavioral Health Specialist and is getting ready to pursue her masters degree. She encourages people to set goals and challenge yourself to try new things. We’re so fortunate to her as a member of the Network.

What's your story?  Tell us a little bit about yourself.

Ms. Wheelchair Wisconsin 2025, Karyn lives in Waukesha, Wisconsin. The youngest of six siblings, she was born in Nicaragua, but raised in Wisconsin. She shares that she was born with Cerebral Palsy from birth and has been navigating life with a physical and visible disability. She received my bachelor’s degree from the University of Wisconsin-Stout in Human Development and Family Studies, and she works as a Behavioral Health Specialist. Now preparing to begin her master’s in social work at UW-Milwaukee, a long-term goal is to become a certified crisis clinician for a police department.

How are you involved with self-determination? Why did you join the SD Network?

As someone who is strongly self-determined, Karyn tells us that she’s always looking to learn something new educationally and vocationally. Growing up, she has faced many obstacles and society’s opinions on how someone with a physical disability should live their life. “My own self- determination has motivated me to continue breaking negative stigma about disability; to grow my voice to be the healing and guidance of many. No one is bound to their labeled disability and anything and everything is possible if you believe it,” she says.

Joining the SD Network gives Karyn the opportunity to share her platform: Disability  Inclusivity and Society as the new title holder, “Ms. Wheelchair Wisconsin 2025.” It also gives her the opportunity to diminish the negative label on the disability community by showcasing that any individual regardless of their type of disability can and will achieve anything and triumph in every battle. “I am here, not so that people believe in me, but that they can believe in themselves as ambassadors to empower change in the good of all,” she says.

Tell us some good news - what's the most exciting thing happening for you (or in Wisconsin) in terms of self-determination?

The most exciting thing that is currently happening for Karyn is exploring the journey of a lifetime as the new titleholder Ms. Wheelchair Wisconsin 2025.

There is a need of a voice. A voice that speaks for the many. A voice that stands for the power within the disabled community. There is great light. There is great strength, I see it long and far. The many with the label disability will know. Know that they can stand up. They can fight for equality. They will fight for the end of stigma. There shall be no more marginalization. I stand to defend the many hearts out there with a greater fight than I. To be, to help, to deliver, to heal and to create awareness. I will not stop fighting until every voice out there is heard. -Karyn

What tip or resource would you like to share with people who want to be more self-determined?

Karyn has a couple of tips for people who want to become more self-determined. They include: setting goals for yourself, challenging yourself to try new things that may be outside of your comfort zone, and build a positive and valuable support network with those that will help with seeing your potential as well as push you to grow.

What are some of your hobbies? 

In her spare time, Karyn enjoys listening to music, hanging out with friends, going on sporadic adventures, trying new foods, and nature walks in the summertime. 

***We love hearing the views and opinions of Network members. We need to mention that the views and opinions expressed on this site are those of the person who is sharing them. They do not necessarily reflect InControl Wisconsin or any of our supporters and funders.

On June 16, the Senate Finance committee released proposed reconciliation language with some substantive changes to the Medicaid and Affordable Care Act provisions in the reconciliation bill that the House passed on May 22. This tracker summarizes and compares the health care provisions included in the Senate Finance and Senate HELP Committee with the House-passed version and current law.

View comparison

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