News


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Self-Determination Network News:

October 2026

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Disability and Policy Forum

The Survival Coalition and the Wisconsin Aging Advocacy Network (WAAN) are co-hosting a nonpartisan Disability and Aging Policy Forum, TOMORROW, Tuesday, October 13th, at 11 a.m. Because the upcoming governor’s debate will exclude questions on caregiving, aging, and disability issues—affecting half of Wisconsin’s population—this vital event will feature an expert panel of older adults, advocates, and professionals filling the gap. The virtual forum will address the urgent erosion of civil rights, the state's fragile care infrastructure, the critical shortage of accessible housing, and how schools can better support students of all abilities. Both major gubernatorial candidates declined invitations to participate, making the voices of this panel more crucial than ever. Watch the event live on Facebook or YouTube.


Action Alert: Potential Changes to the Census Could Impact Disability Services --Submit Public Comment

Since 1957, the Centers for Disease Control and Prevention (CDC) has conducted an annual health survey to track the number of people living with disabilities. The data collected from this survey is essential for tracking disability trends, measuring quality of life, directing federal funding to state programs (such as Developmental Disabilities Councils), and helping policymakers design effective public health policies and support services.


However, the CDC is now proposing to remove several disability-related questions from the survey, including specific questions used to count individuals with intellectual and developmental disabilities (I/DD).

Advocacy groups warn that these changes will lead to a significant undercount of the I/DD community. Because many federal grants and funding formulas rely directly on this data to distribute money to states, undercounting could reduce vital federal funding for schools, state agencies, local communities, and support programs.


The CDC is accepting public comments on this proposal until October 20th. If approved, the changes will take effect in 2028 and will impact federal disability data collection for the next decade.


Special Education Survey

Help shape the future of special education in Wisconsin! The Survival Coalition is helping to gather input from parents of students with disabilities to show lawmakers, school leaders, and the press how current funding, staffing, and service quality affect local families.

We are aiming for 500+ responses from across the state. The survey is anonymous and takes less than 10 minutes to complete. It closes at noon on Wednesday October 23rd. Please take the survey and/or share it with other families who are impacted by special education.

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Stop by and Learn How to Be Entered into a Drawing for a Tablet!

We look forward to seeing many of you at the Self-Determination Conference next week. Please stop by the InControl Wisconsin exhibit table, grab some InControl Wisconsin swag, share your favorite piece of technology, and participate in a discussion for a chance to win a tablet. 

Not attending the conference? You can still have a chance to win. Just comment on this discussion by November 2nd. We will be drawing one name from the people who commented..


Federal Updates


Here are the recording and slides from the latest webinar that the Wisconsin Board for People with Developmental Disabilities puts on regarding the federal fallout.  Here are the topics discussed last week's webinar (we encourage you to sign up to receive the slide deck and links for the week of October 23rd and tune into the next live webinar Friday October 30th to get the latest):

  • Policy changes the administration is making:

    • Federal government continues to back away from enforcement of disability rights;

    •  CDC removes disability questions from survey used to calculate funding to states;

    •  Census/SNAP data missing;

    • Federal agencies find new ways to not send money back to states;

    • ACA and Medicare rebates, who is getting them and where is the money coming from?;

    • Rule threatens nonprofits required to help voters with disabilities register;

    • Heath experts say states already have more fraud protections in place for home care than required by Feds.

  • Continued coverage of impacts of HR 1.

    • Which states will face the biggest hits from HR 1?;
    • Refugees with disabilities lose Medicaid access; Federal immigration policy means fewer home care workers;
    • Missouri won’t use short-term hardship exemptions to help people keep Medicaid coverage;
    • Washington state proposes big cuts to I/DD services;
    • Georgia cuts ABA therapy rate for foster kids by 30%;
    • Indiana restarts eligibility determinations with tool that cost coverage for people with I/DD;
    • SNAP changes resulting in steep declines in enrollment.

We encourage you to continue to contact your legislators and let them know how these things will impact you and your family.

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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.
This month, we're shining the Spotlight on Priscilla. She is a spirited and independent self-advocate, award-winning leader, and microbusiness owner who brings unstoppable energy to mentoring, presenting, and enjoying car shows, but takes the most pride in being an amazing grandmother. Stop by this month's Member Spotlight to get to know Priscilla.
Who should we shine the spotlight on next?

128 Stacy’s Journal








"Having to constantly prove that you need supports is not only time-consuming, but it can be mentally and emotionally exhausting."

In this month's journal entry, Stacy talks about how many people who have disabilities find themselves constantly having to prove their need for services and supports they need. She discusses how it can not only be time-consuming, but it can also be emotionally draining at times. Do you have similar feelings?




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

  • Call for Presenters: The 2027 Circles of Life Conference is looking for presentation proposals on topics like community building, IEPs, and self-care for its May event in the Wisconsin Dells, which connects families of children with disabilities with healthcare and education professionals. Learn more and consider submitting a proposal.

  • Transportation Report: This report explains how transportation remains a major hurdle for disabled individuals and older adults, and it proposes a new coordinated framework to ensure they can access reliable transportation regardless of where they live. Find out what it suggests.
  • Immigrant Workers Key: Immigrant workers make up about one-third of the U.S. homecare workforce, but recent policy changes ending Temporary Protected Status for Haitians threaten to worsen the severe caregiver shortage and disrupt patient care. Learn how this is damaging the already depleted caregiver workforce.
  • Defining Home-and-Community Based Services:  To help measure program success and hold them accountable, two organizations reviewed over 200 definitions to create a single, shared definition of home- and community-based services that focuses on choice and independence for older adults and people with disabilities. Find out what the definitions are.
  • New Movie: The upcoming movie Being Heumann marks a major milestone for disability representation in Hollywood by casting disabled actress Ruth Madeley to play activist Judith Heumann and having disabled writer Rebekah Taussig co-write the screenplay. Learn what this film is going to be about.
  • Watch: In this interview, a disability rights advocate shares their experience of losing their sight and explains how they created an educational cartoon series to use humor to fight daily accessibility barriers, build empathy, and show that disability is a normal part of life. Watch to find out more.
  • Letter to DOJ: A bipartisan group of 18 state governors sent a letter urging the U.S. Department of Justice to protect community-based services for people with disabilities and stop actions that could make it easier to force them into institution. Read about why this is so important.
  • Waitlist for Employment Services: A severe funding shortage between late 2025 and mid-2026 forced Wisconsin's Division of Vocational Rehabilitation to put over 7,600 disabled job seekers on a months-long waitlist, causing many to miss out on employment opportunities and highlighting the risks of underfunding state programs. Learn why this should have never happened.
  • Mental Health Training for Caregivers: A new, free online training course is available to help direct care workers learn how to better support adults with both intellectual and developmental disabilities and mental health needs. Find out more about this course.
  • Caregiver Report: Although the U.S. direct care workforce has grown to nearly 5.4 million jobs to meet the needs of an aging population, workers—who are mostly women, people of color, and immigrants—still face severe financial hardships and low wages that are now threatened by upcoming federal policy changes. Find out why advocates are concerned.
  • Caregiving Compendium: The Family Caregiving Compendium is an interactive online tool that tracks and compares unpassed federal policy proposals from the last ten years designed to support America's 63 million family caregivers across areas like financial aid, training, and paid leave. Check out this great resource.
  • New Resource: The Home Modification Information Network is a free, newly updated online tool that connects individuals, caregivers, and professionals with local, state, and national resources to help make homes safer and more accessible Learn how to explore it.
  • Disability Fellowship Program: Funded by Common Good Philanthropies, the Wisconsin Disability Policy Fellowship and Internship Program gives individuals with developmental disabilities and their families hands-on experience in advocacy, policy analysis, and community engagement to help them build careers in disability rights. Applications due October 28th.
  • National Self-Direction Inventory: As of 2026, over two million older adults, people with disabilities, and veterans are using self-directed care to choose their own caregivers, an expanding model that state agencies find is 20 to 30 percent cheaper than traditional agencies and helps fix caregiver shortages by letting participants hire family and friends. Learn what else you can find in the National Self-Direction Inventory.
  • Concerns over Availability of Services: A severe shortage of caregivers and upcoming Medicaid funding cuts are forcing disability service providers to turn away new clients and reduce programs, leaving vulnerable people at risk of losing essential care. Read about why advocates are deeply concerned.

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.

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Member Spotlight: Priscilla


By SD Network, 2026-10-06

Meet Priscilla: a powerhouse self-advocate, award-winning leader, and microbusiness owner who refuses to let life’s unexpected twists slow her down! Whether she is commanding the stage as a conference presenter, mentoring peers, or checking out sleek rides at local car and bike shows, she brings unstoppable energy to everything she does. But of all her impressive titles, there is one she wears with the absolute most pride: being an amazing grandmother. Spunky, resilient, and fiercely independent, Priscilla is the true author of her own story, proving every day that challenges are just part of the adventure.

How are you involved with self-determination? What advocacy work are you involved in?
Priscilla is a self-advocate, peer mentor, conference presenter, moderator, microbusiness owner, and the winner of the 2025 Diehard Award. In 2019, her life changed drastically when her previously hidden, invisible disabilities began becoming visible, bringing unpredictable daily challenges like temporary speech loss, severe pain that restricts limb movement, and seizure-like episodes triggered by sensory inputs. Her journey with self-determination became deeply personal when it was suggested that she move into a group home after living independently for over 30 years. Refusing to be put into a box that did not fit her life, she fought back alongside her cousin and employer at C. Renee Consulting, ultimately securing the necessary supports to remain safely in her own home. Today, she uses her experiences to encourage others with disabilities to find and use their voices, firmly believing that they belong in every conversation where decisions are being made about their lives. Reflecting on her resilience, she notes, "Sometimes I feel like my brain is forever fighting against my desire to be great—but I keep pushing forward." 

Tell us some good news! What's the most exciting thing happening for you—or in Wisconsin—in terms of self-determination?
Priscilla is deeply enthusiastic about the growth of a stronger community of self-advocates and peer mentors in Wisconsin. She highlights their collective efforts to help individuals with disabilities learn how to use their voices, understand their choices, and step into leadership roles within their own lives and communities. To counter the common issue of outside decisions being made without including the people they affect, she emphasizes a straightforward approach to understanding people with disabilities, asserting, "Listen to us!" Through sharing experiences, asking questions, and standing up for their rights, self-advocates are actively driving change. She is particularly focused on engaging high school students and young adults early on so they can grasp the principles of self-advocacy and self-determination before others attempt to define their futures. Ultimately, she sees a shifting landscape where individuals with disabilities are not merely asking to be heard, but are actively becoming mentors, presenters, business owners, and community leaders who are empowering the next generation to recognize that their voices truly matter.

What are some of your hobbies?
When Priscilla is not busy advocating, mentoring, presenting, or managing her business, she fills her time with crafting, cooking, traveling, and attending car and bike shows. However, her absolute favorite role in life is being an amazing grandmother, a title she wears with immense pride. Spending time with her family brings her immense joy and serves as a powerful reminder that despite life's daily challenges, there is still so much to celebrate and enjoy. For her, these moments are all about family, laughter, love, and making lasting memories with the people who mean the absolute most to her. Reflecting on the happiness her family brings, she shares, "Being a grandmother brings me so much joy."

Any final thoughts you'd like to share?
Priscilla acknowledges that her journey has not always been easy, and she continues to write her own story every single day. Through her experiences, she has learned that self-determination is far more than a program, policy, or phrase—it is deeply personal. For her, it means having the freedom to decide where she lives, choosing who supports her, speaking up when something feels wrong, and having people truly listen to her instead of speaking for her. While her disabilities are a part of her story, they do not define the whole story. She is a self-advocate, peer mentor, presenter, business owner, grandmother, and leader who ultimately remains the sole person who gets to decide what comes next in her life.

***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.

 


The article highlights a growing crisis among service providers for individuals with intellectual and developmental disabilities, driven by severe direct support staff shortages and impending Medicaid funding cuts. Due to these constraints, most providers have been forced to decline new referrals, reduce existing programs, or delay new initiatives, leaving vulnerable populations at risk of losing essential care like home-based support and residential services. The situation is further compounded by federal immigration policies affecting the direct care workforce and administrative delays in Medicaid payments, pushing the disability support system toward a point where critical services may soon become effectively inaccessible.

 


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Self-directed long-term services and supports (LTSS) allow individuals to choose how, when, and from whom they receive care, with over two million older adults and people with disabilities utilizing this model as of 2026. Data from the 2026 Self-Direction National Inventory shows significant enrollment growth across states—ranging up to a 1,100 percent increase in Florida—as well as expanding adoption in all Veterans Affairs Medical Centers for over 12,000 veterans. State agencies generally consider self-directed care to be cost-effective compared to traditional agency models, often costing 20 to 30 percent less per participant while helping address direct-care workforce shortages, particularly in rural areas where participants frequently hire family and friends.



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Wisconsin theater organizations, such as Children’s Theater of Madison and Pink Umbrella Theater Company in Milwaukee, are implementing innovative adjustments and dedicated facilities to make performing arts more accessible to neurodivergent individuals and people with disabilities. Key adaptations include sensory-friendly performances with modified sound and lighting, sensory kits, quiet spaces, trained volunteers, American Sign Language interpretation, and audio descriptions. Additionally, venues are incorporating flexible and non-traditional seating, wheelchair accessibility, adult-sized changing stations, and smart boards for captioning to foster a fully inclusive, welcoming environment for both audiences and performers.



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The Wisconsin Disability Policy Fellowship and Internship Program goal is to provide individuals with developmental disabilities and their families who are passionate about disability rights an opportunity to gain hands-on experience and build a career in the field of disability policy. Our program offers experiences in policy analysis, advocacy, and community engagement at state agencies, legislative offices and disability advocacy organizations. This is a BPDD project funded through a grant from Common Good Philanthropies.

Who Should Apply?

The Internship Program is open to individuals who live in Wisconsin with developmental disabilities and family members of people with developmental disabilities who are committed to disability rights advocacy.  Individuals with some experience with state or local advocacy, good communication skills, and the ability to work in a team, and has basic knowledge of state and local advocacy. 

What do you need to know?

  • The Internship will last 6 months, starting by January 15, 2027, until July 2027.  
  • You must live in Wisconsin.
  • Interns will work 24 hours a week, during regular business hours of 8-5, Monday-Friday
  • Interns will be paid $20 an hour.  Additional funds will be available for travel.
  • Interns will be placed at either a state agency, legislative office, or advocacy organization.
  • Interns have access to training sessions and workshops that enhance their understanding of disability policy and advocacy.
  • Interns will have opportunities to build connections with professionals in the disability policy field.
  • Applications are due October 28th, 2026, by 5pm.

You can find out more and apply using this link or clicking the button below: https://wi-bpdd.org/index.php/wi-disability-policy-leadership-program/

Disability Policy Leadership Program
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Home modifications can help people remain safe and independent in their homes and communities, but finding reliable information about home modification services and resources can be challenging.
Recently updated with support from ACL, the Home Modification Information Network (HMIN) is a free online resource for individuals, caregivers, professionals, organizations, and others seeking information on home modifications. HMIN brings together information about programs, funding opportunities, service providers, and other resources available at the local, state, and national levels.
Users can search by the type of assistance they need and enter a ZIP code to find relevant resources in their area.  
Explore HMIN
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Stacy's Journal: Proving the Need


By Stacy Ellingen, 2026-10-01

A teenager taking the exam to get their driver’s license. A soldier completing a test to upgrade their rank. Someone taking the bar exam in hopes of getting into law school. An athlete gets a medical exam in order to participate in sports. There are many different types of exams that people do. In most cases, the exams are tools that prove whether people are capable or incapable of doing something. Generally speaking, people want to “pass” the exam, so that they are able to move forward with whatever it is that they are trying to accomplish. A lot of the time, “passing” the exam is an exciting accomplishment; however, there are times when doing well on a test or screen isn’t necessarily a positive thing.

A few years ago, I wrote a journal entry about how many times, people—especially those who have disabilities--are unintentionally interrogated.  I talked about how people with disabilities often have to repeatedly answer questions about what they’re capable and incapable of doing. The questions are asked in order to determine how much support and funding for services the individual receives. Despite the screeners being nice and understanding, anyone who has had to go through a functional screen, knows that they are usually pretty emotionally draining. Why, you ask? Simply because you’re asked about all of your abilities and inabilities. As I pointed out in that entry, after doing a couple of them, you learn to make yourself sound as “needy” as possible, so you can get the support you need. While I don’t lie, I’ve learned to make myself sounds as vulnerable as possible when I do those screens. I was lucky enough to have both my functional screen and my screen for Self-Directed Personal Care hours within weeks of each other this year (insert sarcasm).

Through the grapevine, I had heard that many people’s budgets and personal care hours had decreased this year even though nothing had changed. Sure enough, my personal care hours decreased by a few hours. While, it’s not particularly surprising given what’s happening federally, it’s incredibly frustrating! So, what happens when budgets decrease or personal care hours decrease? Depending on the situation, sometimes, if the decrease is not significant, a person might be able to make do with it by rearranging some things in their budget; however, often, people can’t make do. What happens when people are not able to make it work without the given support? In the IRIS program, participants can request a Budget Amendment for a particular service or support.

I may have written about going through a Budget Amendment process in past entries. Depending on what the amendment is for, in addition to the consultant having to do lots of paperwork, participants have to provide different documentation for it. Since my personal care hours decreased, I need more Supportive Home Care hours to make up for them. As I’ve explained before, I have 16 hours of care per day which equates to two eight-hour shifts per day. In order to maintain that, I will need a couple more hours of Supportive Home Care. My current consultant is amazing and she’s on top of everything. As soon as she got the results of the screens, she emailed me right away realizing that we’d probably need to do a Budget Amendment. As she started the paperwork, she emailed me saying that she needed an updated caregiver task schedule. What this is is a document laying out what the caregiver does for every 15-minute segment for the entire 16 hours that they are here. I initially had to do this about two years ago when my hours significantly increased. Think about that. That’s 64 time increments to have to fill with a specific task. While we did it because we had to, it’s just not realistic for someone to person to plan out their life in 15-minute segments--that’s just not how life works. This is especially frustrating to have to do when I have notes from two different doctors stating I need 24-hour care. One would think that a doctor’s note would hold enough necessity, but that’s not the case. Personally, it doesn’t make any sense to me. As it turns out, we ended up not needing to submit a request for a Budget Amendment this time because my regular IRIS budget increased enough that we were able to make everything work, but it could all change next year when I’m screened again.

Supports and services aren’t the only things that people who have disabilities have to go through hoops in order to prove they need. As I’ve talked about in previous entries, Durable Medical Equipment (DME) is another thing that people often have to prove they need in order to get it funded. It often takes many justification notes and therapist evaluation reports in order to get a piece of equipment covered. More often than not, this process takes months. Depending on what the equipment is, a person could be left not able to live their life while waiting for funding to get approved. In my opinion, this is one of the most major flaws in the so-called system.

Social Security and Supplemental Security Income are also things that require proof on a regular basis. Additionally, Medicaid requires a rigorous review annually (in Wisconsin). Obviously, a lot of these benefits are interconnected, but individuals still have to provide proof that they need it. The renewal process for these benefits can be especially daunting because if you miss checking a box or don’t upload documentation correctly, you’re at-risk of losing your benefits that provide the supports that you need to survive.

While some people have conditions that change over time, many people don’t. Having to constantly prove that you need supports is not only time-consuming, but it can be mentally and emotionally exhausting. As I’ve said before, many of us don’t think about having a disability until circumstances present themselves. When you’re constantly having to prove you need services and supports, it’s often a reality check of your circumstances. Unfortunately, I don’t see anything changing in the near future—in fact, given today’s political environment, it may get worse before it gets better. That’s why it’s so important that we keep relentlessly advocating for what we need!

***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.

 


The Family Caregiving Compendium, developed by the George Washington University Milken Institute School of Public Health and the LeadingAge LTSS Center @UMass Boston, is an interactive, searchable resource tracking federal legislative and policy proposals introduced over the past decade to support America's 63 million family caregivers. Designed to organize and compare non-passed federal proposals, the compendium categorizes initiatives across five key domains: expanding and enhancing caregiver programs (such as Medicaid, Medicare, and the Older Americans Act), providing financial supports like tax credits and stipends, delivering training and education, establishing workplace supports such as paid leave, and implementing other cross-cutting policy approaches to strengthen the long-term services and supports (LTSS) system.



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The direct care workforce in the United States experienced rapid growth over the past decade, adding nearly 1.8 million jobs to reach almost 5.4 million workers, driven primarily by a rapidly aging national population. Despite this expansion and projections that direct care will generate more new jobs than any other single occupation over the next decade, workers continue to face severe economic instability. In 2024, the median hourly wage stood at just $17.36 with median annual earnings under $26,000, leaving more than a third of the workforce in low-income households and nearly half relying on public assistance. Composed overwhelmingly of women, people of color, and immigrants, this essential workforce now faces heightened recruitment and retention risks due to emerging federal policy changes, including Medicaid funding cuts, shifting immigration rules, and weakened labor protections.



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