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chevron overturned, HUD "OLMSTEAD VOUCHERS," 2nd Trump Administration & Olmstead

11/27/2024

Val's Take/Conjecture

In 2015, CMS (the Centers for Medicare & Medicaid Services) determined that Medicaid would NOT COVER HOUSING but would cover "Housing-Related Services" and even "Olmstead Planning."
Under the first Trump Administration, Attorney General Jeff Sessions withdrew over 20 pieces of US Department of Justice "Guidance."
But it would be the US Supreme Court that overturned the Chevron Doctrine this year in 2024 and held such Executive Agency Guidance was not binding.
The 1999 Olmstead Supreme Court decision was about a "Comprehensive, Effectively Working State Plan for People with Disabilities" --- "moving at a reasonable pace."
The most glaring failure has been the failure to provide adequate housing for people with disabilities.
In Denver, the city took on the task of housing people with disabilities ---- it was seemingly was after the fact that city officials realized these were people with disabilities and needed a fair amount of case management, etc.
- Val's Take: One of the things that is so confusing about the Neuro-Developmental/Psychiatric Continuum
  - Most of the people on it do have an IQ over 70, sometimes a lot over 70
  - They are dealing with idiosyncratic pre-natal Neuro-Developmental Disorders to the Immune System, Microbiome, and Endocrine System as well as the Central Nervous System.
  - Further, the environmental INFLAMMATORY HITS can be exaggerated by pre-natal Maternal Immune Activation.
  - Biomarkers are important for individualized, personalized treatment.

HUD Takes Action to Support Community Living for People with Disabilities (August 2024)

After 25 years of Olmstead, it became painfully obvious that there were not enough housing resources for people with disabilities in most states, and it wasn't getting addressed ---- except maybe by Denver Mayor Mike Johnston and he was relying at least in great part on Federal Housing Vouchers.

Could a 2nd Trump Administration roll back "Olmstead Housing Vouchers" --- It could but it may not want to.

If HUD can cover Housing Vouchers, I think that makes the process of "Olmstead Planning" much easier for all the Stakeholders.

I don't think a 2nd Trump Administration is going to be focused on Olmstead Enforcement --- but there could be encouragement of reasonable, flexible plans to address the needs of people of disabilities who are institutionalized or at risk of institutionalization.

The Mental Health Crisis and better paradigms

11/7/2024

Val's Take/Conjecture

People with Neuro-Developmental and/or Psychiatric Disorders and an IQ over 70 have been at great risk of institutionalization or homelessness in this society and many societies.
"MIA [Maternal Immune Activation] induces widespread gene expression changes in neuronal and non-neuronal cells; importantly, these responses are abolished by selective genetic deletion of microglia."
- Fetal brain response to maternal inflammation requires microglia (2024)
These are big time paradigm shifts involving the Developmental Disorders of ADHD, Autism, Bipolar Disorder, Depression and Schizophrenia-- that are now seen as blurred as opposed to distinct.
- That would make a lot of sense if what we're talking about are IDIOSYNCRATIC activation of INFLAMMATORY CYTOKINES on most notably MICROGLIA during pregnancy.

The new paradigms often involve the 3 M's:

Maternal Immune Activation
Microglia, and
Mitochondria

Maternal Inflammation During Pregnancy and Offspring Brain Development: The Role of Mitochondria (2022)

Surprisingly, Suicidality involves dysfunctional mitochondria.

chevron overturned, HUD "OLMSTEAD VOUCHERS," 2nd Trump Administration & Olmstead

The Mental Health Crisis and better paradigms

Olmstead Law & Order Thursday

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