Florence mother worries that Medicaid reductions will stop her son’s care

Florence Mother Voices Concerns Over Medicaid Cuts

FLORENCE, Ky. — A mother from Florence, who is the full-time caregiver for her son, has expressed worries that upcoming Medicaid reimbursement cuts could severely hinder families like hers in finding essential health care providers.

Starr Garcia cares for her 18-year-old son, Domingo Garcia Jr., who suffers from a rare genetic disorder affecting only 30 individuals globally. This condition results in significant intellectual disability and autism.

Domingo is part of a Medicaid waiver program aimed at allowing Kentuckians needing intensive care to remain in their homes and communities. This program supports behavioral needs and daily living activities.

“I had to put everything on hold. He’s my whole life,” Garcia remarked.

The Kentucky General Assembly has approved a two-year state budget that falls short by $691 million from fully funding Medicaid. A 4 percent reduction in reimbursement rates is set to take effect on August 1.

These cuts are expected to influence hospitals, home health agencies, behavioral health providers, and waiver programs essential for families like the Garcias.

Garcia noted that already low reimbursement rates complicate the quest for suitable providers.

“What we do isn’t out of choice; it’s out of necessity,” she elaborated.

She mentioned being in contact with providers regarding the potential ramifications of these cuts.

“We’re reaching out to various providers. Some are talking about layoffs, while others are considering closure. This is very serious,” Garcia stated.

Upon Domingo Jr. turning 18, he will also lose access to Cincinnati Children’s Hospital, which Garcia has referred to as a safe space during earlier behavioral eruptions. The alternatives, she pointed out, are much scarcer.

“I could end up facing a 72-hour wait in the ER, and any aggression would just be suppressed,” Garcia explained.

Garcia and her family have taken their concerns to the capital, Frankfort. In response, the administration of Gov. Andy Beshear has criticized the General Assembly for inadequate funding. Meanwhile, Republican lawmakers have argued that Beshear has struggled to identify alternative savings.

Garcia urged both factions to find common ground.

“I plead with the General Assembly and Governor Beshear to collaborate. I implore them to engage in dialogue and stop treating us as mere pawns,” she said.