A Communication from the Policy Information Exchange

Volume 9, Number 2 - Spring, 2008

A Slice of Pie is an ongoing publication keeping our readers informed about important public policy issues.

It is the mission of the Policy Information Exchange to educate and inform Pennsylvanians with disabilities, their families and advocates, and the general public, regarding public policy issues and to further the exchange of policy information between the Pennsylvania Developmental Disabilities Council and federal, state and local policy makers.

The Policy Information Exchange is funded by the

Pennsylvania Developmental Disabilities Council.

Print Version (PDF file)

STATE NEWS
NATIONAL NEWS
RESOURCES
CONFERENCES

STATE NEWS

Bills of Interest

Below we summarize some bills of interest to the disability community.  For more information about these or any other state bills, go to: http://www.legis.state.pa.us/cfdocs/legis/home/session.cfm.    At the top of the page is a box labeled, "Find Legislation By", choose "Bill #", then enter the bill number and click on "Go".

HB 883. Introduced by Representative Kenney (R-Montgomery).  The bill would add additional conditions to the list for newborn child screening and testing.   It has passed the House and been voted out of the Senate Public Health and Welfare Committee.  It is currently in the Senate Appropriations Committee.  

HB 1596. Introduced by Representative Eachus (D-Luzerne).  Amends the Sign Language Interpreter and Transliterator State Registration Act (Act 57 of 2004) to provide for provisional registration.   The bill was voted out of the House Professional Licensure Committee on April 7, 2008 and given first consideration by the full House.  It is currently in the House Appropriations Committee.  

HB 1699. Introduced by Representative DeWeese (D-Fayette). This bill would change the composition of the Statewide Independent Living Council (SILC).  It was reported out of the House State Government Committee and the House Health and Human Services Committee, given first consideration by the full House and is currently in the House Appropriations Committee.

HB 2161.  Introduced by Representative  Boback (R-Columbia).  The bill establishes procedures for when consumers are moved from long term care facilities.  It has been voted out of the House Aging and Adult Services Committee and given first consideration by the full House.

HB 2182. Introduced by Representative Staback (D-Lackawanna).  The bill provides for  onsite complaint investigations and plans of correction for personal care homes and assisted living facilities.  The bill has been voted out of the Aging and Older Adult Services Committee and given first consideration by the full House.  It is currently in the House Appropriations Committee.

HB 2241. Introduced by Representative McIlvaine Smith (D-Chester).  The Bill provides for annual cost of living increases for county mental health and mental retardation programs.  It is very similar to HB 2160 introduced by Rep. Kenney (R-Phila.)  It's also similar to HB 1813 which was passed by the General Assembly in the last legislative session and vetoed by the Governor.  HB 2241 and HB 2160 are both in the House Health and Human Services Committee.  

HB 2242. Introduced by  Representative Gingrich (R-Lebanon).  The bill would require that public long term care providers, including home and community based providers, make some information public to consumers and their "designated persons."  The bill was introduced in February and referred to the House Aging and Older Adult Services Committee.

HB 2253. Introduced by Representative Marshall (R-Beaver). The bill would raise the personal needs allowance for people in personal care homes from $60 a month to $120 a month.  It was introduced in February and referred to the House Aging and Older Adult Services Committee. 

HB 2384. Introduced by Representative Sabatina, Jr. (D-Philadelphia).  The bill provides for imposition of the death penalty in cases where the defendant is a person with mental retardation.  It provides for post-trial determination of mental retardation which is opposed by many advocacy groups.  The bill was introduced and referred to the House Judiciary Committee on March 24.  See also HB 1370 and SB 751 which provide for pre-trial determination.

HB 2438. Introduced by Representative O'Brien (R-Philadelphia).   The bill relates to the timing of evaluations and burden of proof in special education proceedings.  The bill was introduced and referred to the House Education Committee on April 7, 2008.

SB 9. Introduced by Senator Scarnati (R-Jefferson).   This bill would require proof of lawful presence in the United States as a condition to the receipt of public benefits including disability benefits and medical assistance.  The bill passed the State Senate on April 9 by a vote of 39-10.  It will be sent to the State House.

SB 1137. Introduced by Senator D. White (R-Indiana).  This bill, as amended in the House represents a major portion of the Governor's health care reform agenda, including the creation of an Access to Basic Care (PA ABC) Program Fund to cover the uninsured.  It has passed both chambers, in different forms and in March was sent back to the Senate for concurrence in the House amendments.

SB 1373. Introduced by Senator Erickson (R-Delaware). The bill provides for a cost of living increase for mental health /mental retardation and early intervention programs. It was voted out of the Public Health and Welfare Committee and given first consideration on April 30, 2008.

Office of Developmental Programs
The Office of Developmental Programs (ODP) has issued four new Bulletins. Final Bulletins are posted on the DPW website at http://www.dpw.state.pa.us/PubsFormsReports/NewslettersBulletins/003673169.aspx. 

• Procedures for Service Delivery Preference (00-08-03) was issued on January 30, 2008 and became effective on January 1, 2008. It is the ODP policy for an individual's choice of service delivery setting prior to waiver enrollment and the related forms to be used.
• Individual Eligibility for Medicaid Waiver Services (00-08-04) was issued on March 5, 2008 and was effective on that date. The Bulletin describes the policy and procedures for initial and annual determination of eligibility for the consolidated and Person/Family Directed Support waivers. It includes a number of documents and letters used in the process.
• Due Process and Fair Hearing Procedures for Individuals with Mental Retardation (00-08-05) was issued on April 10, 2008 and was effective on that date. It describes the ODP policy on due process for individuals who register for or receive base-funded (non-waiver) mental retardation services, and the policy on fair hearings for waiver recipients and applicants.
• Approved Person/Family Directed Support Waiver Renewal (00-08-06) was issued on March 10, 2008 and is effective July 1, 2007. It distributes the approved waiver renewal application and the related work plan to fulfill various requirements.

The ODP has circulated three draft Bulletins for comment.  For copies of draft bulletins, contact the Deputy Secretary's office at 717.265.7890.

• Procedures for Surrogate Health Care Decision Making clarifies surrogate health care decision making procedures for individuals with mental illness and mental retardation ages 18 and older in light of Act 169 of 2006.
• Supports Intensity Scale® (SIS®) and PA Plus Manual, describes the roll-out and implementation plan for the SIS and PA Plus assessments and their use in developing Individual Support Plans.
• Vendor Fiscal/Employer Agent Financial Management Service describes the procedures for employer and budget authority.

Proposed regulations on Individual Service Plans (ISPs) were published in the Pennsylvania Bulletin on April 26th for a 30 day public comment period.

Recently the ODP has issued several letters and documents relating to the process of implementing various parts of the work plan submitted to CMS. View the work plan that includes due dates at http://www.dpw.state.pa.us/PubsFormsReports/NewslettersBulletins/003673169.aspx?AttachmentId=4277%20. Topics include the prospective payment rate-setting process and associated timelines and policies, PROMISE billing by providers by July 1, 2008 with phase-out of payment advances, and preparation for direct payment from the Treasury starting July 1, 2009. Several Forums on the proposed revised service definitions that will be in effect on July 1, 2009 were held across the State for stakeholder input.

In February, Deputy Secretary Casey issued a letter describing the policy for interpretation of room and board costs for the various waiver respite service rates based on whether they are licensed/accredited or not.

The ODP has initiated a 5 year plan for Comprehensive Regulatory Revision for the licensed programs that serve individuals with intellectual disabilities. ODP asked for stakeholders to join workgroups on various parts of the regulations. A link to the video and PowerPoint of the April 4 presentation by ODP staff is found at http://www.odpconsulting.org/index.php?option=com_wrapper&Itemid=8.

The ODP has announced the selection of Acumen Fiscal Agent as the vendor for the Statewide Vendor Fiscal Agent/Employer Agent Financial Management Service (VF/EA FMS) organization. This was previously known as Intermediary Service Organizations (ISOs) provided locally or regionally. The service provides employer-related support to individuals and their families in the waivers who use this service model. Those currently using a local VF/EA FMS will be served by Acumen starting Jan. 1, 2009. Waiver participants who want to begin to use VF/EA FMS can be referred to Acumen now.

The Bureau of Autism Services (BAS) has submitted a Home and Community Based (HCBS) waiver application to the Centers for Medicare and Medicaid Services (CMS) for services to adults with autism ages 21 and over. Read the draft document at http://www.dpw.state.pa.us/ServicesPrograms/Autism/News/2008NewsAnnouncements/003677257.htm.   A proposal for another program that requires approval for federal matching funds was also submitted to CMS. It is called Adult Community Autism Program (ACAP) and is also awaiting approval. For information about the status of the waiver or ACAP contact them at DPW-AutismOffice@state.pa.us.  For information about other BAS initiatives, visit their website at http://www.autisminpa.org/  or call 866.497.6898. For a copy of an informational PowerPoint about Autism Services, contact the PIE office.

Office of Long Term Living
A new Director of the Bureau of Individual Supports began work on April 14, 2008. Jack L. Hillyard will oversee eight HCBS waivers, Attendant care ACT 150, CSPPPD and the LIFE capitated care program for seniors.

There has been no change regarding the Financial Management Services (FMS) rate policy and support services to individuals using the consumer-employer model in the Aging waiver or former Act 150 consumers. It remains on hold and under discussion. 

On March 31 the Office of Long Term Living submitted the Attendant Care waiver renewal application to the Centers for Medicare and Medicaid Services (CMS). It includes a number of changes to the program. A summary of the waiver renewal and the entire document is located at http://www.dpw.state.pa.us/About/OLTL/.

On March 31 the Office of Long Term Living submitted the Aging waiver renewal application to the Centers for Medicare and Medicaid Services (CMS). It includes a number of changes to the program. A summary of the waiver renewal and the entire document is located at http://www.dpw.state.pa.us/About/OLTL/

Forensic Units
In March, Department of Public Welfare Secretary Estelle Richman announced that DPW is withdrawing its request for proposals to explore the consolidation and privatization of forensic services that are currently provided by the state hospital system.  Under the new agreement, existing forensic services at Warren and Norristown state hospitals will remain in place, while state operated services at Mayview will be transferred to Torrance State Hospital upon completion of Mayview's scheduled closure.

Open Records
Governor Rendell has selected Terry Mutchler to head the state's new Office of Open Records.  A Pennsylvania native, and Penn State graduate, she worked as a reporter and most recently served as Illinois' first public access counselor.  The Office was created by the state's new open records law.

PA Primary Election
In the April 22nd Pennsylvania primary, nearly 55 percent of Pennsylvania's 4.2 million Democrats went to the polls, and Hillary Clinton defeated Barack Obama by 9.2 percent.  Clinton won 60 of the state's 67 counties.   As this issue of Slice of PIE goes to press, the division of delegates is not clear.  John McCain received almost 73% of the votes cast in the Republican primary.

In other statewide races, Rob McCord defeated three challengers in the Democratic primary race for State Treasurer.  McCord will face Republican Tom Ellis in the fall.  The Attorney General race will pit Tom Corbett (Republican) against John Morganelli (Democrat).  Democrat Jack Wagner will face Republican Chet Beiler in the Auditor General's race.

In the state House primary races, two incumbent Democrats, Harold James and Thomas Blackwell both of Philadelphia, lost.  No incumbents running in the primary for State Senate were defeated.  This is a contrast to the 2006 primary when 15 state Representatives and two state Senators lost in the primary election.  For the fall general election, in 64 of the 203 state House seats, Democrats are unchallenged, while 52 Republicans are unchallenged.  Democrats are being challenged in four seats opened by the retirement of current members; Republicans face challenges in 12 open seats.  Currently, Democrats control the state House by one vote.  Nineteen of 25 Senate candidates face no challengers.   

For a complete breakdown of PA Primary election results, go to  http://www.electionreturns.state.pa.us/ 

And, just a reminder, October 6, 2008 is the last day to register to vote in the November 4 General Election when we'll select our new president, all of the members of the US House and the State House and half of the State Senate, as well as a number of state row offices.

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NATIONAL NEWS

Federal Budget 2009
Congress is working to resolve the differences in the Budget Resolutions passed by the House and Senate. This would set the rules for the many appropriations bills that must be passed later this year for the fiscal year beginning October 1, 2008. There are several significant differences between the House and Senate versions, including disagreement on how to pay for the Alternative Minimum Tax (AMT). Both bills are over $20 billion more than the Administration's proposed budget.

Lifespan Respite
An amendment to provide $53 million initial funding for the Lifespan Respite Care Act was included in the Senate Budget Resolution. The law was passed in 2006 but has not yet been funded. For information on Lifespan Respite programs and advocacy go to http://chtop.org/ARCH.html.

CMS Rule Changes
The Centers for Medicare and Medicaid Services (CMS) has developed rules which would, among other things, narrow the use of case management and make changes to the rehab option, school based administration and transportation rules.  Congress has continued efforts to address the concerns about the impact of several of the most problematic new provisions with a one year hold on implementing the regulations for case management, and an extension to the June 30, 2008 hold on changes to the rehab option, and school-based services/transportation rules. Many stakeholders have voiced their strong opposition to CMS. Advocates also want a moratorium on SCHIP eligibility restrictions. Passing legislation, like the bills to stop these rule changes, is difficult, because the House of Representatives has a "Pay-As-You-Go" rule that won't allow them to increase spending without offsetting revenue or cuts. The proposed budget resolution assumes the savings these rule changes would have.   The Senate does not have this rule.

Four states (ME, MD, NJ, and OK), have filed a lawsuit against the US Department of Health & Human Services challenging the new CMS rules for case management. One of the reasons cited is that it does not provide a reasonable transition period for the states to modify their case management programs.

The Center on Budget and Policy Priorities has published a paper on the possible effects of the new rules on health care at the local and state levels. It is titled "Administration's Medicaid Regulations Will Weaken Coverage, Harm States, and Strain Healthcare System." It includes a chart of the regulations; the impact on beneficiaries, the estimated Medicaid savings, and effective dates. Read the report at http://www.cbpp.org/2-13-08health.htm.

A report titled "The Administration's Medicaid Regulations: State-By-State Impacts" has been released by the House Oversight and Reform Committee. It is based on information from State Medicaid Directors on the estimated financial impact of the new regulations and it estimates that the new rules would reduce federal Medicaid payments to the states by $49.7 billion over the next five years. The report includes an interactive map of the impact on Pennsylvania.   Read it at http://oversight.house.gov/features/medicaid08/.

HCBS State Plan Services
The Centers for Medicare and Medicaid Services (CMS) recently published proposed rules for a new optional service that States can add to their Medicaid State Plan. The service is Section 1915(i) Home and Community-Based State Plan Services. The services would be similar to those offered in the HCBS waivers but the full range of services would not be available. It could, however, serve people who do not meet the institutional level of care. Read the proposed regulations in the Federal register at http://edocket.access.gpo.gov/2008/pdf/08-1084.pdf.

Newborn Screening Law
Congress passed The Newborn Screening Saves Lives Act of 2007 (S1858 /HR 3825) in April. The measure authorizes funding for improvement and expansion of screening programs. Once funded, states could also provide educational materials to families. 

Traumatic Brain Injury Act
Congress passed the reauthorization of the Traumatic Brain Injury Act (HR1418/S793) in April. It authorizes public health initiatives and research on traumatic brain injury. It calls for the collection of data on the incidence of brain injury.
Mental Health Parity
The Paul Wellstone Mental Health and Addiction Equity Act of 2007 (HR 1424) passed the House but there are major differences with the Senate bill (S558). It would require health insurers to offer mental health benefits equal in cost and scope to medical and surgical benefits. The Senate bill is narrower and has the support of business and insurers. It may be difficult to negotiate a bill that addresses the objections of the White House as well.

Disability Savings Accounts
Several Senators and a Representative have introduced bills to establish disability savings accounts that would be similar to the Section 529 plans used for college savings. Pennsylvania's Senator Casey has joined with Senator Hatch on S2743. The savings could be used for the long term care needs of  an individual with a disability.

UN Convention
The 20th country has now ratified the United Nations Convention, making it International Law. The United States has not signed. Disability advocates are developing strategy to press the US to sign. On May 12, 2008 the UN held a celebration in New York City, and at the same time, an event in Washington, DC will kick-off the US campaign. For information go to http://www.ratifynow.org/ .

Voter ID
In late April, the US Supreme Court ruled that states can require voters to produce photo identification at the polls about the strategy. In a 6-3 decision, the Court rejected a challenge to Indiana's strict voter ID law. Advocates have argued that photo identification laws keep some people who are poor, older or have disabilities from being able to vote because those groups are less likely to have access to the required identification. Pennsylvania currently requires identification only for first time voters or those voting in a new precinct, and accepts various forms of ID.

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RESOURCES

State Budget
On February 5, Governor Rendell presented his proposed budget for the 2008-09 fiscal year that begins on July 1, 2008.  Contact the PIE Office for an analysis of the proposed budget.

IRRC Website
The Independent Regulatory Review Commission (IRRC) website at http://www.irrc.state.pa.us/ allows users to review proposed and final regulations, comments by the public, legislators and the Commission and other publications.  There are several search features and a new "Sign up for Email Notifications" option that will provide regular e-mails on topics of interest.

Partial Hosp. & Education
Earlier this year the Departments of Public Welfare and Education published a joint report on the right to education for children in partial hospitalization programs.  The Education Law Center website includes copies of the report.  To view the report, go to http://www.elc-pa.org/disabilities/disabilities.html and scroll down to "Finally - progress in ensuring quality education for children who attend "partial hospitalization programs" during the school day."  The site also includes links to the Department of Public Welfare Office of Mental Health and Substance Abuse Services Bulletin that explains new admission and discharge procedures and how children's education programs should be developed.  Also included is a letter from the Education Deputy Secretary to superintendents stating that the school districts in which the children live are responsible for their education; that districts can't provide that education through homebound instruction for more than 30 days; and that children should get sufficient instruction to permit a successful transition back to their school district without significant interruption in core academic subjects.  For help getting education for a student in a partial program, contact http://www.paddc.org/Local%20Settings/Temporary%20Internet%20Files/OLKA0/jstotland@elc-pa.org.

Housing Modifications
The federal Departments of Housing and Urban Development (HUD) and Justice (DOJ) have issued joint guidance to housing providers and homeowners' associations on understanding the "reasonable modifications" rules in the Fair Housing Act (FHA). It also provides information to individuals with disabilities about their rights. To Access the 18 page guidance go to http://www.hud.gov/ and type in "reasonable modifications" in the search box.

ODP Stories
The Department of Public Welfare Office of Developmental Programs has begun posting a monthly "Feature Article" on the ODP consulting website.  These articles discuss policies and procedures from the perspective of people affected by them.  To read the articles, go to http://www.odpconsulting.net/ and click on "Feature Story" at the top of the page.

Waiting List Listserv
A new listserv to advocate for the end of waiting lists for adults with disabilities has been created.  It's called NOEWAIT - The National Organization to End the Waitlist through Advocacy, Information and Transformation.  To join NOEWAIT, contact http://www.paddc.org/Local%20Settings/Temporary%20Internet%20Files/OLKA0/DnvrFox@aol.com.

Federal Employment
The Equal Employment Opportunity Commission has issued a report, "Improving the Participation Rate of People with Targeted Disabilities in the Federal Workforce." The report can be found on the EEOC's website at http://www.eeoc.gov/federal/report/pwtd.html.

Premise Alert
In April, the statewide availability of the Premise Alert System was announced at the Capitol.  The Premise Alert System, created by Police Chief Kevin McCarthy and Susan Rzucidlo, a parent of a young man with autism, allows individuals with disabilities to choose to provide information to local first responders before a crisis occurs.   The system was first implemented in Chester County in 2004.  For more information, go http://www.papremisealert.com/.

Brain Injury DVD
There's a new state funded DVD on brain injury available at http://www.abin-pa.org/videos/PA_Brain_Injury.swf.

Consumer Control
The National Association of State Units on Aging issued a report, "More Can Be Done: Involvement of Older Consumers in the Design, Implementation and Oversight of Home and Community Based Services" that examines the role of older participants in planning, developing and overseeing home and community-based programs.  It's available at http://www.cashandcounseling.org/resources/20080303-111313/NASUARpt32.pdf.   

State Performance
The 2006-07 Governor's Report on State Performance describes major objectives as well as achievements for fiscal year 2006-07 for 25 Pennsylvania state agencies including the Department of Public Welfare.  To view the report, go to http://www.state.pa.us/papower/lib/papower/attachments%202006_07_govperformancerept_web.pdf.

Foster Care
The National Council on Disability (NCD) has issued a report on barriers to success for youth with disabilities in the foster care system. It includes policy recommendations. The focus is on older youth, including difficulty with transitioning to adulthood. Read the 158 page report at http://www.ncd.gov/ in the publications section for Feb.26, 2008.

There's also a new Legal Center for Foster Care and Education.  More information is available at http://www.abanet.org/child/education/.

MH Report
The National Council on Disability has a new report, "Inclusive Livable Communities for People with Psychiatric Disabilities," which is available at http://www.ncd.gov/newsroom/publications/index.htm and go to March 17, 2008.

Web Captioned Telephone
A free Web captioned telephone service for people with hearing loss is now available nationally through Hamilton Web CapTel. To register, go to http://www.hamiltoncaptel.com/ and select Pennsylvania. The service works with any type of telephone and any type of Internet access device. Individuals can listen to the caller and read written captions of everything the caller says.  For information call 800.618.4781.

Disability Data
Cornell University has issued the 2006 Disability Status Report which includes the most recent demographic and economic statistics on the working-age (ages 21-64) population with disabilities by state in the United States. The full report, including individual state reports, is available online at http://www.ilr.cornell.edu/edi/disabilitystatistics/

One Vision: One Call
United We Ride has launched a new campaign, One Vision: One Call, which aims to simplify access to transportation services across the US. They advocate that services should be coordinated so that consumers have to call only one number to arrange a ride. For information, go to their website at  http://www.unitedweride.gov/ONEVISIONBrochure_Textfinal.pdf  or call 800.527.8279.

Medical Equipment Survey
The Independent Living Research Utilization (ILRU) has posted the results of a needs assessment about accessible medical equipment on their website. The web cast presentation by June Isaacson Kailes is called "Just Hop Up, Look Here, Read This, Listen Up, Don't Breathe & Stay Still! -Access to Medical Equipment - Where are We?" See the web cast and the PowerPoint at http://www.ilru.org/html/training/webcasts/archive/2007/01-04-JK.html.

On-Line Courses
The Minnesota Governor's Council on Developmental Disabilities has made available free on-line courses from the Partners in Policymaking® website, http://www.partnersinpolicymaking.com/.  The 20 year old program's goal is to teach parents and self-advocates the power of advocacy. The topics include inclusive education and successful employment for people with disabilities.

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Conferences

Cross-Systems Conference
The Joint Committee on Older Persons with Mental Retardation will hold the 2008 Aging /Mental Retardation Cross-Systems Conference- Building Bridges on Sept 23-24 in Grantville, PA. For information call 717.541.4214 or email http://www.paddc.org/Local%20Settings/Temporary%20Internet%20Files/OLKA0/janet@p4a.org. The conference is sponsored by the Department of Aging and the Department of Public Welfare.

NCIL Conference
The National Council on Independent Living will hold its Annual Conference, "Time for Change....Use Your Power," from July 21 - 24, 2008 at the Grand Hyatt Hotel in Washington, DC. Information on the conference can be found on their web site at http://www.ncil.org/.

Housing Conference
The Pennsylvania Housing Finance Agency will hold its 2008 Annual Housing Conference on June 16-18 at the Wyndham Hotel in Gettysburg.  For more information, go to http://www.phfa.org/forms/conferences/housing_services/phfa_final5.pdf. 

WCD Expo
The World Congress on Disability will hold an expo and conference on July 11-12 at the Greater Reading Expo Center. The conference has six tracks: Aging, Autism, Travel, Universal Design, Medicare and Medicaid, and Housing. For information, go to http://www.wcdexpo.com/2008/penn/index.cfm.

Transition Conference
The 2008 PA Community on Transition Conference, Building Leadership to Promote Successful Outcomes, will be held on July 23-25 at the Penn Stater Conference Center. The focus is expanding the capacity of schools and community partners to support students with disabilities as they transition to adult settings. For more information, go to http://www.pattan.net/.

Respite Conference
The 2008 National Lifespan Respite Conference called "Home Grown: Cultivating Caregivers" will be held on September 4 - 6 in Des Moines, Iowa. It is hosted by the Iowa Respite and Crisis Care Coalition in collaboration with ARCH National Respite Network. For information, go to http://irccc.com/

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The PIE Team:

Theotis Braddy,
Consultant and Executive Director of CIL of Central Pennsylvania

Joan W. Martin,
Executive Director, United Cerebral Palsy of Pennsylvania

Vini Portzline,
Policy Specialist

Terry Roth,
Consultant

Change of information?

We want to be certain that you do not miss an issue of A Slice of Pie, so please send your name or address changes to pie@ucpofpa.org  or call 866.761.6129.  Thank you.