It’s no secret that student transportation staff play critical roles in the daily lives of the students on their routes. At the Transporting Students with Disabilities and Special Needs (TSD) Conference this fall, a new keynote speaker will share with attendees how they can create a positive environment onboard the bus to benefit student behavior outcomes.
Lisa Navarra’s keynote, “The Power of Praise: Shaping Student Behavior and Building Success on the Bus” is scheduled for Monday, Nov. 10 at the TSD Conference in Frisco, Texas. She will present research-based strategies for behavior specific praise as an interventional practice that assists students with their transportation routines, based on real-world interactions of school bus drivers with their students. She will discuss the types of praise that encourages student cooperation, how to phrase positive reinforcement phrases, and how all these practices help to shape the emotional and behavioral students and foster resilience.
Navarra has spent nearly three decades working with students with disabilities, not only in a classroom setting, but also transportation with her development of the Launch! School Bus Safety Program, intervention-based training that works with students to maintain behavioral expectations across educational settings and further safety. The New York-based behavior expert has been recognized with national awards for her work to ensure student safety and school-ready behavior and equip school district staff with tools to further student success and inclusion. Navarra was the recipient of the Teacher’s Federal Credit Union grant in 2024, after being voted the first place winner out of 1,500 nominees for the the institution’s national Teacher Appreciation Week contest.
Navarra was a special education teacher for 20 years and has a master’s degree in special education and certificate in school district administration. She is also an author of multiple behavioral and self-regulation books, including “Henry & Friends: A Bus Voice Adventure,” a children’s book that helps prepare students for their first school bus ride.
For more details on the 2025 TSD speakers, visit tsdconference.com. The TSD Conference will be held November 6-11 at the Embassy Suites Dallas-Frisco Hotel and Convention Center. Register by October 3 to save $100 on main conference registration with the Early Bird Discount.
A Nashville family is raising serious concerns after a 5-year-old kindergartner with autism was mistakenly placed on a school bus and then left wandering alone for nearly an hour on Monday afternoon, reported WSMV 4.
Zontrail Brinson, a nonverbal student at Ida B. Wells Elementary School, was supposed to be picked up by a parent at school dismissal. However, school officials said there was a “tagging error,” and Brinson was placed on a school bus then dropped off several blocks away, alone and unsupervised.
“It’s scary. I wouldn’t want to be alone by myself, especially being nonverbal,” said Rosalind Derrick, Brinson’s grandmother.
She explained that the family only learned of the incident when Brinson’s mother arrived at the school to pick him up and was told he wasn’t there.
Derrick told local news reporters that Brinson was dropped off at the intersection of 7th Street and Howerton, near Meigs Middle School, and began walking down the sidewalk. She said the school bus driver briefly spoke to the child but received no response and allowed him to exit the bus.
“When you didn’t see an adult, you should have just called the school or taken him back to the school,” she advised.
Brinson was eventually located by a police officer at a nearby playground and safely reunited with his family. While thankful unharmed, Derrick said the ordeal is every parent and guardian’s nightmare.
“I’m a praying grandmother. I was just praying and trusting that he would be found and everything would be okay,” she said.
Metro Nashville Public Schools (MNPS) acknowledged the incident and apologized.
“We deeply regret the distress this caused the family and are grateful the student was found safe,” said Sean Braisted, a district spokesperson. “As soon as the school was notified, staff and a school resource officer responded quickly and located the student at a park near his home. The school and transportation teams are reviewing the incident and reinforcing dismissal protocols to help ensure this does not happen again.”
Braisted clarified that as part of MNPS’s onboarding process, all kindergarten students zoned for school bus service receive a transportation tag. In this case, a teacher mistakenly attached a bus tag to Brinson’s backpack, which led to him being placed on a school bus despite the family’s plan for him to be picked up.
This interactive event on Friday, Nov. 7, allows for TSD attendees to not only see live demonstrations of the safety technology designed for school buses and vehicles that transport students with disabilities and who are preschoolers but will have the opportunity to ride the buses themselves. There will be a networking reception as part of the event.
The Ride and Drive and Technology Demonstration allows attendees to ride different fuel types of school buses as well as see special needs route specific technology such as wheelchair lifts in action.
“Exploring new technology and special needs transportation options at the TSD Conference is time well spent,” said Tony Corpin, STN president and publisher. “Through the Technology Demonstration and Ride & Drive, attendees gain hands-on experience with innovative solutions from top school bus OEMs and technology suppliers, empowering them to address challenges and enhance the ridership experience.”
The TSD Trade Show begins the evening of Sunday, Nov. 9 with the Trade Show and Tailgate Reception and continues Monday morning. This will be another opportunity for attendees to connect with vendors and find technology and service solutions to further safety and benefit students with unique needs.
Find the full conference agenda at tsdconference.com. Register by Oct. 10 to save $100 with the Early Bird Discount.
A teacher and students in a classroom. (Photo by Klaus Vedfelt/Getty Images)
I recently read over my son’s last report card and was overwhelmed with pride.
It showed how far he’s come — progress that, not long ago, felt out of reach. I made mental notes of the areas where we still need to do some work, but mostly I just sat with the joy of seeing comments like “participates well in class” and “a pleasure to have in class.”
A few years ago, those kinds of remarks seemed impossible.
My son is on the autism spectrum. He’s bright, curious, and kind, but he faces challenges in areas that come more naturally to his peers — things like socializing, staying focused, and following multi-step directions.
To support his growth, our family relies on services in Milwaukee made accessible through Medicaid. Without it, we couldn’t afford the therapies and supports that have made such a profound difference in his life.
One of the most transformative resources we’ve accessed through Medicaid is applied behavior analysis (ABA) therapy. Before my son began this program, he had a hard time sitting still, struggled with completing even small tasks, and rarely interacted meaningfully with others. The world often overwhelmed him, and those feelings showed up as frustration or withdrawal.
Our family was doing everything we could to support him, but we needed help. Medicaid made that possible.
The ABA therapy was intensive and, at times, exhausting — but it worked. Over time, we watched our son develop new skills, regulate his emotions, and engage with the world in a completely new way.
By the time the program ended, we had a different child. Not in that he changed who he was — but because he could finally show the world the amazing person he had always been. He could carry on a conversation, initiate play with peers, connect with adults, and begin building friendships.
Today, thanks to Medicaid, he continues to receive occupational therapy and speech therapy at school. These services help him strengthen motor skills, improve communication, and better navigate daily life. He also receives support through his Individualized Education Plan (IEP), ensuring he has the accommodations he needs to succeed. Because of this, my son is not just surviving — he is thriving.
Some 37 million children — roughly half of kids in the United States — rely on Medicaid for health care, therapies, and other essential services. For kids with disabilities, Medicaid is often the only option for accessing the support they need. Without it, families face impossible choices — foregoing therapies, draining savings, or going without care altogether.
This isn’t political for me — it’s personal. My child is not a budget line item. He is a human being who deserves the chance to live a full and meaningful life. Every child does.
Medicaid has been a lifeline for us, and it should be protected, not gutted. No parent should have to fight this hard for basic support, and no child should have their future jeopardized by politics.
The promise of America is an opportunity for all. That promise cannot be fulfilled if we dismantle the very systems that allow families like mine to survive — let alone thrive — simply to cut taxes for the wealthy.
Providing the best care for the students, empowering the transportation staff, and building an operational culture of communication and clear policies will be discussed by industry veterans, transportation consultants, and school district and bus company staff members.
In the driver training category, session topics include how to model behavior interventions in transportation settings, training for empathy of children’s needs, providing training for the service of medically fragile riders, and other proactive training educational discussions.
For upholding legal requirements and federal standards, speakers will plan to address topics such as impact of the updated National School Bus Specifications and Procedures on operations, alternative transportation, Medicaid reimbursement funding, and developing policies for proper and safe usage of student restraint and seclusion practices.
To address collaborating with contractors or other resources to aid student transportation, examples of topics include how to avoid one-size-fits-all solutions, how to create successful partnerships between school districts and contractors, and the OT/PT Transporter Forum on multidisciplinary policy development.
In addition to the hands-on training classes that cover wheelchair securement, school bus evacuations and use of child safety restraint systems on school buses, instructors from the Texas School for the Deaf will provide training for student transporters on using American Sign Language to communicate.
For a full list of 2025 TSD conference topics, visit tsdconference.com.
Save $100 on regular conference registration with Early Bird registration by Oct. 3. The TSD Conference will be held November 6-11 in Frisco, Texas at the Embassy Suites Dallas-Frisco Hotel and Convention Center. Find more information on daily agenda, unique experiences, hotel and registration at tsdconference.com
The Lyndon Baines Johnson Department of Education Building pictured on Nov. 25, 2024. (Photo by Shauneen Miranda/States Newsroom)
WASHINGTON — U.S. Senate Democrats on Thursday slammed the “assault” on public education by President Donald Trump’s administration, underscoring the impact of billions of dollars in funds still frozen for K-12 schools and ongoing efforts to dismantle the Education Department.
Hawaii Sen. Mazie Hirono, who hosted a forum alongside several Democratic colleagues that also heard testimony from education leaders, advocates and leading labor union voices, said Trump is engaged in “an all-out, coordinated attack on public education.”
The agency has seen a dizzying array of cuts, overhauls and changes since Trump took office as he seeks to dramatically redefine the federal role in education and take an axe to the agency.
This month, the U.S. Supreme Court temporarily cleared the way for the administration to carry out mass layoffs and a plan to dramatically downsize the Department of Education that Trump ordered earlier this year.
“How can we expect our schools to plan for the upcoming school year when they are confronted with chaos and uncertainty from this administration?” Hirono said at the forum.
Compounding the issue, the administration garnered bipartisan backlash after notifying states that it would be withholding $6.8 billion in funds for K-12 schools just a day before July 1, when these dollars are typically sent out as educators plan for the coming school year.
The administration last week confirmed the release of a portion of those funds that support before- and after-school programs and summer programs, totaling $1.3 billion, but it has yet to release the remaining $5.5 billion that go toward migrant education, English-language learning, adult education and literacy programs, among other initiatives.
“How dare they take the monies that you appropriated, that schools need right now, as schools start in the next two weeks, taking it away from summer school, from after-school, from kids that need English-language acquisition — how dare they do that?” Randi Weingarten, president of the American Federation of Teachers, said at the forum.
“How come we have to constantly go in and sue them and sue them and sue them to get things that you already appropriated?” said Weingarten, who leads one of the country’s largest teachers unions.
Jacqueline Rodriguez, CEO of the National Center for Learning Disabilities, said the withheld money was devastating to students with disabilities.
“This funding delay is sabotaging student learning, educator preparedness and essential services, causing heavy impacts on those students with disabilities,” she said.
“To educators, this isn’t a delay, it’s a breach of public trust,” she said, adding that the freeze is “forcing schools to make tough choices about how they now have to reallocate funding.”
National school voucher program
The forum also took aim at a sweeping national school voucher program included in the mega tax and spending cut bill that Trump signed into law July 4.
The permanent program starts in 2027 and allocates up to $1,700 in federal tax credits for individuals who donate to organizations that provide private and religious school scholarships.
“What we are seeing is just a wholesale dismantling and disruption of the public education system,” said Denise Forte, president and CEO of the nonprofit policy and advocacy group EdTrust.
“And with this new national voucher scheme — which is exactly what it is — that’s really about making sure that students from wealthier families who had already been participating in private schooling will have access to even more public dollars.”
Former Education secretary speaks out
Earlier Thursday, former U.S. Education Secretary Miguel Cardona also criticized Trump’s “attacks” on education, including the billions of dollars in frozen funds.
“The irony is, this is really impacting many of the communities that really were rooting for this current administration,” Cardona, who was Education secretary under then-President Joe Biden, said on a press call hosted by Defend America Action that also featured Karen Smith, a member of Pennsylvania’s Central Bucks School District School Board as well as Nick Melvoin, a member of the Los Angeles Unified School District Board of Education.
“They’re being impacted the most in many ways,” Cardona said. “I always say, all students are going to be impacted, but the students furthest from opportunity are going to be impacted the most and more severely and more quickly, so let’s put that perspective on what’s happening in education — policies have consequences, and the consequences are going to be felt for decades, just from what was done in the last five months.”
As federal aid ran out, advocates called on lawmakers to fund the Child Care Counts program using state dollars, as Evers proposed. (Baylor Spears | Wisconsin Examiner)
This summer Democratic and Republican legislators along with the Gov. Tony Evers participated in closed-door negotiations to come up with the 2025-27 state budget. All of the parties involved are touting the budget as a historic advance for children and patting themselves on the back for compromising with each other and the work they accomplished. In other words, they played well in the sandbox together. While yes, the state budget has never included funding for child care in its history, as we were one of only six states that didn’t, crowing about it now is kind of like touting the fact that you’ve just changed a diaper for the first time when your child is 2 years old. It’s not something to brag about, and the new state budget is nothing to brag about either.
On the surface, as you read the claims about historic investments in child care and K-12 schools, you might think the budget really solved some big problems. Take Evers’ statement celebrating “Over $330 million to support Wisconsin’s child care industry and help lower child care costs for working families, a third of which is in direct payments to providers.” That means only $110 million is to continue the direct investment to all 4,700 eligible regulated child care programs. The original amount for this program was $480 million. Child care is receiving less than 25% of the requested amount. You might have surmised from Evers’ victorious statement that parents will see a decrease in tuition costs with the new budget. However, the opposite is going to be occurring, and tuition increases will start in August. The $110 million will cause child care rates to increase next month because the new state investment is less than a third of what Child Care Counts, funded through the American Rescue Plan Act, originally provided.
The purpose of that money was to stabilize a field that had been declining for decades. It increased teachers’ wages while holding down tuition costs for parents. It worked. The data showed a decline in closures and it raised the average child care educator’s wage from $11 an hour to $13 an hour in Wisconsin. (In our state, over 50% of early child care teachers have some college education or degree, with an average of 10 years experience.)
This month the ARPA funds run out, and for the past few years, knowing the federal funding would be ending, families, child care providers, and businesses have been advocating for the state to fill the gap and to subsidize child care. We know that for every $1 a state invests in early childhood education, the rate of return is between $10-$16. Not only does quality early child care give children an opportunity for greater success as adults, it also supports our workforce, families and the economy.
Regardless of the research and well-being of children, the gatekeepers of our tax dollars on the Legislature’s Joint Finance Committee deleted Evers’ $480 million direct state investment budget request for child care. Instead, child care funding was determined behind closed doors with Senate Minority Leader Diane Hesselbein and Evers in one corner and Rep. Vos and Senate Majority Leader Devin Lemahieu in the other. It should be noted that no one in that space is considered an expert in child care policy. What came out of this room was a compromise for the sake of compromise.
The $110 million for child care won’t come from state dollars. It’s the interest that has accrued on the federal ARPA funds. It will be allocated directly to child care providers over the next 11 months, until June of 2026. It comes to about 70% less than the original amount paid through CCC. This is why, starting in August, there will be significant closures of child care centers and home daycares in rural areas of the state — already considered a child care desert. Tuition will increase at the child care operations that try to stay open. So no, working families will not “see a decrease in childcare costs” as stated by Evers.
And when the $110 million ends next year, there is nothing to replace it. The Wisconsin Legislature will gavel out in March and not gavel in until January of 2027, as legislators will be campaigning the rest of 2026. There won’t be an opportunity to pass emergency legislation funding child care. Rates will increase again and closures will continue.
The remainder of the $330 million in child care funding in the new state budget is for several new programs. A $66 million state investment for 4-year-olds to access “school readiness” in their child care program. This will help parents as the state will pay for their “preschool” time, but it replaces tuition for part of the school day. Child care programs that have school districts with all-day, free 4K will likely find it almost impossible to compete with public schools when they still need to charge for the remainder of the day plus wrap-around care.
In addition, there is a $28 million pilot project to deregulate the child care field, which ends in July 2027. This move comes directly from the Republicans’ playbook. The pilot project will incentivize providers to increase their ratios, meaning more children per teacher, lower quality and safety for children and more stress on teachers.
Another harmful policy in the new budget is that 16-year-olds are now allowed to be assistant teachers and count as adults in the ratio. Coupled with the pilot project mentioned above, this means a classroom of 14 toddlers can be supervised by one 18-year-old and one 16-year-old. This reduces the quality, safety, care and education for the children in our programs. Recall that while these decisions were being made behind closed doors, there were no experts in child care policy in the room. This policy was made without consideration of our state accreditation program, YoungStar, and our national accreditations. Any program that participates in the pilot project will no longer qualify to be accredited. And in Wisconsin, accreditation is not just a certificate to state you are following high safety standards, but our YoungStar program is tethered to our Wisconsin Shares (subsidy for child care). Programs with a five or four-star rating receive a bonus subsidy rate. It can mean a considerable loss of funding for providers to participate in the new pilot project.
The politicians who wrote the budget deal behind closed doors neglected to consider the increased cost or loss of insurance for providers when we increase the teacher-to-child ratio and when we allow 16-year-olds to count as adults.
The same group of non-experts also decided to allow policies that, in 2023, were already proposed and had failed to become law due to the overwhelming outcry from families, providers and the medical field against a policy that reduces quality and safety for our children. The state is throwing millions of dollars in the garbage for these policies, which won’t benefit child care programs and will cause actual harm to Wisconsin children.
Enacting policies like these without holding hearings raises the question: Who is representing us? The public already overwhelmingly said no to these policies two years ago. Furthermore, funding for child care is one of the top priorities that the JFC heard from voters throughout the state at budget listening sessions. Surveys show that the majority of both Republican and Democratic constituents support funding early child care. The only real compromise made in this budget was the compromise of safety and quality of our youngest children in the state.
Wisconsin’s K-12 budget
So how did school-age children fare in the state budget? Again, we are reading about record-setting investments in schools, along with the biggest investment our state has ever made for children with disabilities. Evers proclaimed that the new budget “secures the largest increase to special education reimbursement rate in state history.” You might think, great, finally children with disabilities will receive the support and resources they need. But you would be wrong. Evers’ budget request was for a 60% reimbursement for children with disabilities. After all, 90% reimbursement is the amount that Wisconsin voucher and charter schools have already been receiving for children with special needs. Unfortunately, the new budget allows public schools a maximum of 42% in 2026 and 45% in 2027 reimbursement, which is a far cry from the 60% request — the rate of the 1980s. Yes, the increase in this budget is technically the largest increase in recent years, but it is still miles away from the finish line.
To make matters worse, the budget also provided a $0 per-pupil increase in general aid funding to public schools; however, a provision was placed in the budget paperwork that guaranteed voucher and charter schools would receive additional funding for their general aid in the budget. I can’t recall a year when no new general funding was provided in a budget to public schools in Wisconsin. Last year Wisconsin saw a record number of public schools go to referendum to squeeze additional funding from their communities to compensate for the lack of state and federal funding. Under the new budget, we will see another record number of schools going to referendum next year. We will also likely see more schools close, specifically in rural, poorer areas where the communities cannot be squeezed any more than they already have been. As you can imagine, this budget will only continue to widen the education gap in quality between the wealthy and the poor.
Not to be all doom and gloom, there was one category of children that fared quite well with the new budget: our juvenile offenders. The budget will invest $1 million per juvenile offender. Yes, $1 million per kid. Remember when it was mentioned that investing in our youth early on saves us tenfold later on? The children in our juvenile justice systems are children who were not given the opportunity for quality early child care, children who were raised in poverty, children who have been abused, children who experience trauma, children with mental health issues.
The children in our juvenile systems are those who have been failed by our state. Their families could not afford child care, so they were shuffled from one person to another. They lived with violence and addiction in their homes. And when they got to school at age 5, they were already on a trajectory of despair; the school systems cannot afford to provide all the services and support these children need, especially for those who have suffered trauma at an early age.
Our new state budget only prioritizes these children once they are ready to be locked away.
Unfortunately the hype about Wisconsin making record investments in our children is terribly overblown. Instead, the truth of the matter is that we are putting in the minimum, and this budget keeps us on the lowest tier as a state for investment in our public schools and our young children compared to other states. Meanwhile, we continue to be among the biggest spenders on our juvenile offenders.
Our political leaders have misled us.
I don’t think most Wisconsinites care whether their representatives can compromise or not. I think we would all rather have elected politicians who will actually represent us with integrity. Represent us with values that prioritize our children, families, workforce and our economy. This is our common humanity. We can stop generational poverty. We can stop children from going hungry, we can support children who have been abused and neglected, and we can give children a chance in life. But we just made the choice not to do that.
Correction: An earlier version of this commentary misstated the amount of Gov. Tony Evers’ budget request as 90% instead of 60%. We regret the error.
Nichole Robarge, right, describes the challenges faced by people with disabilities she assists when enrolling in Medicaid. With her is Kathleen Cummings, who provides similar assistance to people 60 and older. Both said impending changes to the program are likely to increase those challenges. (Photo by Erik Gunn/Wisconsin Examiner)
With the Congressional mega-bill that cuts $1 trillion from Medicaid now law, people who have relied for their health care on the state-federal insurance plan and their advocates are scrambling to figure out how and when it will hit home.
The timing of many of the law’s changes is still uncertain.
Federal fallout
As federal funding and systems dwindle, states are left to decide how and
whether to make up the difference.
“This bill was written very hastily,” said Tami Jackson, policy analyst for the Wisconsin Board for People with Development Disabilities (BPDD), at a discussion of the law Thursday morning in the Wisconsin Capitol.
“There are implementation dates for various pieces of Medicaid that are not all in alignment,” Jackson said. “So, you’re going to get this in waves.”
Janet Zander of the Greater Wisconsin Agency on Aging Resources paraphrased promises from members of Congress who publicly defended the bill.
“It’s really easy to listen to what we’re hearing about — ‘This isn’t going to harm us here in Wisconsin. We’re not doing anything that’s going to hurt older adults, people with disabilities, low-income families,’” Zander said. “Those of us who are working in these programs know that’s not the case at all.”
The new law imposes requirements for Medicaid participants to work or be preparing for work — although a majority already are working — or else be approved as exempt from having to meet the requirement.
That provision’s implementation date of Jan. 1, 2027 is less than 18 months away, Jackson said. And it could be up to a year before the federal Department of Health and Human Services (HHS) produces an administrative rule to direct states on how they manage the requirement.
That doesn’t allow for much time to work out “20 or 30 unanswered questions” about how to require people to demonstrate they’re working, qualify for an exemption or prove that they’re exempt, Jackson said.
The added requirements will also impose new demands on agencies in charge of implementing the Medicaid changes in each state, as well as county agencies that help people navigate the program.
“If you are ramping up the workload and how much people have to do, and ramping up the staffing it takes to do that, that’s a lot more that counties are going to be doing locally, or will have to do,” Jackson said. “That’s going to exacerbate how many people lose coverage.”
Other items have no implementation date — which is usually interpreted as taking effect with the bill’s signing, said William Parke-Sutherland, government affairs director at Kids Forward.
“This bill, which is being kind of talked about as a tax and spending bill, is really a health care redesign bill, and it makes the most substantive changes to the health care system that we’ve seen since the Affordable Care Act,” Parke-Sutherland said.
That national health care law had four years to be implemented. With the new Medicaid changes, “we have no time in comparison.”
But the probable long-term impact remains dire, advocates said — making it harder for people to get coverage and keep coverage.
Taking together the projected loss of Medicaid coverage as well as the projected loss of Affordable Care Act coverage for low-income people who lose subsidies for their premiums that expire at the end of this year, as many as 17 million people in the U.S. could lose health care and long-term care coverage, Zander said.
The state Department of Health Services estimated in April that at least 52,000 Wisconsin residents could lose Medicaid coverage. Changes the Senate made in the bill will likely increase those estimates, however, according to advocates.
Safety-net barriers, old and new
As ultimately passed by the U.S. Senate and the House of Representatives and signed into law by President Donald Trump, the legislation has thrown new barriers in front of the nation’s safety-net programs, including Medicaid as well as the federal food aid program, SNAP.
Existing barriers were already very high, advocates said.
Kathleen Cummings works for the Columbia County Aging and Disability Resource Center assisting people who are 60 or older applying for Medicaid and other benefit programs. Based on their annual income and total assets, some people on Medicare also qualify for Medicaid to cover their out-of-pocket Medicare costs.
Cummings recounted the experience of a woman who had qualified for Medicaid but recently contacted her because she was getting bills for her health care. The woman accidentally failed to renew her Medicaid coverage when the renewal form she received got buried in a flurry of other Medicaid-related mail, Cummings said.
Under current law the client can get coverage retroactively for bills incurred in the last three months. But with the new law, “that will be changing to 30 days, so we will not, in the future, be able to request that backdated coverage for bills under the situation that she is in,” Cummings said.
Another client has had extensive treatment for lung cancer, she said. The man “is just barely, barely over the federal poverty level” — about $1,300 a month.
“A lot of my clients are very proud and do what they can with what they have,” Cummings said. “But when something like lung cancer comes along, he’s suddenly faced with all these bills that he only had limited coverage [for].”
She’s helping the man apply for Medicaid coverage backdated three months to cover those bills, she said. “Once he shows proof that he qualified, which he will, [he can] get some of these bills paid.”
Nichole Robarge also works for the Columbia County ARDC, helping people from ages 16 to 59 who qualify for federal Supplemental Security Income (SSI) disability benefits and other programs.
Robarge said that currently the disability application takes 12 to 18 months for a decision. As many as 85% of applications are denied at first, she said, and about 20% get overturned on appeal, which takes another 18 to 24 months. A second appeal, with a hearing before an administrative law judge, can take another two years.
In Wisconsin, approval for SSI automatically qualifies a person for Medicaid coverage. Until the SSI decision is resolved, however, the applicant has to apply for Medicaid separately, Robarge said — something that a disability can make much more difficult.
She pulled out the Medicaid application, which currently must be completed annually — a 41-page document that is a half-inch thick.
“Can you imagine getting one of these in the mail and having a cognitive disability or a physical disability, or maybe you had a stroke?…Or maybe you can’t read at all,” Robarge said.
“I bought a house and had less paperwork. I’ve bought a car and I’ve had less paperwork than what it takes to fill one of these out,” she added. “It’s tedious and it’s treacherous … This first barrier is huge, and this is even without getting the documents that you need to provide the proof that they’re asking for.”
Unintended consequences
The new law is poised to make those delays worse, advocates argue — blocking people from Medicaid coverage even though they meet the program’s qualifications.
“Medicaid is a wildly complicated program,” said Lisa Hassenstab, public policy manager for Disability Rights Wisconsin. “What we’ve seen in this bill is that all of these little changes [and] the unintended consequences, because people don’t understand what the program is. They don’t understand what it is, and so they don’t understand what the impact of these changes is really going to be.”
One thing the law won’t do, advocates said, is protect taxpayers.
“It won’t protect me,” said Tyler Engel, whose Medicaid coverage enables him to live more independently in the community with coverage for his caregivers.
“This bill saves money by making it so that, for somebody who is now currently eligible for health care, the provider who provides that care is not going to get paid,” Parke-Sutherland said. “This saves money by people who are currently eligible for health insurance” with federal help “not getting health insurance or having to pay more for it. That’s the only way that this bill saves money.”
Two-thirds of Medicaid participants are working, and therefore they are taxpayers, too, Jackson said.
“It’s a cost shift to the taxpayers,” said Jackson, because when people aren’t covered by Medicaid, “somebody else picks that up — whether it’s uncompensated care, whether it’s a medical bankruptcy, whether it’s your private insurance or your group premium going up.”
“If you stop paying for care, people’s care needs don’t go away,” Parke-Sutherland said. “You still pay. So this isn’t a boon to the taxpayers.”
Washington D.C. parents who have kids with disabilities are now able to select transportation preferences for the upcoming school year via an online portal.
The Office of the State Superintendent of Education released a statement on June 25 by State Superintendent Dr. Antoinette S. Mitchell, encouraging parents and guardians with children who have an Individualized Education Program (IEP) that lists yellow bus transportation as a service to log on to the new OSSE Parent Portal. This online tool empowers parents to directly select transportation preferences for the upcoming school year.
According to the statement, the OSSE Parent Portal opened on June 9, and parents and guardians are encouraged to sign up by submitting their transportation preferences by July 11.
“By putting parents directly in the driver’s seat, we are not only streamlining the process but also placing decision-making power where it belongs, at the family level,” said Mitchell via the statement.
Once parents log into the portal, they will have the option to choose their preferred language from among six options and select from three transportation options: No Transportation Needed, Parent Stipend Program (available to students who have previously utilized OSSE transportation services, except for students in pre-K through third grade students, for whom the stipend option is automatically available), and OSSE-DOT Transportation.
The process should take less than five minutes. Once parents’ information is completed, transportation details need to be confirmed, including any necessary accommodations such as arrangements for a one-to-one aide, school nurse or booster seat as per the student’s IEP. The new portal reportedly ensures accuracy of transportation needs and allocates buses to students in critical need of transportation services. For more information, parents can visit this link.
Tami Jackson of the Wisconsin Board for People with Developmental Disabilities describes how unpaid family caregivers could be affected by proposed Medicaid cuts in the Republican budget reconciliation package in Washington, D.C. Janet Zander of the Greater Wisconsin Agency on Aging Resources, seated at right, also spoke. (Photo by Erik Gunn/Wisconsin Examiner)
Among the many people whose health care could be in jeopardy from possible Medicaid cuts, one group may be even less visible than the rest.
Federal fallout
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For elderly residents as well as children and adults with disabilities whose health care is covered by Medicaid, family members who help with their care will also be affected by the proposals coming from Republican members of Congress.
“Medicaid is the primary thing that supports family caregivers,” said Tami Jackson, policy analyst for the Wisconsin Board for People with Development Disabilities (BPDD), in a presentation to social workers Thursday in Dodgeville.
The person under the caregiver’s care could be living at home, but will probably still require long-term support of some kind — support covered by Medicaid, Jackson said. Medicare provides coverage only for a limited time, such as when a person has come home after being hospitalized.
Private long-term care insurance plans “are unaffordable and they have not been workable for many years,” she added. “So Medicaid is it — and we happen to have a lot of people who need long-term care.”
Jackson and Janet Zander of the Greater Wisconsin Agency on Aging Resources met with Iowa County social workers in Dodgeville Thursday to explain the likely effect of Medicaid cuts that are part of the budget reconciliation bill that has passed the U.S. House and is now in the Senate.
The GOP majorities of both houses want to pass the legislation so they can extend tax cuts enacted in 2017, when President Donald Trump was in his first term. Those tax cuts have been found to heavily benefit wealthy Americans. Without action they will expire at the end of 2025.
Cutting Medicaid, hiking other costs
Medicaid is the single largest source of federal funds in the state budget — about $9 billion a year.
Under the U.S. House version of the budget reconciliation bill, the Wisconsin Department of Health Services (DHS) has projected between 71,000 and 111,000 Wisconsinites would lose Medicaid coverage, including more than 3,800 people with disabilities and 2,400 older adults. The state’s federal Medicaid revenues would be cut by $501 million to $663 million.
The Medicaid cuts on the scale of those in current iterations of the bill “are too large to not cause states to have to cut many things in their state budget,” Jackson said.
The bill’s Medicaid cuts as well as changes it would make to the Affordable Care Act’s health insurance marketplace — including ending subsidies that have made marketplace plans more affordable for lower-income people — would increase the number of uninsured Americans by 16 million in the next decade, according to theCongressional Budget Office.
“Whether you’re a caregiver, whether you’re on Medicaid, whether you’re working for somebody who’s on Medicaid,” everyone will be affected by 16 million more uninsured people, Zander said.
With more uncompensated care for hospitals and providers, she predicted that the cost for other payers will increase.
“We’re going to see premiums for any kind of [health] insurance skyrocket — the employer’s portion, the employee’s portion,” Zander said.
Reduced Medicaid care, more unpaid care
Family caregivers feel Medicaid’s impact in several ways. For many people who are elderly or have disabilities it enables them to get paid, professional care at home. If that care is cut back, that means more work for the unpaid family member.
“Those paid caregivers — they’re paid for by Medicaid dollars and there aren’t enough of them. There haven’t been enough of them for years,” Jackson said.
If Medicaid cutbacks reduce the pay for those caregivers, the workforce that is already underpaid is likely to be even harder to find — making access to paid care even more difficult, she added, to the point where “it’s either the unpaid caregiver or nothing.”
Family caregivers who take on more unpaid care responsibilities may have to cut back on their own paid jobs.
“The amount of people who are reducing, limiting [work hours or] leaving the workforce because there isn’t a stable, paid caregiving workforce to provide what they need is huge,” Jackson said.
A BPDD survey found that for unpaid family caregivers in Wisconsin providing or coordinating care or filling in for missing care workers took 80% of their time. Two-thirds said caregiving had a negative impact on their family finances and 50% said they left jobs or reduced hours to provide care because there were no care workers to hire.
Unpaid caregivers who leave the workforce not only lose income but reduce the earnings that contribute to their Social Security retirement, Jackson said.
Kristin Voss, a former public school teacher, gave up her job because of her responsibilities as the guardian and family caregiver for her adult daughter. (Photo by Erik Gunn/Wisconsin Examiner)
Kristin Voss, a Madison public school teacher for 24 years, had to retire to help manage and care for her 23-year-old daughter. Her daughter has epilepsy, autism and an intellectual disability and “functions at about anywhere from 6 to 12 years old,” Voss said in a panel discussion that was part of Thursday’s presentation.
Until her daughter was 21, she was entitled to public education, where she got “tons of support” including in her transition period that started when she was 18, Voss said. At 21, those supports were no longer available, however.
Her daughter enrolled in the state’s self-directed long-term care program called IRIS. The program includes a caseworker, but Voss also has responsibility as her daughter’s family caregiver, helping to manage day-to-day changes in her daughter’s placement and activities.
“I don’t mind doing these things, but there’s things that I don’t always know about and I’m not always prepared for,” Voss said. “And so, no, I couldn’t do this and be a public school teacher.”
Instead, she has put together a collection of part-time positions that give her flexibility that she needs — although none of them have health insurance, Voss said.
Unpaid caregivers ‘untangling the mess’
Some unpaid caregivers who leave the workforce may also turn to Medicaid for their health coverage because they can’t afford health insurance or work at a job that doesn’t provide insurance.
“About 4 million people nationally are unpaid caregivers who are in Medicaid themselves,” Jackson said.
Among the changes proposed for Medicaid is a requirement for participants in the program to prove every six months that they are still eligible for the program, instead of once a year, the current standard. Another change proposed is to add a work requirement for certain Medicaid participants.
Both of those changes will mean more paperwork. “Unpaid caregivers are the folks that are keeping people who are in Medicaid programs already,” Jackson said — by filling out the forms that are required to prove the person is still eligible.
“Often these processes are so complex,” Jackson said. And when something goes wrong, because of an error in an eligibility form or a billing mistake, family caregivers “are the people who are untangling the mess.”
The current version of the bill in the Senate gives caregivers an exemption from the work requirement — but Jackson said the definition has raised concerns.
The current proposal limits the exemption to people who are caring for a person under the age of 14. National advocates have said that “really narrows that caregiver exemption and doesn’t quite fit with the reality that most unpaid caregivers are providing care for people with disabilities and older adults,” Jackson said.
Including exemptions in the proposed work requirement provisions also doesn’t necessarily reduce the paperwork.
“You either have to prove you’re meeting the work requirements, or you have to prove that you’re exempt for those requirements,” Jackson said. “And if you’re a caregiver who’s in Medicaid, you have to do that for yourself and probably the person you’re supporting.”
LOS ANGELES, Calif. -HopSkipDrive today announced a significant expansion in its ability to meet the transportation needs of all students, enabling schools and school districts to seamlessly and directly book rides for students needing wheelchair-accessible vehicles, Rider Assistants, and car seats. With this development, school districts around the country will be able to solve even more student transportation challenges through HopSkipDrive’s unmatched technology-driven safety approach and operational expertise, and can learn more with a sign-up here.
“All children, especially those with disabilities, deserve a safe, reliable ride in a vehicle that meets their specific needs with adults who are fully prepared to support them,” said Joanna McFarland, CEO and Co-Founder of HopSkipDrive. “Rising chronic absenteeism rates make clear that existing school transportation industry options leave behind students with unique needs.”
With more than 5 million rides across 95 million safe miles completed on its platform, HopSkipDrive continues to raise the bar for student transportation. The company supports over 600 school districts by supplementing yellow buses with a network of extensively vetted CareDrivers — local caregivers on wheels — through a care-centered transportation marketplace.
With the launch of these three new transportation offerings this fall, HopSkipDrive will provide schools and school districts with even more resources, all backed by rigorous safety standards and industry-leading Safe Ride TechnologyTM. Transportation teams can use HopSkipDrive’s ride management platform, RideIQ, to easily and simply book, track, and manage all rides in one place, and staff can get full visibility with Daily Queue, which provides a customized view for all HopSkipDrive rides for students at their school location.
Wheelchair-Accessible Vehicles and Rider Assistants
Following a successful pilot earlier this year, HopSkipDrive is expanding the availability of Wheelchair-Accessible Vehicle rides and Rider Assistants to all cities in which the company operates. These rides are fulfilled by CarePartners, local professionals who undergo HopSkipDrive’s rigorous and comprehensive certification process, including name- and fingerprint-based background checks, clearing child abuse and neglect screenings where available, and enrolling in continuous criminal monitoring. Like all CareDrivers, they complete HopSkipDrive onboarding and a virtual orientation course. CarePartner drivers for Wheelchair-Accessible Vehicle rides also undergo driving record screens, vehicle inspections, and more.
To meet the needs of students with Individualized Education Programs (IEPs) and those who thrive most when an additional adult is in the vehicle, HopSkipDrive offers a Rider Assistant for schools to book to join the CareDriver or CarePartner driver on the ride. The Rider Assistant will provide informed and compassionate support for the rider when needed.
HopSkipDrive continues to lead in forward-thinking safety measures by directly managing driver and Rider Assistant vetting, onboarding, and compliance. This unique approach sets HopSkipDrive apart in the student transportation industry, offering schools valuable features such as the Safe Ride Support system and enhanced Must Be Met process to support the development of new rider services all delivered with the company’s signature tracking and notification systems.
Car Seat Program
In select cities, schools and school districts can select HopSkipDrive’s car seat program for students whose height and weight, typically between the ages of four to six, require a car seat. CareDrivers can only opt in to fulfill these rides after completing comprehensive car seat safety education and using only the forward-facing car seat model approved by HopSkipDrive and Safe Kids Worldwide, the leading organization for childhood injury prevention.
HopSkipDrive collaborated with the industry’s leading child safety experts to design and develop the safest possible ride experience. Britney Lombard, who has spent more than a decade as a Safe Kids Worldwide certified Child Passenger Safety Instructor and performed thousands of car seat checks during her tenure, now leads HopSkipDrive’s car seat program. The HopSkipDrive Safety Advisory Council, composed of six leading experts in transportation safety, also played a key role in advising the development of the car seat program to confirm protocols meet the highest standards in the industry.
Compliance is a core principle of the car seat program. Ahead of the implementation of the National Highway Traffic Safety Administration’s new safety standards, HopSkipDrive proactively selected a car seat model that goes above and beyond these requirements in consultation with the company’s expert advisors.
Safety Leadership, Including In-Ride Recording
HopSkipDrive continues to invest in leading the industry in safety with over 50 products, features, and initiatives woven throughout the ride experience. Over the past year, the company announced nearly a dozen new safety initiatives, including offering in-ride cameras through Safe Ride InSight.
Schools and school districts can request dashcam recording for rides with CareDrivers who have installed SafeRide InSight, which combines visual monitoring with audio recording. HopSkipDrive uses this technology along with advanced telematics to create a solution that’s unmatched in the student transportation industry. First piloted in Arizona and Colorado, the company is continuing to scale this technology to additional markets over the coming months.
About HopSkipDrive
HopSkipDrive is a technology company that solves complex transportation challenges where there is a heightened need for safety, access, and care. HopSkipDrive is modernizing the $30 billion school transportation industry through two core solutions: a care-centered transportation marketplace and industry-leading transportation intelligence platform, RouteWise AI. HopSkipDrive’s marketplace supplements school buses and existing transportation options by connecting kids to highly vetted caregivers on wheels, such as grandparents, babysitters, and nurses in local communities. RouteWise AI helps schools and districts address critical challenges, including budget cuts, bus driver shortages, and reaching climate goals. HopSkipDrive has supported over 10,000 schools across 17 states, with over 600 school district partners. More than 5 million rides over 95 million miles have been completed through HopSkipDrive since the company was founded in 2014 by three working mothers.
Each year, student transportation professionals gather in Frisco, Texas, for a transformative event designed to inspire and equip attendees with practical solutions that enhance safety for students with disabilities and for preschoolers. This year’s conference will feature inspiring keynotes, engaging educational sessions, opportunities for hands-on training, and networking events.
The conference will open with a Welcome Party at Topgolf the Colony on Nov. 6. Over the course of the next five days, attendees will hear from industry experts on various aspects of safely transporting students with disabilities as well as preschoolers and how to empower transportation staff to care for their most vulnerable student riders.
Three keynote sessions are currently planned. “Developmentally Appropriate Safety Education” presented by Michele Gay, co-founder of Safe and Sound Schools and the mother of Sandy Hook shooting victim Josephine Grace Gay, opens the education on Friday, Nov. 7. Special education attorney Betsey Helfrich will share recent and pertinent legal information and summaries of case law Saturday, Nov. 8. Sunday, Nov. 9, will feature the presentation “Fostering Inclusive Practices & Support Accessibility in Education” by Glenna Wright-Gallo, who was the assistant secretary of education for special education and rehabilitative services at the U.S. Department of Education in 2023 and 2024 and is now a vice president of policy for education technology company Everway.
Training classes include the eight-hour, NHTSA-sponsored Child Passenger Safety on School Bus seminar, the Wheelchair Securement Boot Camp Training & Certification by AMF-Bruns, the Hands-on School Bus Evacuations for Students with Special Needs & Preschoolers Training, and the roadeo competition sponsored by Q’Straint/Sure-Lok, which also provides wheelchair securement training to roadeo contestants as well as conference attendees before the competition on Saturday.
The Safety & Technology Product Demonstration/Special Needs Ride & Drive also returns this year as does the Trade Show and Tailgate Reception, featuring vendors showcasing their technology offerings to benefit transportation operations.
Register by Aug. 8 to save $200 on main conference registration with Super Early Bird Savings. Find conference dates, hotel information and exhibitor list at tsdconference.com.
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, local professionals who undergo HopSkipDrive’s rigorous and comprehensive certification process, including name- and fingerprint-based background checks, clearing child abuse and neglect screenings where available, and enrolling in continuous criminal monitoring. Like all CareDrivers, they complete HopSkipDrive onboarding and a virtual orientation course. CarePartner drivers for Wheelchair-Accessible Vehicle rides also undergo driving record screens, vehicle inspections, and more.