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Budget Cuts Keep Texas Kids with Disabilities from Getting Therapy

Many Texas children with disabilities and developmental delays have lost access to critical therapy due to budget cuts in the state’s Early Childhood Intervention program. Photo: KidStock/GettyImages

Many Texas children with disabilities and developmental delays have lost access to critical therapy due to budget cuts in the state’s Early Childhood Intervention program. Photo: KidStock/GettyImages

by Mark Richardson

TYLER, Texas – Funding cuts are forcing thousands of Texas children with disabilities and developmental delays to lose access to critical therapy.

The Texas Legislature first cut funding several years ago to the state’s Early Childhood Intervention program, also called ECI, forcing a significant number of contractors providing services for children to drop out of the program.

Stephanie Rubin, CEO of Texans Care for Children, says a recent study by her group found those cuts are causing major hardships for thousands of Texas families that have children with special needs.

“Fewer kids are being served by these early intervention programs that help babies and toddlers with disabilities get on track,” Rubin points out. “The Legislature is interested in helping these kids out but has not yet supported the program sufficiently with new funding.”

Rubin says ECI provides speech, physical and occupational therapy to prepare children with disabilities to start school.

She says lawmakers cut state money for the program in 2011, and slashed Medicaid reimbursements in 2015.

At the time, lawmakers said the cuts were necessary to balance the state budget, but they failed to keep a promise to restore the funds during this year’s legislative session.

Rubin says the study also found that while, overall, fewer children are participating in the program, the funding cuts have hit some groups harder than others.

“Over the last five to six years in particular, we’ve seen a tremendous drop in the number of kids who are enrolled in the ECI program, with a disproportionate impact on black and Hispanic families,” she states. “And this is at a time when the population of young kids is going up in our state.”

Rubin says as providers are forced to drop out of the program, families – particularly those in rural areas – are often traveling great distances to find providers.

“These programs cover many counties and big distances,” she explains. “If a family does not have access to an ECI program, they may have to drive hundreds of miles to find a therapist.”

Rubin says her group and others plan to return to the 2019 legislative session to lobby for getting ECI funding fully restored.