Deaf Community

Endangering Deaf New Yorkers

Impacts of New York State’s CDPAP Agency Elimination Proposal

New York State’s proposal to eliminate numerous CDPAP agencies, particularly those catering to smaller populations such as the deaf and deaf/blind communities, threatens to sever critical lines of communication and support. These agencies, tailored to specific cultural and disability demographics, play a vital role in ensuring language proficiency and clear communication between caregivers and patients.

The potential disruption posed by these closures is unjust, particularly impacting the most vulnerable members of society, including those from low-income backgrounds, immigrants, the illiterate, and non-English speakers. While the rationale for these closures purportedly revolves around cost-saving measures, evidence suggests otherwise.

Contrary to the notion that larger agencies are more cost-effective, smaller CDPAP agencies excel in service provision, offering a higher level of care and attention. Take, for instance, agencies serving the deaf and deaf/blind, where for every 100 members, there are three dedicated care coordinators, ensuring an unparalleled level of support. In contrast, larger agencies may allocate one care coordinator for 500 members, compromising the quality of care. It’s evident that smaller agencies, deeply embedded within their communities, deliver superior care despite receiving the same reimbursement rates.

Moreover, the belief that reducing the number of providers will lead to cost savings is unfounded. In reality, such actions often result in inflated costs, as larger agencies wield their negotiating power to secure higher rates. In contrast, smaller agencies prioritize member care over profit margins, willingly accepting lower rates to maintain quality services. Collaborating with a diverse array of agencies, regardless of size, is essential for delivering superior care at lower costs to the state.

The Urgent Need for Policy Reconsideration

Deaf New Yorkers Facing Home Health Aid Service Disruption

The implications of these closures are particularly dire for the deaf and deaf/blind community, who face insurmountable barriers in accessing home health aid services. Current certification requirements for personal care attendants (PCAs) pose a significant obstacle, with no available sign language classes in New York City for deaf individuals to obtain the necessary qualifications. Furthermore, the diversity of sign languages across different languages complicates matters further, rendering the prospect of obtaining home health aids virtually impossible.

This policy not only jeopardizes the independence and well-being of Medicaid-eligible deaf and deaf/blind individuals but also threatens to force them into nursing homes against their wishes. Such an outcome is fundamentally unjust and runs counter to the principles of autonomy and inclusivity. It’s imperative that policymakers reconsider these proposals and work towards preserving essential services for all communities, ensuring equitable access to care for those who need it most.

Maximize Savings for CDPAP New York United Taxpayers


CDPAP offers flexibility in caregiver selection, enabling individuals to receive care from trusted sources such as family members or friends, fostering personalized and compassionate assistance. This flexibility allows participants to tailor their care to their unique needs, promoting individualized support and a higher quality of life.


CDPAP empowers individuals with chronic illnesses or disabilities to manage their own care, providing them with a sense of control and dignity. Participants have the autonomy to hire, train, and direct their caregivers, ensuring their preferences and choices are respected.


The program has a significant impact on the lives of seniors and individuals with disabilities, offering consistency of care and fostering independence. However, recent budget proposals in New York State have raised concerns about the future of the program, highlighting the need for continued advocacy and support.


CDPAP New York United is dedicated to preserving the Consumer Directed Personal Assistance Program, ensuring individuals with chronic illnesses or disabilities have control over their care.

Upcoming Events

Join CDPAP New York United for upcoming advocacy rallies and informational sessions aimed at supporting the continuation of vital CDPAP services.


CDPAP New York United offers guidance and support for navigating changes to the CDPAP program, providing resources to empower caregivers and recipients.

Stand Up for CDPAP

Mobilize, Advocate, and Secure a Brighter Future!

In this critical moment, your voice carries immense weight. By raising awareness, mobilizing support, and advocating for the preservation of CDPAP services, you can make a tangible difference in ensuring the program's strength and sustainability for generations to come. Let us unite in solidarity to uphold the principles of dignity, choice, and accessibility inherent in the CDPAP program, securing a brighter future for you, your loved ones, and countless others in need of compassionate care.