Posted: 9/03/04
Agency relies on churches to
connect poor to state aid programs
By Ferrell Foster
Texas Baptist Communications
AUSTIN–A Texas state agency has assigned a job to churches–help connect needy people to governmental assistance programs.
Last year, the legislature passed and the governor signed HB 2292. That bill sought to transform the state's health and human services agencies by collapsing 12 entities into one large one with four departments. It also changed the way people apply for state benefits.
The transition is under way, and the business plan of the new Texas Health and Human Services Commission reveals a role for community-based organizations and churches are a part of that.
The state is expecting churches and other community-based organizations to be the front door for one-fourth of the people applying for state aid, including Medicaid, welfare, food stamps and mental health services, said Suzii Paynter, director of citizenship and public policy for the Baptist General Convention of Texas' Christian Life Commission.
State projections anticipate the need for 1 million volunteer hours and 627 volunteers annually to help people apply for state aid. All of those volunteers would come from community-based organizations, including churches.
This new approach is necessary because the Health and Human Services Commission will close hundreds of offices around the state in the next few years, beginning this fall, according to its business plan.
Today, most people who apply for state benefits do so at one of 381 Department of Human Services offices administered by the agency's staff, says a report from the Center for Public Policy Priorities, a group that challenges key portions of the state plan. The state also “outstations” staff at hospitals and community health centers to help people apply for Medicaid.
That report anticipates 200 state offices will be closed and 4,500 staff people will lose their jobs.
The state is moving to a process built around “call centers,” probably three of them, that will be operated by a for-profit corporation on contract, Paynter said. Applications for state aid will come to the centers via telephone, the Internet, mail, fax and community organizations, including churches.
By closing offices and reducing staff, the state hopes to save money and make the process simpler for those applying. In the past, different application processes have been required for different types of assistance. In the new approach, there is only one application process.
But no one really knows yet how the new system will work, so advocates for the poor and other disadvantaged groups express concern that the old system is being dismantled before the new one has been tested, Paynter said.
Some of the cost savings for the state will come by consolidating the work of hundreds of state offices into the call centers. One application process also will bring savings. Another large portion of the cost savings will come at the expense of churches, nonprofits and other community organizations.
“Local communities will be forced to absorb additional costs, meaning less money for other services,” Paynter said. “It has a domino effect whenever the state cuts funds for services. Local groups pick it up.”
But concerns are about more than cost; they're about service.
Churches and other community organizations will provide the “person-to-person contact” with benefit applicants, Paynter said. Helping an applicant may be “a very time-consuming part of the process because of the nature of the clients and their needs.” These people often are in crisis, have a language barrier or need help with documentation.
“My concern is that this is a labor-intensive part of the process,” she said.
One projection calls for 250,000 applications to be handled during the 1 million volunteer hours, Paynter said. That comes to an average of four hours per application.
Whatever the actual hours involved, the state is “expecting the applications served by community-based organizations to be time-consuming,” she said.
Paynter expressed five concerns regarding the role of community organizations:
“Clients will not receive proper services and will perceive a system that is inconsistent, inefficient and regionalized.”
“Tithes, offerings and charitable gifts are not given to replace the state infrastructure,” rather they are for “direct service and ministry.”
“Screening and applications tasks will be vulnerable to error, fraud or personal bias.”
“There is no test plan before closing regional DHS offices.”
Churches and other community-based organizations “have not been included in the process of making a business plan.” Only in recent days have state officials expressed a desire to involve community-based organizations in making future plans, she added.
Texas Impact, which represents mainline Christian denominations, is producing an online reference for churches that explains the new system, she said. Visit www.texasimpact.com.
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