Now is the time to figure out what it is you want to happen in your state or your community and get it done. The key is aggregate. Our state uses an aggregate cost cap. On average, states spend less through providing people's services in the community than states spend through institutions. You have to explain it a lot to state people.
Aggregate is the way to go.
But when you take the aggregate, the state saves the money on everyone who lives free . Some of the people in Kansas receive 24-hour care. You can get up to 18 hours of attendant services, and if you need more, then there are what we call night supports. Night services are really not that big of a deal. The amount of stuff someone might do for you during the night is pretty minimal.