UCP Expresses Concern On The Detainment of Rosa Maria Hernandez

 

FOR IMMEDIATE RELEASE

UNITED CEREBRAL PALSY EXPRESSES CONCERN ON THE DETAINMENT OF ROSA MARIA HERNANDEZ

For Inquires: Kaitlyn Meuser, kmeuser@ucp.org, (202)-973-7185

Armando Contreras, President and CEO, acontreras@ucp.org

Washington, D.C. (October 27, 2017) — United Cerebral Palsy (UCP) would like to express substantial concerns about the condition and treatment of Rosa Maria Hernandez, a 10-year-old girl with Cerebral Palsy, who was detained by federal immigration authorities on the way to emergency gall bladder surgery in Corpus Christi, Texas. After discharge from the hospital, authorities placed her in a facility for undocumented children in San Antonio. Various news outlets note that her doctors have recommended that she be released to family members who can care for her.

We strongly urge authorities to allow this young girl with Cerebral Palsy to be with her family and receive needed care so that she can fully recover from her surgery. Children with disabilities are among society’s most vulnerable and often have challenging health care and social support needs. UCP believes in providing those children with appropriate and high-quality care to address emergencies, help manage complex conditions and ongoing needs, and ensure a positive quality of life – a “life without limits.”

In this case, immigration-related issues have presented barriers to the child’s care, and we hope that authorities find a way to ensure she does not remain separated from her family and with compromised access to health care needed for her recovery.  Furthermore, as policymakers in Congress and the Administration consider approaches to address immigration-related issues, including those related to the immigration status of children, we urge them to take into account the complex health care needs of special needs children like Rosa Maria and the potential situations like this one that could arise.

Through our nearly 70-member strong affiliate network across the United States and Canada, UCP’s affiliates help to provide a variety of services and supports to people with disabilities and their families who come from a wide range of backgrounds and communities.

###

About United Cerebral Palsy
United Cerebral Palsy (UCP) educates, advocates and provides support services through an affiliate network to ensure a life without limits for people with a spectrum of disabilities. Together with nearly 70 affiliates, UCP has a mission to advance the independence, productivity and full citizenship of people with disabilities by supporting more than 176,000 children and adults every day—one person at a time, one family at a time. UCP works to enact real change—to revolutionize care, raise standards of living and create opportunities—impacting the lives of millions living with disabilities. For more than 60 years, UCP has worked to ensure the inclusion of individuals with disabilities in every facet of society. Together, with parents and caregivers, UCP will continue to push for the social, legal and technological changes that increase accessibility and independence, allowing people with disabilities to dream their own dreams, for the next 60 years, and beyond. For more information, please visit www.ucp.org.

UCP Expresses Concerns About Graham-Cassidy Legislation



As Members of Congress continue to discuss ways to improve the healthcare system in bipartisan hearings, United Cerebral Palsy expresses concerns about the Graham-Cassidy legislation being considered by some Senate Republicans.


The health care needs of individuals living with cerebral palsy and people with other forms of disability are complex, intensive, and diverse. Providers in the UCP affiliate network bring substantial value to the health care system through their approaches to the care of individuals with disabilities, including by offering important services in partnership with state Medicaid programs. Their innovative service models and practices, research, and use of technology have significantly improved access, community integration, and long-term outcomes for 176,000 clients served nationwide.

Capping and reducing spending for Medicaid, a primary source of funding for disability health services, could compromise needed care such as habilitation and rehabilitation services and also affect the ability of individuals with disabilities to thrive in their communities, including through greater use of long-term services and supports (LTSS). More broadly, such action undermines the innovation in care delivery that ensures that we all live lives without limits. And, this does not sustain the vision that forged United Cerebral Palsy back in 1949 as an organization dedicated to finding better alternatives to institutionalization for children living with cerebral palsy.

In the days ahead, we will be sharing our concerns with Senate offices and hope you will join us in opposing this bill that would impede the ability of our affiliate network to care for people with disabilities. United Cerebral Palsy is a part of major national coalitions focused on the preservation of coverage for individuals with pre-existing conditions, continued coverage for rehabilitative and habilitative services, and protecting Medicaid. In short, we are not alone in our concerns and we will continue to work together to support the needs of individuals with disabilities and the providers who serve them.


Senators need to hear from constituents, and we hope you will tell your story. To learn more about UCP’s public policy work and to get involved, please visit http://ucp.org/what-we-do/public-policy/.

UCP National Talks Assistive Tech with Provail

This post was written by UCP Summer 2017 Programs and Development Intern, James O’Connor

 

“We try to ask ourselves: what would make this person’s life better, faster, easier?”

This is what motivates Brenda Chappell, Director of Clinical Services at Provail, a UCP affiliate located in Seattle, Washington. Brenda recently spoke to us about Provail’s assistive technology programs.

[Image Description: A white woman with short brown hair wearing a green sweater and a black scarf holds a smartphone to a book while reading in what appears to be a children’s classroom. She is looking off to the side.] Photo: Lawrence Roffee

 

Assistive technology is an umbrella term that covers equipment, software, system, or any item that is used by people to find and or maintain a job and/or perform activities of daily living. Technology can be big, like an automated lift for van or bath, or small, like a Velcro-attached grip for a fork or a pen. It can be new-age interactive voice activated software for speech therapy or a wheelchair component. It can be high-tech–a computer screen operated by eye movement or low-tech, like a specially-designed door handle for people with muscle strength or dexterity problems.

Assistive technology can often be complex and very user-specific, and this is where Provail’s team plays an important role. At their AT (assistive technology) clinic, they take a holistic approach to finding the best technology for each person.

Brenda and her colleagues’ AT  programs bring professionals from Provail into schools and homes to recommend AT, and teach users, parents, teachers, therapists, and caregivers the best ways to put a person’s AT to best use. Provail works with kids as young as 4 years old, as well as adult clients, and individuals all the way through the lifespan.

Brenda notes that students with earlier access to AT have overwhelmingly better outcomes in both learning and lifestyle. She makes it clear that enabling mobility and communication at an early age are core to the program at Provail. “Before this unique program, we would see adults coming into the clinic with no AT and no mobility. Now, parents doing a 10-week program with us are finding successes that they never knew were possible.”

On top of helping people find and use the best possible AT for their needs, Provail also helps connect users with typical and alternative funding sources, making the stressful process of financing AT easier for many of their clients.

As assistive technology becomes more complex, more varied, and more common, it is important to put people first and keep in mind Brenda’s important question: what would make this person’s life better, faster, easier?
Check out your local affiliate to find out more about what type of AT services may be available, including financial resources that may be available.

#KnowMedicaid

 

As Google search results indicate, many more Americans have grown concerned about losing their (or a family member’s) Medicaid benefit. We at UCP are receiving an increasing number of inquiries about Medicaid and the services and supports it provides for many individuals with disabilities and their families.

 

Even without a pending health care bill in Congress, it can be overwhelming to navigate the process of accessing the funding and benefits necessary to receive the support needed so you or your loved one can live a life without limits. While there is no one way to simplify the process, there are ways to make it a bit easier. The tips and tricks below will help you in your conversations with Medicaid and other agencies.

 

When you’re done checking out our tips, you will also find a PDF guide with the contact information for Medicaid (and related agencies in all 50 states) at the bottom of this post.

 

Keep Records of All Conversations, and Be Sure to Seek Clarification When Necessary:

 

Whenever calling your state or any other entity) regarding services and supports, be sure to keep notes about your conversation including: who you speak with , what department they are in, what department they refer you to, and any other pertinent details.

 

This is really important in the case that there is any confusion or conflicting information during the process , because you will be able to provide past information about what you were told and when.

 

It is also a great idea to ask the person you are speaking to to follow up with an email, if possible; that way you are able to see their summary of the conversation, and open up a dialogue that may help in the future should there be any misunderstandings.

 

Remember That State and Federal Agencies Are Not Identical:

 

When working with Medicaid, or any other government program or agency, it is important to be aware of the difference between the agency in your state, and the federal agencies in Washington, DC.

 

While agencies can be connected, the state agency handles state programs and issues and the federal agency counterpart handles national ones. When getting information about services and supports, it is vital to differentiate between what is available and provided by your state, and what might also be available on the national level.

 

This is also key because these differences affect how programs are funded, and may alter the process required to become eligible. Sometimes programs may be jointly run on the state and national level, but it is still important to be aware of when you’re talking to, or about, your individual state versus when you’re looking at things on a national level.

 

Not All States Run Programs the Same Way, (or a Call Agencies by the Same Name):

 

Another reason it is important to be aware of the difference between state and federal programming is because the way programs, such as Medicaid, are administered can vary significantly from state to state.

 

Therefore, be sure to investigate how things are run in your specific state, and not go off of the experiences of an individual who may live someplace else. A program that is provided through the Department of Health and Human Services in one state may be provided through the Department of Welfare in another.

 

Before getting discouraged and thinking something doesn’t exist, always remember to try a different name or department, because you never know what it might fall under in your state.

 

Always Ask for Other Options:

 

Just because one program, grant, or service is not an option for you, doesn’t mean there isn’t something out there that can help with your situation. Even if you find out that the program you are looking into will not work (or be available) based on for your situation,, be sure to ask the person you’re speaking with if they know of any other programs that may be able to help.

 

When considering your options, it is also important to remember that different programs have different eligibility requirements. So, be sure to provide as much information as possible to determine if you are eligible for a specific program.

 

Obtaining services through Medicaid (or other agencies) is rarely a simple process, but we hope that these tips– as well as our guide of various state offices involved in the administration of services and supports for individuals with disabilities– will make your journey a bit easier.
Do you have any other tips or tricks you would like to add to the list? Let us know on Facebook or Twitter using the hashtag #KnowMedicaid. To learn more about Medicaid in your state, check out our resource guide.

UCP National Names Armando A. Contreras As The Next President & CEO

Contacts: Diane Wilush
 Richard Forkosh



 
 UCP National Names Armando A. Contreras As The Next President & CEO (Washington, DC) – United Cerebral Palsy, Inc., (UCP) the leading national organization which advocates and promotes the inclusion and full citizenship of individuals living with cerebral palsy and other disabilities, announced today that its Board of Trustees has named Armando A. Contreras as President and CEO effective June 5, 2017. Contreras is currently the CEO of UCP of Central Arizona and will replace Richard Forkosh, who is currently serving as UCP Inc., Interim CEO.“We are delighted to have Armando join UCP as the new President and CEO,” said Diane Wilush, Chairman of UCP National’s Board of Trustees. “The selection process was rigorous, and Armando is the perfect choice; his leadership at UCP of Central Arizona and track record of organizational management, fiscal responsibility, and his mission driven focus will continue to build a strong future for UCP National. Most importantly, Armando is devoted to serving and empowering people with disabilities and he truly embodies everything our organization stands for.”

“It has been a privilege, honor and a true blessing to have served as the CEO of United Cerebral Palsy of Central Arizona for the past seven years,” said Armando Contreras. “I am abundantly grateful to have worked with purpose-driven, passionate staff that are committed to enhancing the lives of thousands of children, teens and adults by providing the resources necessary to build a life without limits! I would also like to express my sincere gratitude to Richard Forkosh for his executive leadership and exceptional integrity during his term as Interim CEO. I look forward to working closely with the UCP National Board, Affiliates and Staff to address the priorities at hand, set goals and build a pathway to sustainability.

As the CEO of United Cerebral Palsy of Central Arizona for the past seven years, Armando has increased net assets, built internal capacity, standardized business processes and enhanced the trust and communication in the organization. Contreras was instrumental in executing an agreement with Circle K, a major fundraiser collaborator of UCP’s for over 30 years, responsible for expanding therapy services for underserved children at the state of the art, UCP Downtown clinic, and diversified the organization’s grant and philanthropic base. Contreras has significantly increased UCP’s community awareness of the vital programs and services offered by UCP not only within the philanthropic circles, but also with public officials and key stakeholders in the disability community. Today, UCP of Central Arizona is one of the most highly respected agencies in Arizona serving children, teens and adults with various disabilities.

###

About United Cerebral Palsy:

United Cerebral Palsy (UCP) educates, advocates and provides support services through an affiliate network to ensure a life without limits for people with a spectrum of disabilities. Together with nearly 70 affiliates, UCP has a mission to advance the independence, productivity and full citizenship of people with disabilities by supporting more than 176,000 children and adults every day—one person at a time, one family at a time. UCP works to enact real change—to revolutionize care, raise standards of living and create opportunities—impacting the lives of millions living with disabilities. For more than 60 years, UCP has worked to ensure the inclusion of individuals with disabilities in every facet of society. Together, with parents and caregivers, UCP will continue to push for the social, legal and technological changes that increase accessibility and independence, allowing people with disabilities to dream their own dreams, for the next 60 years, and beyond. For more information, please visit .

What You Need to Know About College as a Student with a Disability

The transition from high school to college can be both a scary and exciting time for every student. College is a whole new world, and unlike anything most students have yet experienced.

 

Before heading off to college, students have questions and concerns about their future. Most students probably wonder about their major, whether they will like the school they have chosen, and what their new friends will be like, but for students with disabilities, the questions can often be a little more complicated.

 

Students with disabilities may wonder about accommodations, accessibility, services and supports, and getting help with everyday needs. And these questions may not be easy to answer.

 

As someone who’s a former college student, and an individual with a disability, I wanted to share some of the things that I wish I had known freshman year in hopes that it may make your transition a little bit easier.

 

Self Advocacy Is Key:

Growing up, it was typically the responsibility of your parents, teachers, or other administrators to make sure you got the accommodations and supports you needed to be successful in school. But, in college, it becomes primarily your responsibility.

 

Self-advocacy is always important but becomes especially essential when navigating college. College is often the first time students have lived away from home, and it is important to remember that you are your own best advocate: there are lots of supports in place to help you be successful, but you have to be proactive and reach out so that the people around you know what you may, or may not need.

 

Most schools have Offices or Departments of Disability Services in place to help students with disabilities get the accommodations they need, such as note-taking support, extra time on exams, or any other reasonable academic accommodation, but nobody from the office is going to seek you out, especially if they don’t even know you’re there.

 

Make a point to become familiar with the services and supports that exist on your campus. Talk to the disability support staff to work on a plan for your accommodations to help ensure success from day one. You are in college now and, like your peers without disabilities, there are still people there to help you, but for the most part, you are in the driver’s seat now!

 

The Laws Are Different:

K-12 education for students with disabilities is mandated under the Individuals with Disabilities Education Act (IDEA), this means that students with disabilities are entitled to public education and that it is the responsibility of the school to see that all students are getting an appropriate education. Colleges don’t fall under IDEA, and therefore, are not required to make accommodations to the same degree as the public school system.

 

In college, students with disabilities are protected from discrimination, such as inaccessibility of buildings, under the Americans with Disabilities Act (ADA). Schools must provide reasonable accommodations such as notetakers or extra time on exams, but they don’t have any obligation to modify coursework to accommodate students with disabilities or provide additional supports such as assistance with personal care or activities of daily living to ensure a student is successful.

So, if you are, for example, a wheelchair user who needs help to get in and out of bed or perform other daily activities, the ADA requires your school to provide you with an accessible dorm room, but there is no legal obligation to provide you with an assistant or other types of personal care support.

 

This is important to know because it means that you will need to set up the supports you need on your own before you head off to school. Some schools have programs to help students with personal care needs, but this is not a requirement for all schools. Look into what your school offers to figure out what kind of supports may be available.

 

For more information about the difference in laws governing K-12 education and college check out the resources below:

 

https://umaine.edu/disability/accommodations-high-school-vs-college/

 

https://www2.ed.gov/about/offices/list/ocr/transitionguide.html

 

https://www2.ed.gov/about/offices/list/ocr/docs/auxaids.html

 

 

It’s Okay to Reach out for Help and Support:

If you’re feeling overwhelmed, or struggling more than you thought you would, there is absolutely no shame in asking for help. Mental and emotional well-being is just as important as physical health, and academic support.

 

Most colleges have a variety of services to support students from health centers, to counseling and other mental health services, and wellness programs, in addition to academic supports. Take advantage of the support and community that exists around you, and don’t be afraid to reach out.

 

Additionally, there are lots of groups and activities on college campuses, and many colleges even have organizations run by and for students with disabilities. These organizations may or may not be support oriented. Many of them may just be social groups, or groups focused on advocacy and activism.

 

Whether or not they are disability focused, student organizations and extracurricular activities can be another great place to find support in college.

 

 

Transition Is Not One-Size-Fits-All:

Everybody is unique, which means that everyone’s experience in transitioning from high school to what comes after will look, feel, and be, very different. Whether you’re planning to go to school far away, attend college close to home, or do something else after high school, it’s important to remember there is no right way to transition from high school to beyond.

 

Whatever you decide to do after high school graduation, focus on making sure that it’s the right option for you, rather than worrying about whether it’s what other people expect.

 

For more information you need to know,  check out the topics below:

What You Need to Know About Preventative Care and Disability
What You Need to Know About Sexual and Reproductive Health and Disability

UCP Expresses Concerns About American Health Care Act of 2017

Last Thursday, Members of the House of Representatives passed, by a narrow margin, H.R. 1628 (the American Health Care Act of 2017, or AHCA for short). United Cerebral Palsy, along with our colleagues in Washington, expressed concerns about the bill in its current form (as well as previous proposals that were circulated).

 

We joined coalitions focused on the preservation of coverage for individuals with pre-existing conditions, coverage for rehabilitative and habilitative services, and protecting Medicaid. We also took part in advocacy efforts with the Consortium of Citizens with Disabilities, a coalition of 100 national disability organizations working together to advocate for national public policy that ensures the self-determination, independence, empowerment, integration, and inclusion of children and adults with disabilities in all aspects of society. In short, we are not alone in our concerns and we will continue to work together to fight this harmful bill.

We share the concerns many of you have voiced to us about the lack of review by the Congressional Budget Office of this latest bill, and the potentially devastating consequences the House bill as written could have on the 175,000 families served by UCP’s affiliate network (and really all individuals with disabilities who rely on Medicaid for health coverage and/or long-term services and supports).

We are hopeful that as the Senate deliberates, more information about the projected impact of the House bill will become known and that the Senate will not pass a bill that would bring harm to our community.

Senators need to hear from constituents, and we hope you will tell your story. To learn more about UCP’s public policy work and to get involved, please visit http://ucp.org/what-we-do/public-policy/

Transition Is…

 

Sometimes, unexpected or scary but also real and exciting

 

There are specialty clinics and hospitals throughout the country to address the unique needs of children with disabilities like cerebral palsy, but the same is not true for adults. Once people with disabilities reach the age of 18 or 21 they often have to stop seeing their pediatric providers, only to find there is no adult provider to take their place.

 

This is a major issue that affects young adults and adults with disabilities throughout the country, and contributes to a range of health inequalities and other issues. As we have addressed before, transitioning from pediatric care to adult care can be particularly difficult if your new doctor has little to no familiarity with disability.

 

Adults with disabilities need access to the same care as other adults, but they also need providers who are familiar with the unique needs that may come along with disability, and that is when young adults with disabilities can feel as though they’ve entered a void. However, one UCP affiliate is working to bridge that gap in a particularly creative and comprehensive way.

 

UCP of Minnesota/Gillette Specialty Children’s Hospital is the home of Gillette Lifetime, a clinic for patients with lifelong disabilities such as cerebral palsy and spina bifida who are ages 16 or older.

 

Kathy Lindstrom, an Advanced Practice Registered Nurse, at the Lifetime Clinic, says it grew out of an unmet need in the community.  Lifetime Clinic’s Transition Program started as, “a grassroots movement put together based on patient needs. “

 

Kathy Lindstrom Advanced Practice Registered Nurse, at the Lifetime Clinic

Kathy Lindstrom Advanced Practice Registered Nurse, at the Lifetime Clinic

 

 

Easier, with the right resources and support

 

The services at Gillette Lifetime Transition Clinic merge medical needs with the unique psychological and social needs of transition-aged young adults with disabilities. As Lindstrom explains “everything seems to change when patients reach the late teenage years; it’s not just medical, but in all aspects of their lives.”

 

Lindstrom says, “Legal decision making becomes an issue, [so does vocational] planning, post high school planning and discussions about future living arrangements.  Parents are bogged down with meeting the challenges of daily life, and sometimes it can be hard to develop a vision for the future… and so transition sneaks up on families.”

 

Parental involvement in the process often shifts at this stage, so it’s also important to prepare both parents and young adults for this change.

 

Transition is not a simple process that happens overnight, or automatically, on a patient’s 18th birthday. Lindstrom understands that it can be hard for patients to come to the clinic for the first time, as many of them have had the same providers for their entire lives, and it can be hard to let go.

 

Lifetime makes this transition a little bit easier by allowing patients to transfer some care to adult providers, while continuing to collaborate with other specialty providers for other aspects for a period.

 

During their first visit to the clinic, patients meet with Lindstrom and her colleagues to discuss transition, and outline the issues that are most important to them. These appointments are conversations, not exams, and take place in a conference room, as opposed to an exam room. The appointment gives patients, and their families, an opportunity to discuss any questions or concerns they may have, and to get a feel for the services available at Lifetime.

 

 

About choices, and coordination

 

Lifetime is focused on specialty medical needs, and is not a primary care facility. Lindstrom offers the following advice to any individuals with disabilities looking for primary care providers:

 

  • Meet with the family Primary Care Provider (PCP) and talk about the potential of becoming a patient. If the doctor already sees the rest of the family, they might be a good start for patients with disabilities as well. She encourages patients to integrate into their family’s practice whenever feasible.

 

  • Arrange an advanced meeting with the PCP and see how accessible the facility is before becoming a patient in the practice.

 

  • If at first you don’t succeed, try try again. Lindstrom cautions that you may not click with the first provider you meet with, but that doesn’t mean you won’t find somebody who works for you.

 

  • Your insurance will affect your options for a PCP, so remember to check first to make sure your preferred provider is covered!

 

Lindstrom also encourages primary care providers to connect with a patient’s specialty care providers. Gillette operates a telehealth triage line for all patients and their providers, regardless of age. If a primary care provider is unsure of how to treat a patient, they can reach out and communicate with other members of the patient’s care team.

 

In addition to medical care, Gillette Lifetime supports patients with the social aspects of transition such as recreation, community integration and helps prepare them for changing relationships with their family and friends, even giving them space to talk about the potential of romantic relationships.

 

Transition is difficult for every young adult, but when you have a disability, you may not know where to go, and you may have a unique set of questions that you feel like no one can answer, which is why transition clinics like Gillette Lifetime’s Transition Clinic are so important.

 

Learning more

 

There are several clinics that specialize in current medical recommendations for young adults with cerebral palsy throughout the country.

 

If you are located outside of Minnesota or the Midwest, and would like to see if there is a transition clinic near you, please be sure to check out our latest guide on healthcare for adults with cerebral palsy and related disabilities for clinics and additional resources that may be helpful in the transition from pediatric to adult health care.

 

Patient with a practitioner at the Lifetime Clinic

WineBev Creating Opportunity to “Work Without Limits”

The Napa Valley is known for gorgeous weather and of course for wine. UCP’s affiliate in the Napa Valley area, UCP of the North Bay, works to bring together the wine industry and individuals with disabilities. WineBev Services began in 2007 and is helping to acknowledge the need for labor in the region, while opening doors for more accessible and competitive employment for people with disabilities. “It was a natural fit given the area,” says Mike Lisenko, President of Business Operations for WineBev.

 

WineBev works with around 15 to 20 wineries in the area at any given time during the season. They currently employ 115 individuals with disabilities, working in all areas – from packing to fulfillment. Potential employees are referred to WineBev from the local regional center in Napa, which helps to pair individuals with providers in the community. Candidates go through a job skills training course before finding the area that best suits their skills. WineBev provides both community-based and supportive employment. They also work with the the hospitality industry in the area, giving greater flexibility to area employers and finding roles that best suit each individual employee’s strengths.

 

WineBev estimates that nearly 200 individuals have come through the program, with several finding employment on their own after their time there. At UCP of the North Bay, living a “life without limits” plays a role in every aspect of life – both work and play. At WineBev, “Work Without Limits” is more than just a tagline – it’s a purpose and flows through every facet of WineBev, from monitoring to packing, to creating employment opportunity for all.

 

Special thanks to Mike Lisenko, President of Business Operations for WineBev.

 

For more information on WineBev, please visit www.winebev.com.

 

To find out more about UCP of the North Bay and their programs, visit their website at http://ucpnb.org/.

 

Jeffrey Cooper, Recipient of the Kathy O. Maul Leadership Award at 2017 UCP Annual Meeting

Congratulations to Jeffrey Cooper, President, and CEO of UCP of Central Pennsylvania on being named the recipient of the Kathy O. Maul Leadership Award at the 2017 UCP Annual Meeting in Nashville, TN!

Thank you for all of your hard work, leadership, and dedication to individuals with disabilities!

Jeffrey Cooper, President, and CEO of UCP of Cental PA with Interim CEO of the UCP national office, Rick Forkosh.