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CFILC Issues

There's so much going on in our efforts for advocacy and the reactions of our communities, we hope this page helps to serve more information to let you know what it is that is currently happening. There's always an effort we're trying to push with issues, agenda, campaigns, political bill, events, and more.

CF Issues
February 13th, 2021 California revises COVID-19 vaccine guidelines to include people with disabilities and underlying health conditions under 65.

Your voices have been heard! On Friday, February 12, Governor Newsom announced that people with disabilities and underlying health conditions under the age of 65 will be eligible to receive the COVID-19 vaccine beginning Monday, March 15, under new state guidelines.

Beginning March 15, healthcare providers may use their clinical judgement to vaccinate individuals age 16-64 who are deemed to be at the very highest risk for morbidity and mortality from COVID-19 as a direct result of one or more of the following severe health conditions:

  • Cancer, current with debilitated or immunocompromised state
  • Chronic kidney disease, stage 4 or above
  • Chronic pulmonary disease, oxygen dependent
  • Down syndrome
  • lmmunocompromised state (weakened immune system) from solid organ transplant
  • Pregnancy
  • Sickle cell disease
  • Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies (excludes hypertension)
  • Severe obesity (Body Mass Index 2 is greater or equal to 40 kg/m2)
  • Type 2 diabetes mellitus with hemoglobin Al c level greater than 7.5%


If as a result of a developmental or other severe high-risk disability, one or more of the following applies:

  • The individual is likely to develop severe life-threatening illness or death from COVID-19 infection
  • Acquiring COVID-19 will limit the individual's ability to receive ongoing care or services vital to their well-being and survival
  • Providing adequate and timely COVID care will be particularly challenging as a result of the individual's disability.

“I want to start by thanking the advocates in the community who have worked tirelessly to elevate vaccine equity for people with disabilities in the state. We value that Governor Newsom took action to prioritize people with disabilities and underlying health conditions, including higher weight individuals, who are under the age of 65. Equitable access to the COVID-19 vaccine impacts the lives of millions of Californians who were at the bottom of the vaccine tier list. This is a step in the right direction, and provides a much needed relief to the disability community, whose lives have remained at risk,” said Christina N. Mills, Executive Director, California Foundation for Independent Living Centers (CFILC).

Read the news alert.

Take Action: #HighRiskCA #WeCantWait. Make your voice heard. February 6th, 2021 Disability rights advocates share frustration over the Governor's new COVID-19 vaccine distribution guidelines in a virtual press conference. January 29th, 2021 Letter for California COVID-19 Vaccine Drafting Guidelines Workgroup December 31st, 2020 See all Issues for CFILC…
Public Policy Perspectives
March 27th, 2019 • Henry J. Contreras, CFILC Public Policy Director
Mobilizing for Brain Injury Awareness Month: California's Traumatic Brain Injury (TBI) Survivors and Their Families to Urge the Legislature to Stabilize and Enhance Funding

Graphic with a blue ribbon. Text reads: March is brain injury awareness month. #ChangeYourMind.

For over 3 decades, the Brain Injury Association of America has led a national effort to designate each March as "Brain Injury Awareness Month" in order to educate the public about brain injuries (TBI). The theme for its 2018 to 2020 campaign is #Change Your Mind.

The campaign seeks to remove stigma or negative thinking around brain injuries by reaching out within the brain injury community and empowering those who have survived brain injury and their caregivers. In addition, it promotes public awareness about the supportive services available to survivors and their families.

Nationwide, TBIs cause $76.5 billion in annual direct and indirect medical and rehabilitation costs and the loss of productivity. There are numerous causes of TBIs including, among many others, vehicle and bicycle accidents, slips and falls, combat-related injuries, or other trauma. Each survivor typically is left with an average $7 million in lifetime costs for care and rehabilitation.

In 1988, the Legislature established the California TBI Program. It was designed to fund local community-based models to provide community integration services for people with TBI and their families. The program is currently administered by the Department of Rehabilitation.

TBI Program originally funded 4 TBI pilot programs. By 1995, the number of TBI sites grew to the current 7 sites and they are represented by an advocacy organization the California Association of Traumatic Brain Injury (CATBI).

They include:

FREED Independent Living Center serving Butte, Shasta, Sutter, Nevada, and Yuba counties…

Mercy Outpatient Rehabilitation Center serving Sacramento, Placer, El Dorado, Yolo, and Solano counties;

Services for Brain Injury serving Santa Clara and San Mateo counties;

Central Coast Center for Independent Living- New Options serving Monterey, San Benito, and Santa Cruz counties.

Jodi House Brain Injury Support serving Santa Barbara, San Luis Obispo, and Ventura counties;

Independent Living Services of Southern California serving Los Angeles County; and

St. Jude Brain Injury Network serving Orange County.

These critical services are unmet by any other service delivery model. They include Supportive Living Services to find and maintain housing; Community Reintegration Services for rehabilitative therapies, chemical dependency programs, and personal assistance and education; Information and Referral Services connecting consumers with TBIs and their families to local community resources and advocates; Vocational Supportive Services to coach finding and retaining employment; and Public and Professional Education to educate the community and professionals on issues relating to TBIs.

Although the program has proven effectiveness, it's been severely underfunded for many years and base funding has not kept pace with rising costs. This, in turn, has limited the ability of the sites to adequately meet existing service demands or to expand their service delivery areas and the populations served. Over the past 30 years, the size of the TBI population and the need for services have grown throughout California. However, services are currently available in only 20 of the 58 counties because the annual $150,000 in funding per site has remained frozen with no funding increases or cost-of-living adjustments.

This means that when adjusted for inflation, it would require $320,000 in 2019 dollars just to keep pace with the value of 1988 dollars. Compounding the problem is the fact that in some recent years the funding has fallen to $115,000 per site.

The gap between the demonstrated and growing need for TBI services and future expansion explains why CATBI welcomed news that Governor Newsome's budget for 2019-2020 proposed $1.2 million in state funding. This would restore funding to the historical $150,000 per site level through 2024.

On March 6, 2019 CATBI members, TBI survivors, and their caregivers offered eloquent and heartfelt testimony at an Assembly budget subcommittee hearing in support of the Governor's proposal. They described the impact of TBIs on their lives and the value of CATBI's services. They also plan to testify at the upcoming May 2nd Senate budget subcommittee hearing.

There is growing support for stabilizing and expanding the California TBI Program. A companion social media campaign is underway, so March 2019 ultimately may prove to be an important first step forward to expand public and lawmaker support for TBI services.

Thank you.

Henry J. Contreras
CFILC Public Policy Director

See all of Henry's Blogs on Public Policies…