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May 3, 2007
David J. Jenkins, Venetta Gasper and Tommye Myers v. Washington
State Department of Social & Health Services
All three plaintiffs in this case are functionally disabled
individuals who receive paid in-home personal care services to help
them with basic activities of daily living such as bathing,
dressing, shopping, housekeeping, and meal preparation. The three
recipients challenged the shared living rule, which is one component
of an assessment tool used by the Washington Department of Social
and Health Services. This assessment tool, entitled
Comprehensive Assessment Reporting Evaluation or CARE, is used to
determine an individuals eligibility for in-home care under one of
four programs.
The CARE evaluation scores an individual on a variety of factors,
and the resulting numerical score is used in a formula to calculate
the individual's base assistance level in hours of care. People
receiving services in a group living setting were given 15% less
hours of assistance because the in-home caregiver's time doing
chores or grocery shopping was not able to be billed to a specific
client although the activity benefited all in the house.
The lawsuit challenged the blanket 15% reduction in hours of care
permitted. The justices ruled that the state may not cut hours of
care in this fashion.

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