Thursday, August 15, 2013

Obamacare criteria for forced home inspections

H/t Freedom Outpost.

According to the HHS website, the criteria for targeting those in need of forced home inspections are:
  1. Low-income eligible families.
  2. Eligible families who are pregnant women who have not attained age 21.
  3. Eligible families that have a history of child abuse or neglect or have had interactions with child welfare services.
  4. Eligible families that have a history of substance abuse or need substance abuse treatment.
  5. Eligible families that have users of tobacco products in the home.
  6. Eligible families that are or have children with low student achievement.
  7. Eligible families with children with developmental delays or disabilities.
  8. Eligible families who, or that include individuals who, are serving or formerly served in the Armed Forces, including such families that have members of the Armed Forces who have had multiple deployments outside of the United States.
Areas of emphasis willallegedly be placed on:
  • Improvements in maternal, child, and family health
  • Effective implementation and expansion of evidence-based home visiting programs or systems with fidelity to the evidence-based model selected
  • Development of statewide or multi-State home visiting programs
  • Development of comprehensive early childhood systems that span the prenatal-through-age-eight continuum
  • Outreach to high-risk and hard-to-engage populations
  • Development of a family-centered approach to home visiting
  • Outreach to families in rural or frontier areas
  • The development of fiscal leveraging strategies to enhance program sustainability
See bottom of post for more information of several of the above areas of emphasis.

The programs responsible for the forced home inspections are:
Population Served: Child FIRST provides services to pregnant women and families with children from birth to age 6 years, in cases in which the child has emotional, behavioral, or developmental concerns or the family faces multiple risks that are likely to lead to negative child outcomes.
Families are served without regard for ability to pay, legal status, or number of children in the family.
Program Focus: The goal of Child FIRST is to decrease the incidence of emotional and behavioral disturbance, developmental and learning problems, and abuse and neglect among high-risk young children and their families. The Child FIRST model is based on the most current research on brain development, which shows that extremely high-stress environments (including poverty, maternal depression, domestic violence, abuse and neglect, substance abuse, and homelessness) are “toxic” to the developing brain of the young child. The presence of a nurturing, consistent, and contingent parent-child relationship is able to buffer and protect the brain from these damaging insults.

Early Head Start – Home-Based Option
Population served: Early Head Start (EHS) targets low-income pregnant women and families with children birth to age three years, most of whom are at or below the Federal poverty level or who are eligible for Part C services under the Individuals with Disabilities Education Act in their State.
Program focus: The program focuses on providing high quality, flexible, and culturally competent child development and parent support services with an emphasis on the role of the parent as the child’s first, and most important, relationship. EHS programs include home- or center-based services, a combination of home- and center-based programs, and family child care services (services provided in family child care homes).

Early Intervention Program for Adolescent Mothers
Population served: The Early Intervention Program (EIP) targeted pregnant Latina and African American adolescents who were referred to the county health department for public health nursing care. The women were eligible for EIP if they were 14 to 19 years of age; no more than 26 weeks gestation; pregnant with their first child; and planning to keep the infant. Expectant mothers who were chemically dependent or had serious medical or obstetric problems were ineligible.
Program Focus: EIP was designed to help young mothers gain social competence and achieve program objectives. The construct of social competence was conceived to have two facets:
internal and external. EIP aimed to improve internal competence—the mother’s ability to manage her inner world—through training in self-management skills and techniques for coping with stress and depression. EIP aimed to improve external competence—the mother’s ability to interact effectively with partners, family, peers, and social agencies—through training in communication and social skills.

Family Check-Up
Population served: Family Check-Up is designed as a preventative program to help parents address typical challenges that arise with young children before these challenges become more serious or problematic. The target population for this program includes families with risk factors including: socioeconomic; family and child risk factors for child conduct problems; academic failure; depression; and risk for early substance use. Families with children age 2 to 17 years old are eligible for Family Check-Up.
Program focus: The program focuses on the following outcomes: (1) child development and school readiness and (2) positive parenting practices.

Healthy Families America (HFA)
Population served: HFA is designed for parents facing challenges such as single parenthood, low income, childhood history of abuse, substance abuse, mental health issues, or domestic violence.
Individual programs select the specific characteristics of the target population they plan to serve.
Families must be enrolled prenatally or within the first three months after a child’s birth. Once enrolled, services are provided to families until the child enters kindergarten.
Program focus: HFA aims to (1) reduce child maltreatment; (2) increase use of prenatal care; (3) improve parent-child interactions and school readiness; (4) ensure healthy child development; (5) promote positive parenting; (6) promote family self-sufficiency and decrease dependency on welfare and other social services; (7) increase access to primary care medical services; and (8) increase immunization rates.

Healthy Steps
Population served: Healthy Steps is designed for parents with children from birth to age 30 months. Healthy Steps can be implemented by any pediatric or family medicine practice. Residency training programs can also implement Healthy Steps. Community health organizations, private practices, hospital based clinics, child health development organizations, and other types of clinics can also become Healthy Steps sites if a health care clinician is involved and the site is based in or linked to a primary health care practice. Any family served by the participating practice or organization can be enrolled in Healthy Steps.
Program focus: The program focuses on the following outcomes: (1) child development and school readiness; and (2) positive parenting practices.

Home Instruction for Parents of Preschool Youngsters (HIPPY)
Population served: Home Instruction for Parents of Preschool Youngsters (HIPPY) aims to promote preschoolers’ school readiness by supporting parents in the instruction provided in the home. The program is designed for parents who lack confidence in their ability to prepare their children for school, including parents with past negative school experiences or limited financial resources. HIPPY offers weekly activities for 30 weeks of the year, alternating between home visits and group meetings (two one-on-one home visits per month and two group meetings per month). HIPPY sites are encouraged to offer the three-year program serving three to five year olds, but may offer the two-year program for four to five year olds. The home visiting paraprofessionals are typically drawn from the same population that is served by a HIPPY site, and each site is staffed by a professional program coordinator who oversees training and supervision of the home visitors.
Program focus: Home Instruction for Parents of Preschool Youngsters aims to promote preschoolers’ school readiness.

Nurse-Family Partnership (NFP)
Population served: The Nurse-Family Partnership (NFP) is designed for first-time, low-income mothers and their children. It includes one-on-one home visits by a trained public health nurse to participating clients. The visits begin early in the woman’s pregnancy (with program enrollment no later than the 28th week of gestation) and conclude when the woman’s child turns two years old. During visits, nurses work to reinforce maternal behaviors that are consistent with program goals and that encourage positive behaviors and accomplishments. Topics of the visits include: prenatal care; caring for an infant; and encouraging the emotional, physical, and cognitive development of young children.
Program focus: The Nurse-Family Partnership program aims to improve maternal health and child health; improve pregnancy outcomes; improve child development; and improve economic self-sufficiency of the family.

Parents as Teachers
Population served: The goal of the Parents as Teachers (PAT) program is to provide parents with child development knowledge and parenting support. The PAT model includes home visiting for families and professional development for home visiting. The home visiting component of PAT provides one-on-one home visits, group meetings, developmental screenings, and a resource network for families. Parent educators conduct the home visits, using the Born to Learn curriculum. Local sites decide on the intensity of home visits, ranging from weekly to monthly and the duration during which home visiting is offered. PAT may serve families from pregnancy to kindergarten entry.
Program focus: The Parents as Teachers program aims to provide parents with child development knowledge and improve parenting practices.
Forced home inspections:  A slippery slope, opening the door to something far more nefarious, far more invasive 

Reading between the lines, the extent of government overreach in Obamacare extends further than forced home inspections for families with children. If allowed, forced home inspections will pretty much cover every American at one point or another.

The criteria for targeting families for forced home inspections pursuant to APPENDIX A: MIECHV PROGRAMMATIC EMPHASIS AREAS are as follows:
Emphasis 1: Improvements in maternal, child, and family health. Such innovations may include, but are not limited to, the following:
• Home visiting to women at high medical risk;
• Interconception care and counseling;
• The provision of mental health services;
• Obesity prevention;
• Establishing a medical home;
• Tobacco cessation programs;
• Behavioral health (including services for substance abusing caregivers);
• Engaging health service providers in at-risk communities to encourage identification and referral of pregnant women, young children, and families to home visiting programs;
• Fostering partnerships between home visiting programs and other State and local partners to reduce health disparities;
• Innovations to address child development within the framework of life course development and a socio-ecological perspective; or,
• Innovations to support the use of technology in delivery of home visiting services….

Emphasis 5: Outreach to high-risk and hard-to-engage populations. These innovations may include, but are not limited to, the following:
• Families at greatest risk for negative outcomes related to child maltreatment, substance abuse, domestic violence, or other adversities;
• Families with children involved with the child welfare system;
• Families with dual language learner children;
• Children with developmental delays; parents with disabilities; or
• Families with members in the Armed Forces.

Emphasis 6: Development of a family-centered approach to home visiting. These innovations may include, but are not limited to, the following:
• Engagement of fathers;
• Engagement of non-custodial parents; or
• Engagement of other primary caregivers including grandparents, other relatives and kinship caregivers, or foster parents.

Emphasis 7: Outreach to families in rural or frontier areas through home visiting programs.

Emphasis 8: The development of fiscal leveraging strategies to enhance program sustainability. These innovations may include, but are not limited to, the following:
• Public/private partnerships;
• Medicaid reimbursement; or
• Medicaid/CHIP partnerships....

Translation:  Anyone can be subjected to forced home inspections by government officials.

Perusing these reports (documents at bottom of post), data mining will play a major role in the forced home inspections.  Moreover, while perusing the above documents, the following terms came to mind, government overreach, spying, if you see something say something, behavioral modification, NUDGE.

Bear in mind that with the NSA spying on Americans 24/7, sharing that information with federal agencies, starting with the DEA, FDA, DHS and the IRS who will be policing Obamacare and controlling the healthcare of millions not to mention the uptick in paramilitary raids on the homes of Americans, everyone should find this measure of government overreach disconcerting enough for all to take a stand.

Forced home visits are nothing new but I’ll give you a hint.  It didn’t work back then either.  It was invasive, fraud and abuse was rampant but I will report on that in a later post.

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(If unable to view the above SCRIBD documents, you can view them here, and here,,

Source and links:
HRSA-12-156 Final with Mods 7-16-12.pdf
Affordable Care Act - Maternal, Infant and Early Childhood Home Visiting Program
Maternal, Infant and Early Childhood Home Visiting Program


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