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The Generations Project was established in 2001 to call attention to the dilemma facing Hoosiers with long term health care needs. A collaborative effort of leading consumer based organizations, The Project seeks to educate citizens, advocates, and policy makers about the opportunities for Hoosiers to implement a balanced and responsible long term care system.

Why We Have Joined the Raise the Wage Coalition

 Raising the minimum wage is a crucial component to improving the lives of persons who need home health care and community based services.  The Generations Project Hoosiers First and United Senior Action have joined the Raise the Wage coalition because too many home care and nursing home workers are grossly underpaid and forced to work with few viable benefits.  That leads to high rates of turnover among those workers…and that puts people who depend on them for their health, safety, dignity and freedom at risk.  Without a doubt economic justice and health justice in Indiana and throughout America are absolutely linked.  To our readers and supporters we ask them to join their fellow Hoosiers and Americans in calling for wages to be raised.  Raise the Wage!

Follow this link to find out more about the Raise the Wage Coalition


Paul Chase

“A good marriage is like the Indiana General Assembly. Like the legislature, for a marriage to work well listening and compromise must be involved.” When Judge Paul Chase officiated our wedding fifteen years ago those were his opening comments. We tried to suppress our laughs. Our matron of honor blurted OMG in a loud stage whisper. The audience ran with the joke. The perfect funny line delivered with matchless timing to present a message we’ve never forgotten.

That was so Paul although if someone said he was ‘perfect’ he might have responded, with a twinkle in his eye and the hint of a boyish smile, ‘Little does he know. Do you think I should tell him?’

Perfect or not, Paul Chase was for so many people pretty close to ideal. Paul brought humor, kindness, sensitivity, intelligence, wiliness, courage, and presence to virtually everything he did. He also had other qualities that everyone who worked, played, or was otherwise engaged with Paul felt: a sense of genuine friendship and caring.

These were among the many legacies that Paul left his family, friends and colleagues. For the citizens of Indiana Paul did and left much more. His policy advocacy and administrative talents bestowed the gift of life and human rights for many Hoosiers with HIV. Paul’s lobbying of lawmakers, cajoling of bureaucrats and judges, and countless other acts of friendly persuasion has meant better health, utility, and human services for millions of Hoosiers. Many people never knew Paul Chase, but everyone in Indiana has benefitted from what he did with his life when he was among us.

Hoosiers will long miss Paul Chase, their subtle and gentle champion. To Terry and all of Paul’s family, thank you for sharing Paul with us.

John Cardwell and Nancy Griffin,

Indianapolis, June 27, 2014

November, 2013

International Disabilities Treaty will help Americans

Presently, the Convention on the Rights of Persons with Disabilities (CRPD) is pending before the United States Senate.  This is an issue that is very important to Americans with disabilities and to U.S. businesses and manufacturers that are leaders in the development, distribution and marketing of technologies and accessible equipment for persons with disabilities.  Both are strong supporters of the pending treaty status CRPD. Please read the following articles about the Disabilities Treaty and followup with your senators.

Truth about the Disabilities Treaty: a document compiled by the U.S. International Council on Disabilty.

State Department Fact Sheet: The Disabilities Treaty: Opening the World to Americans with Disabilities: Benefoits for U.S. Businesses

Indiana Home Care Task Force letter in support of the CRPD


September 4, 2013

The Affordable Care Act and Indiana

In 2010 the U.S. Congress passed into law the Patient Protection and Affordable Care Act.  That law has the potential to make affordable and viable health insurance coverage available to tens of millions of Americans who are unable to get health insurance today.  Commonly known as ObamaCare, or the ACA, the law also bans discrimination in the provision of health insurance coverage and makes available to senior citizens, persons with disabilities, women, and families a wide array of preventative health care measures and services.  The ACA would also extend Medicaid coverage to all persons up to 138 percent of poverty. 

In 2008 the state of Indiana established its Healthy Indiana Plan, or HIP.  HIP is limited in scope, is used by less than 40,000 Hoosiers who are, for the most part, adults without children.  HIP requires co-pays and has punitive measures that often result in people losing their coverage.  Over the past two years the state of Indiana has been in a tug-of-war with the federal government with Indiana insisting on using HIP as a substitute for the ACA.  The problem with this strategy is simple:   300,000 to 400,000 Hoosiers would not get the health care coverage that would be available if the state fully embraced the ACA.  Furthermore, the full implementation of the ACA in Indiana would bring in over $10 billion in health care coverage benefits paid by the federal government in the coming decade.  These benefits would greatly improve the health of Hoosiers, substantially enhance Indiana’s health delivery system, and create an estimated 30,000 jobs in the state.

On September 3, the federal government agreed to let the state of Indiana continue its HIP program for another year, but that means the full benefits of the ACA will continue to be denied Hoosiers.  The state administration hailed this as a victory.  The Generations Project believes it simply denies Indiana taxpayers the health care benefits that taxpayers elsewhere in the United States will be receiving.

Below is a news video from WRTV 6 in Indianapolis regarding the decision on September 3 to let Indiana continue to use the HIP program through December 2014.  John Cardwell, the director of The Generations Project, is featured in the news story.


July 10, 2013: Nuvo Article by Fran Quigly

The Caregivers' Dilemma: Home care workers suffer low wages and no rights.

Home care workers take care of our most vulnerable loved ones. Why do we pay them so little?

July 1, 2013

Personal information of nearly 190,000 FSSA clients in Indiana may have been disclosed

This is still another reason why Indiana should rethink privitazing social services. What is being done for the many vulnerable people who have had their personall records exposed? What is FSSA doing to help them?

Read the story in the Indianapolis Star


June 17, 2013

ACLU of Indiana files suit against FSSA

ACLU Statement as issued Monday:

Changes to Medicaid Waiver program put Hoosiers "at grave risk of immediate and irreparable harm."


Read the article from the Fort Wayne Journal Gazette by clicking on the link below:

April 25, 2013

Lobbying Against the Political Tide:


This article features John Cardwell, director of The Generations Project.  When John is engaged in public policy advocacy at the Indiana General Assembly he does so as the president of Hoosiers First, Inc. and as the chair of the Indiana Home Care Task Force, a voluntary alliance of individuals and organizations representing senior citizens and persons with disabilities.

April 2013


Click to read the TGP editorial:

CHOICE, Indiana’s Home Grown Home Care Program


March 2013

New website for the Administration on Community Living is now available

The ACL website brings together three agencies within the Department of Health and Human Services: Administration on Aging, Administration on Intellectual and Developmental Disabilities, and Office on Disability. The new website offers resources about programs, services and issues facing persons with disabilities, older adults, and family caregivers. Site features include current issues, assessable icons to learn about ACL programs and information spread to the disability and aging communities.

Administration for Community Living

March 2013

Sequestration: What it means for Indiana

Learn what the National Council of Aging, the Leadership Concil on Aging Organizations, the Center on Budget and Policy Priorites and other well respected organizations are saying about the Sequester.

The Generations Project and the Indiana Home Care Task Force have collected a set of useful links to be used by Hoosiers to learn more about how Sequestration will affect Indiana.

Download PDF here

January 17, 2013

— Gov. Mike Pence has chosen an expert in health care law and regulation, Debra F. Minot, to head the Indiana Family and Social Services Administration.

LInk to the entire Courier Press article here: Evansville Courier Press


November 2012

Market Survey of Long-Term Care Costs: The 2012 MetLife Survey of Nursing Home, Assisted Living, Adult Day Services, and Home Care Costs

The tenth annual survey reports that national average rates for long-term care in the U.S. continue to rise. However the hourly rate for home health aides remains steady.

October, 2012

2012 State-wide Brain Injury Listening Tour Report Reflects What Services People Need

Brain injury is called the "silent epidemic" in this nation. Annually more people receive a brain injury than any kind of cancer diagnosis. Researchers have found that the brain continues to heal throughout the lifetime of the brain injury survivor. However treatment methods and public policy lag far behind what is currently known about the injured brain and what services and supports will best aid in healing.

The What's Working, What's Not? Brain Injury Listening Tour was organized to listen to people across Indiana who have survived a brain injury or have a family member who is struggling with the consequences of brain injury. This report is a summary of the series of open discussions and is intended to inform advocates, policy makers, service providers and Indiana citizens about the issues that were discussed.

Our hope is that Indiana will recognize brain injury as a treatable chronic condition and that with appropriate rehabilitation, services and supports, survivors can return to a fulfilling life.

Click here to go to the

What's Working, What's Not? Brain Injury Listening Tour Report


October, 2012

Doing Things Better: Long Term Care Solutions for Indiana

Since 1987, Indiana has been searching for ways to do things better for senior citizens, persons with disabilities, and family caregivers that struggle with long term care issues each and every day. Doing things better for our most vulnerable and valuable citizens, those good Hoosiers who are the carriers of generations of wisdom but who now need our help due to aging and disability, is simply good common sense and the right way to go.

In the fall of 2011, The Generations Project travelled the state, learning directly from Hoosiers what it means to do things better for persons needing long term care. They consistently expressed the desire for home and community based services rather than institutional care. Their ideas are incorporated into the comments that follow regarding how to do things better in Indiana.

Read the entire white paper by clicking here.

September 9, 2012

Responding to the Governor’s Misrepresentation of Welfare Reform

In a letter published on September 2, 2012 in the Indianapolis Star and other newspapers, Governor Mitch Daniels presented a mythical representation, at best, of the so-called reforms that were made in Indiana’s public benefit programs during his administration. On September 5, 2012 The Generations Project and the Indiana Home Care Task Force sent the following op. ed. response to the governor’s letter to newspapers throughout the state.



August 24, 2012 -Press Release

Failure to Fund CHOICE Program Harms Hoosiers

(Indianapolis) The Indiana Home Care Task Force announced a plan to stop the harm that is being done to tens of thousands of Hoosiers by the failure of the Daniels' administration to fund the CHOICE home health care prgram and Medicaid waivers that also provide home health care services.

Read the entire release by clicking here.

South Bend Tribune Article

WNDU, South Bend Channel 16 Coverage

August 8, 2012

Governor is tardy in making appointments required by law

Why hasn't governor appointed the committee for the brain injury advisory council that was established in Senate Enrolled Act 15? This wasn't a hard task, it requires no money, so what's the problem? (This story features June Holt assistant director of The Generations Project.)

Read the article and watch the video about Senate Enrolled Act 15.

July 22, 2012

Editoral Published in the Fort Wayne Journal Gazette:

Human toll of FSSA deal is laid bare

Greed of privatized system trumps human need and public trust.


Items of Interest

September 9 2014

View Brochure

April 9, 2013

U.S. New & World Report article:

Long-Term Care Costs Favor Home-Based Treatment

Faith community supports Medicaid expansion: A commentary published on March 27, 2013 in the Evansville Courier & Press.

Link to article.

Click here to go to the

What's Working, What's Not? Brain Injury Listening Tour Report














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The Generations Project

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Last Updated:27-March-2013
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