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Question 64.

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Did participants retain a
meaningful ability to decline

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the affiliated service without
jeopardizing therapy, housing,

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staffing...?

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The 2023 report raises
a concern, not a

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finding.

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People served:

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Person-centered planning requires
informed options and conflict

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safeguards;

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disability law may protect
meaningful participation.

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David Medeiros:

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Reporting possible conflicts
may be protected under speech

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or retaliation rules only
when coverage and proof

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align.

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ABI Resources:

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ABI may challenge unequal
governmental treatment or contract

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action, but competition
alone is not a constitutional

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violation.

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Constitutional claims
need state action;

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beneficiary choice does not
guarantee ABI referrals or

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a contract.

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Classify the issue
before choosing a remedy.

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Preserve ownership, employment,
referrals, alternatives, disclosures,

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clinical need, authorizations,
claims, and outcomes.

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Apply Constitution, statute,
regulation, contract, then record.