.:,,P,:;$..-- :,+ .,I -,-.. : *. .:,,P,:;$..-- :,+ .,I -,-.. : *. ._?, i; " ._?, i; " I.6, I.6, it it _ Zf 1. _ Zf 1. ,. 1 ,. 1 yy I -; *y RdtE;.tC;;tiotchkiss,,Mt) yy I -; *y RdtE;.tC;;tiotchkiss,,Mt) ;.,- ;.,- L -*>. -- I L -*>. -- I ;._ ;._ - - ,, -"" -- ,, -"" -- . ;. . ;. .- ;-:, __ .- ;-:, __ , , :., .' :., .' : ' The envjronmont in'hissouri is : ' The envjronmont in'h&ouri is ::dneTof. `fiscal restraint. and, that ::dneTof. `fiscal restraint. and, that -in state government through fed- -in state government through fed- *ma'kes.discu&ions about least *ma'kes.discu&ions about least era1 action in 1981, including the eral action in 1981, including the `dos~lpcaie~~ryapprdpriate..ijjhen `dos~lpcaie~~ryapprdpriate..ijjhen possibiiityfor application for state possibiiityfor application for state -`waivers. We view the current ap- -`waivers. We view the current ap- i ibok',`~is'ptis~tion.a little bv6r a' :~ i ibok',`~is'ptis~tion.a little bv6r a' :~ plication for home health'care`for plication for home health'care`for .-yearago; I wasadvised by manyof .-yearago; I wasadvised by manyof :`~m~~~~ll;e~~".~sa~a'init &Jh&baid :`~m~~~~ll;e~~".~sa~a'init &Jh&baid the chronically ill child as a major the chronically ill child as a major : : . breakthrough. It allows us to get . breakthrough. It allows us to get ,Missou$was not in the best fiscal . past many of the bureaucratic'stum- ,Missou$was not in the best fiscal . past many of the bureaucratic'stum- :shalje,`and :`that the Division of :shalje,`and :`that the Division of ' Health 4n : the ,state had a major ' Health 4n : the ,state had a major + bling blocks that have been built at + bling blocks that have been built at IiabiIity~~jn~,the'~fact that it was ref. IiabiIity~~jn~,the'~fact that it was ref. `the state, tocal and federal levels, `the state, tocal and federal levels, -`to get to the heart of the problem. -`to get to the heart of the problem. sponsible for `environmental .health, sponsible for `environmental .health, butwas located in.the Department butwas located in.the Department : The possibility of delivering ex- : The possibility of delivering ex- --of Socia!, Sciences. `The fact that --of Socia!, Sciences. `The fact that cellent care in a humane-setting at cellent care in a humane-setting at less cost isan immensely desirable less cost isan immensely desirable the Division of Health is linked to the Division of Health is linked to the "Division of Gamily Services the "Division of Gamily Services goal for all of us. We look forward goal for all of us. We look forward -through the, Department of the -through the, Department of the .to the challenge of'implementing .to the challenge of'implementing Social Services, is,the bright spot. Social Services, is,the bright spot. this program as soon as we get this program as soon as we get . . Thebiggest challenge was.how to Thebiggest challenge was.how to approval' from our friends at the approval' from our friends at the get the best possible health' care get the best possible health' care federal level. ! think the environ- federal level. ! think the environ- 1 ment in this century will be one of 1 ment in this century will be one of `system established in the state `system established in the state within resources available. within resources available. very tight fiscal resources and one very tight fiscal resources and one in which only through innovation, in which only through innovation, Although the resources are. on Although the resources are. on cooperation and teamworkwill we cooperation and teamworkwill we the verge of shrinking again, many the verge of shrinking again, many continue to deliver much needed continue to deliver much needed new opportunities have come to us new opportunities have come to us services. 0 services. 0