Work Requirements Are A Solution In Search Of A Problem

Tags

, , , ,

Ben_Carson_by_Gage_Skidmore_4

Image of HUD Secretary Ben Carson. Source:

Recently, a number of proposals have been put forth by various government bodies to tighten work requirements for those who receive government assistance. Michigan Coalition Against Homelessness (MCAH) takes a firm stand against work requirements, in that we believe it is a solution in search of a problem which could adversely affect the tens of thousands of individuals experiencing homelessness each year in Michigan.

The US Department of Housing and Urban Development under Secretary Ben Carson has shifted its criteria to reflect a perception of government assistance recipients as people who aren’t pulling their weight, or even taking advantage of the system. Buzzwords such as “self-sufficiency” and “personal responsibility” are often employed, with the stated goal by believers in this worldview to push targeted demographics to become independent and, well, self-sufficient.

Work requirements are a reflection of this perception. Work requirements are fairly self-explanatory on the surface but can take on a variety of different forms and be applied to all government benefits. At this time, we are seeing attacks against federal and state programs including SNAP, Medicaid, and housing assistance. The most common and straightforward form of work requirements is a simple minimum number of hours per week recipients of X government program are required to work, volunteer, attend school, or undergo workforce training.

On a base level, MCAH opposes work requirements because they are a solution in search of a problem. Earlier in 2018, Secretary Carson was directed by the Trump Administration to put forth proposed work requirements for federal housing recipients, which wouldn’t allow recipients to deduct costs for necessities such as health care and child care when reporting income. He justified this by claiming that many in government housing were able to include deductions that others might not be aware of, reinforcing the mindset of government assistance recipients as freeloaders living off the government and not working.

But the evidence does not support that claim and paints a very different reality. The majority of individuals who are homeless or living below the poverty line are already working, many 40 or more hours a week. Among Medicaid recipients specifically, the majority are working either full-time or part-time, with the rest unable due to various extenuating circumstances.

9141-figure-1

A visual breakdown of Medicaid recipients’ work status in the United States. Source: Kaiser Family Foundation

According to the Center for Budget and Policy Priorities, a recent study found, among other things, that work requirements did not substantially increase employment or stable employment, and that “the most successful programs supported efforts to boost education and skills, rather than simply requiring people to search for work or find a job.”

Many proposals for work requirements set the minimum number of hours around 30 a week, though Michigan’s proposal on Medicaid work requirements was loosened to an average of 80 hours a month, providing some flexibility. Among many of the objections MCAH has about strict work requirements is the concern that many able-bodied individuals who might receive these forms of assistance work jobs with sporadic hours, which assign hours as needed and might not assign the minimum number of hours needed every week. It might not be realistic or feasible to consistently meet these requirements.

The tightening of these standards might make them impossible for some to meet, and much evidence suggests that large factions of people who use programs which implement work requirements will be dropped from said programs as a result. Fortunately, at this time Congress has not incorporated Carson’s proposed standards for federal housing into legislation, but draft legislation is currently being entertained to go forth with the proposed work requirements and rent increases.

Meanwhile, the push for work requirements continues through other programs, particularly Medicaid. Kentucky is one such state to adopt stricter work requirements for Medicaid and projects that in the next five years 65,000 Medicaid recipients will lose their coverage as a result of the new standards. The Michigan legislature, after a heavy partisan debate earlier this year, passed a Medicaid work requirements bill which was signed by the Governor and will go into effect later this year. The House Fiscal Agency estimates that 27,000 to 54,000 non-exempt, able-bodied adult Medicaid recipients (or 5%-10%) could lose their coverage under the new requirements.

And although it is typical for these work requirements to theoretically exempt senior citizens, individuals with disabilities, and caregivers, not everyone who should qualify for exemptions might actually receive exemptions in practice. This may be due to lack of access to information, or inability of certain individuals to understand or fill out documentation due to afflictions with mental illness. The penalties for failing to meet increased reporting requirements can be severe, including losing benefits for months until the recipient can prove compliance with the regulations.

All of these arguments and evidence back MCAH’s reasoning for our opposition to work requirements. They spend a lot of unnecessary money to fix a problem that does not exist in a way that would kick thousands of people off government assistance they need. Self-sufficiency and personal responsibility are end goals that most want for low-income individuals, but work requirements will not make them more self-sufficient. They are more likely to cut low-income individuals off from coverage they need and make it more difficult for them to make ends meet. For these reasons, MCAH takes a firm stand against work requirements and believes them to hurt homeless/low-income demographics more than they help.

By Sam Granger, MCAH Public Policy InternYou can contact him at: sgranger@mihomeless.org.

Advertisements

The Michigan Coalition Against Homelessness invites you to the fifth annual Breakfast of Champions on Thursday, May 31.

Tags

, , , , , ,

Each year MCAH recognizes the exceptional work happening across Michigan in the work to prevent and end homelessness. This is our opportunity to celebrate the Champions who make a real difference in our communities and the lives of those experiencing homelessness. Please join us in celebrating our 2018 Champions!

Courtney Smith, Detroit Phoenix Center

Community Champion

 unnamed

Courtney Smith is the founder and executive director of Detroit Phoenix Center, a high impact nonprofit organization that provides critical resources, support, and a safe, nurturing environment for youth at risk of or currently experiencing homelessness. Under her visionary leadership, Detroit Phoenix Center has served over 1,000 youth through outreach and programming efforts, including the first and only asset-based resource center in Detroit, an emergency winter youth shelter, and an endowed memorial scholarship fund. Smith has received multiple regional and national awards, including the two-time recipient of the Spirit of Detroit Award, grantee of the Comcast NBCUniversal Social Impact Award, the Women of Excellence Award, and listed in 2018 Crain’s Detroit Business Prestigious “20 in their Twenties.” She has also been featured by multiple national publications, including Michigan Entrepreneur TV, Rolling Out Magazine, USA Today and NPR.  

Phil Cavanagh

Public Policy Champion

unnamed (1)

Phil Cavanagh is a longtime advocate for the homeless in Michigan – first as a member of the Michigan House of Representatives (2011-2014) and now as the Wayne County assistant deputy treasurer. In both roles, he has fought for Michigan’s most vulnerable residents against foreclosures and evictions. In 2014, Cavanagh sponsored PA 499, which allowed homeowners to bundle all years of delinquent taxes into one payment and spread that payment over five years while also lowering the interest rate from 18% to 6%. In Wayne County, where he continues to promote good policy and practice with regards to foreclosure, over 36,000 homeowners have used payment plans to avoid losing their homes. Cavanagh also serves on the governor-appointed Michigan Interagency Council on Homelessness.

Robert Elchert

Public Policy Champion

unnamed (2)

Robert Elchert is the force behind efforts to provide valid IDs to individuals experiencing homelessness in Calhoun and Kalamazoo Counties. Each year tens of thousands of Michiganders without an ID are denied housing, services, resources, or even a night in a hotel. Within his role as community impact associate at the United Way of the Battle Creek and Kalamazoo Region, Elchert works collaboratively with community stakeholders on identifying and solving problems for low-income and vulnerable clients in the region. He was a founding member and continues to be a co-chair of the Calhoun-Kalamazoo County Regional ID Task Force that led the effort to implement the Michigan Secretary of State’s program to allow homeless individuals to use alternative documentation to get a state ID in Calhoun County and fee waivers for vital records in both Calhoun and Kalamazoo Counties. In just the first five months of the Kalamazoo Vital Record Program, over 120 individuals have obtained their vital records.

Addisyn, Jackson, and Sheridan Goss, Snuggle Sacks

Volunteer Champions

unnamed (3)

Addisyn Goss of Fenton started Snuggle Sacks in 2015 at the age of eight after learning about her own grandfather’s homelessness. Snuggle Sacks has since provided survival kits for thousands of individuals experiencing homelessness in 25 Michigan counties and has helped over 8,000 individuals receive medical services. Together with siblings Sheridan (16) and Jaxson (13), Addisyn (now 11) works with volunteers and donors to assemble between 300-500 snuggle sacks each month and distributes them at local shelters, soup kitchens, outreach organizations, government agencies, and their own street outreach. Each snuggle sack contains essential items to make everyday life a little easier for those experiencing homelessness, including a toothbrush and toothpaste, hand warmers, lip balm, a brush or comb, a blanket, and a bottle of water. Addisyn finishes each bag with her own personal touch – a note that reads “I know you may be feeling down right now and don’t think life is fair. Please remember that there are people who care about you, and things will get better. I hope this makes you smile. With love, Addisyn.” 

Leslie Raleigh

Legislative Action Champion

unnamed (4)

Leslie Raleigh is the first recipient of the Legislative Action Champion award, an honor that befits her accomplishments to pass policy change aiding low income families in Genesee County. Raleigh, appointed Genesee County chief deputy clerk in 2013, spearheaded efforts to pass the 2017 county resolution that waived vital document fees for all low-income residents of Genesee County. This includes birth certificates which cost an average of $25 per record. This pilot program spanning 2017-2018 has in the first six months already served over 250 individuals – many of whom are homeless or at risk of homelessness. The majority of these individuals are school-age children required to submit birth certificates during school enrollment. Raleigh’s efforts have ensured that school age children don’t have to miss school because parents can’t afford the vital records needed for registration, and have broken down barriers for low-income families to access the documents they need to be able to access state IDs.

This event takes place Thursday, May 31st from 8:30 AM to 11:00 AM. If you wish to attend, you can register here. There’s also still time to join the 2018 sponsors in celebrating our Champions! Learn more about sponsorships, including table sponsorships, at our website.

By Laurel Burchfield, Manager for Marketing, Growth, & Development at Michigan Coalition Against Homelessness. For more information, you can contact her at lburchfield@mihomeless.org.

Homelessness Advocacy Day in Michigan Calls for Increased Investment and Decreased Criminalization

Tags

, , , , , ,

The second annual Michigan Homelessness Advocacy Day drew national attention. Our partners, the National Low Income Housing Coalition, reported on our event in their national memo. This is reprinted with permission and the original can be viewed at: http://nlihc.org/article/homelessness-advocacy-day-michigan-calls-increased-investment-and-decreased-criminalization.

More than 120 advocates from throughout Michigan convened in Lansing on April 11 to call for expanded rights and services for people experiencing homelessness. The second annual Homelessness Advocacy Day provided training, factsheets, and talking points to support the lobbying efforts of shelter providers, people with first-hand experience being homeless, and their allies. The event was organized by Michigan Coalition Against Homelessness (MCAH), one of NLIHC’s newest state partners.

Advocates met with 73 legislative offices, and presented advocacy materials in offices where they were unable to get on the calendar, covering all 110 representatives and all 38 senators. At each lobby meeting, advocates invited legislators to join upcoming policy roundtables in their respective communities to discuss housing affordability. At the Homelessness Advocacy Day debrief session, advocates indicated a growing awareness among legislators on homelessness policy interventions and a strong interest by lawmakers in an ongoing conversation.

The primary requests to legislators on Homelessness Advocacy Day fell into five categories: making it easier to obtain state IDs; expanding access to vital documents like birth certificates; decriminalizing homelessness; supporting affordable housing programs; and increasing funding for homeless services. To support these requests, MCAH provided advocates with key data from the state’s 2016 annual report. The data demonstrate the effectiveness of homeless services and housing programs, showing a 9% decrease in homelessness since 2014.

Advocacy Day Legislative Asks (2)

Legislative asks from the 2018 Homelessness Advocacy Day

Advocates spoke in support of a proposed amendment to Senate Bill 404 which will add people experiencing homelessness as well as veterans to the eligibility list for Michigan’s “Free ID for Me” program. The Secretary of State’s office oversees Free ID for ME, which waives all fees for state identification cards. The program currently serves individuals who are blind, are over the age of 65, or have had their driver’s license suspended due to mental or physical disabilities. Expanding access to state identification cards is a high priority for MCAH advocates because access to supportive services and benefits usually requires this basic proof of identification. MCAH estimates that more than 30,000 people have been denied Social Security income, Medicaid, or Supplemental Nutritional Assistance Program assistance (food stamps), due to their lack of state identification.

Access to birth records are a similar barrier for many people experiencing homelessness. In a 2017 survey of homeless service providers, birth certificates were identified as the most difficult vital document for a homeless person to acquire. Currently, birth certificates cost $34 when they are accessed through the Michigan Department of Health and Human Service’s (MDHHS) Vital Docs office. Advocates are pushing for the passage of House Bills 5418 and 5584, both of which include provisions allowing County Clerks to charge only the local fees for birth certificates, which average $13.38.

Johnson

Rep Johnson addresses advocates regarding his legislation that will reduce the financial burden for those seeking vital documents

According to MCAH, 3,307 homeless individuals spent time in jail during 2017 as a result of their homelessness. In some cases, these stays were intentional. Thirty-nine percent of shelter staff members surveyed indicate they were aware of homeless individuals who committed imprisonable offenses just to have an opportunity for a warm bed in jail. To reduce recidivism by ex-offenders, advocates also urge legislators to recognize the importance of housing availability for returning prisoners. In Michigan, data show that formerly incarcerated individuals are twice as likely to recidivate when they do not have stable housing. To reduce criminalization, House Bill 4798 would allow for expungement of multiple convictions that arise from the same criminal infraction. For example, a person would not have a criminal record for a trespassing violation, a second one for failing to pay a fine for that same offense, and a third for a probation-violation stemming from the same instance. Too often, criminal records are structured to indicate a much more extensive history of criminal behavior than what actually occurred.

Advocates additionally emphasized the importance of programs that support housing affordability, but they did not request additional state-level funding since the current Michigan appropriations process does not include a housing budget committee, with the majority of homeless services funded with federal dollars. Rather, advocates are advancing Senate Bill 110 which allows municipalities to offer various incentives for more affordable housing affordability, incentives that have been banned statewide.

The big funding request during Homelessness Advocacy Day was for homeless services. Specifically, advocates asked that the legislature increase MDHHS funding for homelessness to $20 per shelter night from the current level of $16. By comparison, advocates shared that the U.S. Department of Veterans Affairs pays $43.32 per shelter night.

Brann

Advocates meet with Rep Brann, sponsor of appropriations legislation that will increase funding for homeless services

“We are so delighted to have so many dedicated and active advocates throughout Michigan,” said Eric Hufnagel, executive director at MCAH. “This was only our second annual advocacy day, but we are already seeing progress in many legislative offices. Our task now is to continue to build these relationships and cultivate new legislative champions.”

For more information about Homelessness Advocacy Day and priority policy requests in Michigan, contact Laurel Burchfield, MCAH’s manager for marketing, growth & development at: lburchfield@mihomeless.org. Follow Michigan Coalition Against Homelessness on Twitter @mihomeless #EndMIHomelessness.

Guest post by Joey Lindstrom, Manager for Field Organizing at the National Low Income Housing Coalition. You can contact him at: jlindstrom@nlihc.org.

State IDs key to success for people experiencing homelessness

Tags

, , , , , ,

Debbie Miszak is the MCAH spring semester Communications & Public Policy intern. She grew up in Detroit at the height of the Recession and witnessed people in her neighborhood face homelessness. MCAH’s work to end homelessness in the state is very important to her. 

State IDs are a necessary part of everyday life, and are needed to benefit from many state and federal government services. However, some of the people who need them the most are forced to jump through a variety of hoops to accomplish this. These people are Michigan’s homeless population. The Michigan Coalition Against Homelessness has been working to make this an easier process.

According to data that MCAH collected from 92 service providers in 2017, the top three barriers to obtaining a State ID are cost, transportation, and obtaining supporting documentation.

Cost is the largest setback that individuals experiencing homelessness face when trying to get a State ID. While Michigan does have the Free ID for Me program, most individuals experiencing homelessness do not qualify to have the $10 ID fee waived. While $10 may not seem like much, this can sometimes be only the first of many fees that they will face.

Depending on how many trips to the Secretary of State an individual experiencing homelessness might be forced to make, the cost of transportation can also add up. For those living in a rural community, limited access to reliable public transit may result in whole days spent getting to the proper offices. Our data shows that 73% of clients required two or more trips to the Secretary of State to get a State ID, while 33% required three or more trips.

Capture

Aside from cost, there is another huge and glaring issue that individuals experiencing homelessness face with regard to the documentation needed to acquire a State ID: proof of residence.

In order to get a State ID, homeless individuals need access to birth certificates, social security cards, and other records which can cost money to obtain, and can take time to locate. According to our data, obtaining a birth certificate is the most difficult document for people experiencing homelessness to acquire.

A lot of these are needed to prove that individuals are from where they say they are from. The issue that arises is that individuals experiencing homelessness do not have a permanent residence.

The Michigan Secretary of State has established a pilot program in five communities across the state wherein a person experiencing homelessness can use a Homelessness Management Information System [HMIS] ID and a verification letter. MCAH, working with the State ID Taskforce, has been advocating for the Michigan Secretary of State to expand this pilot statewide.

To provide perspective, I spoke to individuals through My Brother’s Keeper who have been through the process of accessing their IDs. . The shelter is located in Genessee County, which is one of the five pilot communities.

20180322_093152

Alvin Montgomery went through the process of getting a State ID with My Brother’s Keeper. Photo by Debra Hayes, My Brother’s Keeper

Alvin Montgomery is a non-combat veteran of the United States Army. He found himself without a State ID after a house fire in Wisconsin while he was a resident there.

He initially hit roadblocks when he first went to the Secretary of State to get his ID.

“I went down [to the Secretary of State] first, but I didn’t have all the documentation I needed,” Montgomery said. “I had to come back with my birth certificate, and My Brother’s Keeper gave me a paper to cover the fee. I went back for it the next day, and I’m waiting for it in the mail now.”

Not only did he need to get his birth certificate, but he also needed his Social Security Card. He said having clearer access to information on what was needed to get his ID would’ve made the process simpler.

“Well for me,  if I would’ve had all the information — it was kind of my fault — because I didn’t ask all the right questions,” Montgomery said. “I didn’t know I would’ve needed my birth certificate. They just told me they needed three pieces of mail and my social security card. All I needed to do was have the correct information and it would’ve made the process a lot easier.”

Montgomery said that with the right information and documentation gathered, the process is much quicker.

While he waits for his ID to arrive, he also has to wait to get housing resources, like HARP, which require photo identification. HARP is the Housing Assistance Recovery Program, which can provide low-income people with Section 8 housing.

This is one of the main reason having access to State IDs is so crucial.

You can’t get anything done without your ID. You can’t access pretty much anything. Just being able to prove who you are is important.

Gregory Wooton, an ex-marine, also had the help of My Brother’s Keeper in gaining his State ID.

20180323_120710

Gregory Wooton was able to access fee waivers in order to obtain his State ID. Photo by Debrah Hayes, My Brother’s Keeper

“My Brother’s Keeper has really opened the doors for me,” Wooton said. “They helped me get my birth certificate. They waived the fees for that. They waive the fees for IDs.”

Organizations around the state fill the gaps when individuals facing homelessness have trouble acquiring state IDs. Not only do they provide transportation and assistance obtaining supporting documents, they also connect clients to services once they have that crucial photo identification.

At the Michigan Coalition Against Homelessness, we’re working to make it an easier process for people who do not have these resources to get State IDs so that they can navigate their way to success more easily.

Untitled design (4)

As we move forward, we plan to help individuals experiencing homelessness overcome their situations through policy, and advocacy. On April 11, we will outline our advocacy priorities for the 2018-2019 year, one of which will be creating a simpler process to attain a State ID.

We can’t continue this work without your support. Help us move solutions through the legislative process and give today: https://www.classy.org/campaign/state-id/c174448.

By Debbie Miszak, Communications & Public Policy Intern at Michigan Coalition Against Homelessness. You can contact her at: commintern@mihomeless.org

MCAH’s Year in Review and Eyes Ahead for 2018!

Tags

, , , , , , , ,

Chelsea Nelson, MCAH Board Member, takes us on a review of 2017 and shares with us her excitement for the year ahead.

As we near the end of 2017, we at the Michigan Coalition Against Homelessness want to take time to reflect on the year’s accomplishments, as well as thank those who’ve made this year such a success. As a Board Member on MCAH, I can’t begin to thank the team who work diligently every day to make the organization such a powerful force striving every minute to make a positive impact within the state and individual lives. It is truly an honor to be associated with MCAH in any capacity.

Advocating to End Homelessness in Michigan

A few of the most noteworthy accomplishments over the past year have been embedded in policy efforts, including the 1st Annual Homelessness Advocacy Day in which we brought 70 advocates to the capital to educate over 70 legislative state offices on homeless-related issues.

This slideshow requires JavaScript.

Here, our Michigan advocates introduced our policy priorities:

  • Securing state ID’s which are essential for achieving economic and service securities;
  • Decriminalization of homelessness in which MCAH is exploring ways to improve relationships between those experiencing homelessness and the criminal justice system;
  • The urgent need for strategic solutions to address the need and lack of availability of affordable housing; and
  • Increased funding for homeless services.

In all, the 1st Annual Homelessness Advocacy Day was an informative and proactive success! This year we saw victories in Michigan as we advocated for an increase in per diem funding for emergency shelters from $12 to $16 a day. But despite the pressure from state and national advocates calling for increased federal HUD and housing program funding, Congress has yet to pass a budget that meets the needs of those experiencing or at-risk of homelessness. We continue to voice our concerns regarding slashes to funding through the budget and the tax bill.

Celebrating Champions and Honoring Personal Stories

BOC 2017_Elizabeth Kelly and Deb Hendren_Public Policy Champions_4

Deborah Hendren and Elizabeth Kelly, representatives for the Oakland County ID Task Force, receive their award for Public Policy Champions at the 2017 Breakfast of Champions.

The annual Breakfast of ChampionsInvisible People and Authentic Storytelling event offered words from Invisible People’s inspirational speaker, Mark Horvath. The event recognized the work of three incredible champions: Denise Dunn, Housing Services MidMichigan – Community Champion, Oakland County ID Task Force – Public Policy Champion, and Lysne Tait and Amy Stephenson, Helping Women Period – Volunteer Champion. We continue to thank these individuals for the incredible support and work they provide.

BOC 2017_Mark edit

Mark Horvath of Invisible People speaks to attendees of the 2017 Breakfast of Champions.

We also had a rousing rally at the capital this year titled “How Housing Changed My Life.” Ten speakers with personal experience of homelessness told their stories in front of the state capitol and called for increased federal funding for HUD and programs that support housing and homelessness services. We’ve shared these inspirational moments on our YouTube Channel, so all can hear the powerful stories.

Antria.PNG

Antria, a storyteller at the “How Housing Changed My Life” rally addresses the crowd from the state capitol steps in Lansing.

Reaching Decision Makers

Lastly, one of the more notable 2017 moments was the Homelessness Sleep Out in which four state legislators, a locally elected official and other stakeholders joined us to experience one night without a home. We partnered with local agencies and individuals with personal experience of homelessness for an informative program and then sent decision-makers and thought leaders out into the cold November to sleep outside. This evening proved insightful as to the realistic challenges many homeless individuals may encounter, and we applaud all of those who participated as a step towards understanding more of the grave issue of homelessness.

2017 Homelessness Sleep Out

Participants of the 2017 Homelessness Sleep Out learn more about street outreach from the Lansing area PATH team.

Looking Forward

With eyes on 2018, we look towards many opportunities that offer inspirational change. Our mission to create a sustainable statewide voice and the infrastructure and systemic change needed to empower communities to end homelessness is challenged by congressional threats to reduce funding and eliminate programming for essential homelessness and housing services. We will bring the expertise of our partners and the results of our HMIS data collection to Lansing and DC to educate decision makers about the funding and policies we need to enact lasting change. We will proactively seek to bring in best practices, resources, and examples of legislation that has been successful in other states and communities to Lansing and work with legislative champions to replicate these successes in Michigan. Furthermore, we hope to empower communities via webinars, trainings, and activities and events encouraging legislative engagement.

By using our HMIS data and personal storytellers, we hope to show what homelessness really looks like and how it can truly impact anyone. Ultimately, we believe that everyone deserves a home and that families, seniors, and youth who are living on the streets, in their cars, or in shelters deserve the same respect and dignity as everyone else. We know that we can end homelessness if we work together to create better policies, provide better access to resources, and find solutions that work for everyone. Our efforts, combined with our partners’ work that connects individuals directly to assistance, is creating lasting change so that not only are we helping those who currently are homeless, but we’re making sure that no one has to be homeless in Michigan again. Your support makes a long-term difference in the way we address homelessness.

Not only are we helping those who currently are homeless, but we’re making sure that no one has to be homeless in Michigan again.

An end of year donation, no matter $5 or $500 provides such a high level of support that has a lasting impact on the organization and the homeless community as a whole. We ask that you remember MCAH in your final push for the year’s donations. Please visit bit.ly/GiveMIHomeless to make a tax-deductible donation and learn about MCAH membership that supports such a paramount cause.

Thank you again to all of those who have aided in MCAH’s 2017 success, and we look forward to rolling up our sleeves for an even more impactful year ahead!

FullSizeRender

 

By Chelsea Nelson, MCAH Board Member and Co-Chair of MCAH Communications and Fund Development Committee.