Good News for Legal Aid Clients

Gregg Lombardi, Executive Director

There’s good news from Washington, DC: Missouri Senator Kit Bond announced on Thursday that he is co-sponsoring a bill to provide $10 million of federal funding for a Medical-Legal Partnership demonstration project.

Medical-Legal Partnerships are collaborations between healthcare providers and Legal Aid programs in which medical staff work with legal staff to resolve the legal problems of low-income patients (e.g. guardianship, Medicaid denials, domestic violence and housing issues, etc.). The Medical-Legal Partnership concept started in Boston and has been so successful that it has now been replicated in over 180 hospitals and health centers around the country.

Studies have found that even when a legal problem does not appear to be directly related to a health issue, resolving the legal problem often has health benefits. For example, a mother in a domestic violence situation whose son is diabetic may be so focused on keeping her family safe that she doesn’t monitor her son’s insulin intake and diet. When Legal Aid helps the mother obtain a protective order or divorce, her ability to tend to the child’s treatment for diabetes greatly improves.

Legal Aid of Western Missouri has a tremendous network of Medical-Legal Partnerships, making our MLP one of the 5 largest MLP’s in the country. Our MLP began with our partnership at Children’s Mercy Hospital and its clinic at Operation Breakthrough. Legal Aid also has a partnership with Swope Health Services and a new partnership with KC Free Health Clinic. We also have a collaborative partnership with Kansas Legal Services (KLS) at KU Medical Center’s Department of Family Medicine, in which we represent KU’s patients who are Missouri residents and KLS represents the Kansas residents.

In terms of hospital staff training, outcomes tracking, Medicaid appeals success, and collaboration with other programs, our medical legal partnerships are on the cutting edge.

Katie Cronin has done a tremendous job in creating and growing the medical-legal partnerships at Children’s Mercy, Operation Breakthrough, Swope Health Services and KU Medical Center. Effie Day also has done excellent work in building our Medicaid Appeals project at Truman Medical Center. Although this is technically not a Medical-Legal Partnership because the medical staff is not involved in the program, it is now one of the largest Medicaid Appeals partnerships (and probably the largest) in the country and is the envy of MLP’s across the country.

The other reason why these programs are such a success is because of our partners. Dr. Jeffrey Colvin at Children’s Mercy Hospital worked for the original MLP at Boston Medical Center. He has been a tireless advocate for MLP at Children’s Mercy and throughout the area. Dr. Colvin recently met personally with members of Senator Bond’s staff to encourage the senator to sponsor the MLP demonstration site legislation. Lydia Jones at Truman and Lewis Popper, the former General Counsel at Truman have also been tremendous, tireless advocates for that program.

I believe, if the demonstration project is created, Legal Aid of Western Missouri would be a leading contender to be one of the demonstration projects. So, this is very good news.