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A Mother’s Fight for Fairness — Linda and Troy’s Story

Photo of Linda and her son Troy. Linda is a older White woman with short blonde hair wearing a purple sweater and squatting down next to Troy and smiling at him. Troy is an older White man sitting in a sofa chair. He is wearing a red sweater and sitting under a blue blanket.

When Linda talks about her son Troy, her face lights up. “He’s my inspiration,” she says. Troy is almost 57 and has lived his entire life with tuberous sclerosis, a rare genetic disorder that causes tumors to grow in the brain and other organs. It has meant years of seizures, developmental delays, and constant medical care — but it has also meant a lifetime filled with joy, humor, and resilience.

Troy grew up surrounded by love. As a baby, he started having seizures at six months old. Doctors didn’t know what was wrong at first. The condition wasn’t widely recognized in the U.S. at the time. Still, Linda pushed for answers. She worked full-time, raised her son, finished her degree at Towson University, and completed a master’s program at Johns Hopkins — all while becoming Troy’s fiercest advocate.

“I knew I needed to learn everything I could,” she says. “Nobody gives you a manual when your child is born.”

Eventually, specialists at Kennedy Krieger and Johns Hopkins finally diagnosed Troy. The seizures, the tumors, the developmental delays — it all made sense at last. And from that moment on, Linda built her life around making sure Troy got the support he needed to live safely and with dignity.

For decades, Troy had funding for one-on-one community support — a service that provided trained staff to help him move safely through daily life. With multiple seizure types and mobility challenges, Troy cannot go out alone. He needs someone with him when he walks, travels, or even gets into a car.

“It’s common sense,” Linda says. “He’s medically fragile. He needs help.”

But in December of last year, everything changed.

Linda got a letter saying the state planned to cut Troy’s one-on-one services — support he had received for nearly a decade. The explanation was vague. The reasons didn’t make sense. And no one could tell her exactly what was “wrong” with his paperwork.

“It felt like trying to play a game when you don’t know the rules,” she says.

The nursing plan? They said it wasn’t “adequate.”
The personal plan? They said it wasn’t “current enough.”

When Linda pressed for details, she got none.

Her heart dropped.

She knew what losing that funding would mean: fewer outings, more isolation, and far more risk. Troy’s health had already declined. He now used a G-tube for feeding and had trouble walking on his own. Removing support now wasn’t just confusing — it was dangerous.

“I thought, ‘You’re taking away the very thing that keeps him safe?’” she remembers. “I couldn’t accept that.”

So, Linda did what she’s always done. She fought. Hard.

She gathered letters from doctors, including the state’s only adult tuberous sclerosis specialist. She pushed for updated assessments, collected months of documentation, organized support from his provider agency, and searched for someone — anyone — who could help her navigate the confusing system. A system she had worked in for over 4 decades in various capacities.

That’s when she called Disability Rights Maryland.

“When the phone rang and someone said, ‘We got your message, please be patient,’ it meant everything to me,” she says. “Just to be heard.”

From there, Linda connected with an attorney who took her concerns seriously, explained her options, and guided her through the appeal process. For the first time in months, she didn’t feel like she was fighting alone.

And she was determined to do more than win for just her son.

“This isn’t only about Troy,” she said. “This is about every family who gets a letter they don’t understand. Every parent who’s older. Every person who doesn’t have someone to fight for them.”

And for the next seven months, that’s what she did — with a team behind her and her son beside her.

When Families Fight Alone — and Why No One Should Have To

By the time the spring arrived, Linda had spent months chasing paperwork, calling agencies, collecting medical letters, and pushing through a process that felt confusing at every turn. And she knew she wasn’t the only one.

Across Maryland, families of people with disabilities were quietly losing services — sometimes without clear explanations, sometimes without the tools to fight back, and sometimes without anyone in their corner.

“I kept thinking about parents who are in their 70s, caring for adult children in their 50s,” she says. “What happens to them when the state takes away funding? Who helps them when they don’t even know where to start?”

Fear and confusion are powerful barriers. Many people give up before they even begin.

“Fear keeps you stuck in the mud,” Linda says. “But you can’t let it win. You can’t do it alone either.”

That’s why she kept pushing.

With guidance from a DRM attorney, Sandy Balan, she learned about a process she didn’t even know existed: a case resolution conference. It was a chance to meet directly with the state and present updated information before going to a full hearing.

And Troy could be part of it.

Linda arranged for the meeting to take place at Troy’s home. His longtime house manager set up the video screen. Staff members joined. And when the state representatives logged in, they didn’t just see paperwork — they saw Troy, a strategic decision by Linda.

They saw him walk carefully with a gait belt.
They saw his fatigue.
They saw the reality of his health after a year of decline.

“They said, ‘We didn’t know things had changed this much,’” Linda remembers.

For the first time, she felt the system pause long enough to truly see her son.

And that changed everything.

Within weeks, the state reinstated Troy’s one-on-one community support. The funding he had relied on for nearly a decade would return in December.

“I knew we won right there,” Linda says. “Not just for us — but for everyone who needed somebody to keep fighting.”

But the victory also underscored a deeper problem.

Many families don’t know their rights. Many don’t know where to ask questions. And too many feel defeated before they begin.

The letters are confusing.
The rules are unclear.
The deadlines are tight.
And the stakes are enormous.

“People are losing services for reasons they don’t even understand,” Linda says. “It shouldn’t take a master’s degree, decades of experience, and a full team of professionals just to keep someone safe.”

That is exactly why Disability Rights Maryland matters.

DRM completed the team she needed: the attorney who knew the law, the guidance to gather evidence, and the reassurance that she didn’t have to navigate the system alone.

“You were the wind beneath my wings,” she says. “I slept at night because I knew you were behind me.”

Now, Linda wants other Maryland families to know that help exists — and they deserve to use it.

Her advice is simple and powerful:

  • Don’t give up before you start.
  • Build a team from people who already care about your loved one.
  • Ask questions until you get clear answers.
  • Lean on professionals and friends who support you.
  • And don’t let fear make you believe you’re alone.

Because no family should have to fight this hard for basic safety. No one should lose services because they didn’t understand a form. And no one should feel abandoned in a system that is supposed to protect them.

Troy is doing better now. His nutrition is stable. His care team understands his needs. And thanks to his reinstated funding, he can continue to go outside with the support he needs to stay safe.

“He’s resilient,” Linda says. “He inspires me every day.”

Her hope is that Maryland listens — not just to her, but to every family fighting quietly in the background.

“Why take away support from people who need it most?” she asks. “It’s wrong. And it’s happening more than people realize.”

Troy is an older White man smiling next to a horse.

Linda and Troy’s story makes one thing clear:

Families shouldn’t have to fight these battles alone. And because of supporters like you, they don’t have to.

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Take Survey to Determine Our Priorities

Man and woman with child who is in a wheelchair

Disability Rights Maryland would like to hear from you!

We are conducting our annual Advocacy Services Plan survey, asking the community to weigh in about the most important disability-related legal needs facing Marylanders and what DRM should focus on in the coming three years. We especially want to hear from people with disabilities, Black, Indigenous and people of color (BIPOC), and others affected by intersectional discrimination and oppression. DRM’s current Advocacy Services Plan can be found here: FY-2024-Advocacy-Service-Plan-final.pdf (disabilityrightsmd.org). Our 2025-2027 Advocacy Services Plan will be finalized and issued by the end of this year.

 

There are so many issues we would like to tackle, but our resources are limited and we want to concentrate on the most important needs in our communities.

 

Here are 4 ways to take the survey by August 22, 2024:

1. Submit online in English or Spanish.

2.  Print a English or Spanish survey using link below and mail to Disability Rights Maryland 1500 Union Ave # 2000, Baltimore, MD 21211

3.  Email a completed survey to Feedback@DisabilityRightsMD.org 

4.  Call 410-727-6352 ext. 0 to complete over the phone or request to complete in-person

 

To request a paper survey, provide feedback over the phone or in-person, or if you need an accommodation or translation to participate, call us at 410-727-6352 ext. 0 or email JackieP@disabilityrightsmd.org.

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2024 Legislative Session Highlights

Graphic says 23 oral testimonies, 33 letter sign ons, 71 written testimonies, 91 total bills advocated for or against

The legislative session was full of successes and challenges. DRM worked with partner organizations, individual allies and legislators to advocate for bills that advance disability rights and against bills that exclude people with disabilities in Maryland. This year, DRM took a position on a total of 91 bills. We submitted 71 written testimonies, orally testified on the impact of 23 bills and joined other organizations in signing 33 letters of support or opposition. Below are the highlights from this year’s session.  

MOBILITYLINK PARATRANSIT SERVICE IMPROVEMENTS STUDY (SB0891/HB1199)

This study establishes an objective review of the Maryland Transportation Administration’s MobilityLink. The Maryland Transportation Institute (MTI), an independent third party, will conduct the study to determine the best methods to deliver MobilityLink service.  MTI will look holistically at MobilityLink—including its service delivery model, customer service, reliability, performance, and workforce—and compare it with other paratransit providers nationwide. MTI will provide policymakers with concrete recommendations to improve service for Marylanders with disabilities. “MobilityLink riders rely on the service to access their community and unfortunately often experience poor service – like late pick-ups and drop-offs, long trips, and lengthy hold times for customer service calls. DRM is hopeful that MTI’s tangible recommendations will propel Maryland to enact sweeping paratransit reform to give Marylanders with disabilities the safe and reliable public transportation they deserve.” says DRM attorney, Daria Pugh.

NEW UNIT TO PROTECT PEOPLE IN STATE CORRECTIONAL FACILITIES (SB0134/HB0297)

“DRM’s investigations and monitoring of Maryland prisons over a number of years has demonstrated that people with disabilities are often subject to dangerous, violent, and unhealthy conditions.  The General Assembly’s creation of an independent, impartial correctional ombudsman for Maryland is a hopeful step forward .” says DRM’s Litigation Counsel, Luciene Parsley.  After 2 years of advocacy, Maryland will establish the Correctional Ombudsman Unit to investigate complaints and issue findings and recommendations. Increased oversight, transparency and accountability is important to address systemic issues and rights violations in Maryland’s correctional facilities. Additionally, the new unit provides a way to address rights violations that fall within the gaps of current complaint issue areas, like complaints against contractors who provide medical and mental health services for the Department of Public Safety and Correctional Services (DPSCS). The unit will report annually to the General Assembly, including information about systemic issues, rights violations and how DPSCS responds to the Ombudsman’s recommendations.

FUND FOR FAMILIES TO ACCESS SPECIAL EDUCATION ATTORNEYS, ADVOCATES AND CONSULTANTS (SB0797/HB0903)

This bill establishes a program to help families with limited financial resources access lawyers, advocates and education consultants for a variety of special education matters. Currently, DRM maintains a pro bono referral program for families with very limited means, but this will enable a broader range of families to access attorneys and, for the first time, to obtain services from advocates or consultants at no cost to them. The attorneys, advocates and consultants will be paid through the program, which will be administered by the Maryland Volunteer Lawyers Service (MVLS). DRM attorney Leslie Seid Margolis and the Education Advocacy Coalition crafted the bill that will soon help thousands of Maryland students. “I look at all the education intakes that come in and it’s hard to put into words what it feels like to turn families away, knowing how limited their options have been; this program will be so helpful in expanding the resources available to families.” This is important because families who have advocacy assistance are better equipped to secure appropriate services for their children and resolve education issues. The passing of this legislation brings us closer to ensuring all students have what they need to be successful in school.

Last year, Maryland passed a law that lets families get money back for expert costs in addition to attorneys’ fees if they win a case against a school system. This new program is different because it enables families to access legal support at all stages of the special education process, not just when they are facing a due process hearing; the program emphasizes assistance for families for Individualized Education Program (IEP) meetings and informal dispute resolution.

SELF-DIRECTED MENTAL HEALTH SERVICES PILOT PROGRAM (SB0988)

DRM introduced a bill that would create a self-directed mental health care pilot program for people with disabilities. Bills such as this one often take several years to pass, and DRM will continue to advocate for this program next year. Studies show that when people can manage their own care, they do better in their communities and are less likely to live in institutions. Most importantly, many people with disabilities prefer this kind of care. Right now, some people with serious needs must settle for inadequate help, join programs that might not fit them well, or go without help entirely. This new program would allow people to make a plan that fits their needs instead of making their needs fit into the current service system. Self-directed mental health care is already working in 6 states and is a good step toward fair treatment for mental health issues.

ASSISTED OUTPATIENT TREATMENT (SB0453/HB0576)

DRM opposed the expansion of involuntary civil commitment laws, including the creation of an Involuntary Outpatient Civil Commitment program, termed “Assisted Outpatient Treatment” (AOT). AOT had strong support from the current administration and passed in both the House and Senate. Testimony in favor of AOT revealed many fears and stereotypes about people with mental health disabilities’ capacity to make decisions about their minds and bodies. DRM believes people with mental health disabilities should be provided with any accommodations and supports necessary to make and communicate health care decisions, and that individuals have the right to receive care in the most integrated setting available. AOT meets none of these criteria. DRM is concerned that AOT risks jeopardizing efforts to create an innovative, behavioral health system in Maryland – one that is truly focused on supporting the voices and choices of people with mental health disabilities to receive the support they need to be included in our communities.

 

Thank you!

DRM would like to thank our donors whose support enabled us to advocate for people with disabilities throughout the 2024 legislative session.

If you are passionate about creating a more equitable Maryland and able to give, please consider making a generous contribution to support our work. We rely exclusively on gifts from individuals and general operating grants to support this work.

SUPPORT DRM TODAY!

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Why Legislative Advocacy is Important

Banner reads: Chrys is one of the first people benefitting from the Trans Health Equity Act. There is a photo of Chrys who is a young person with short purple/ blue hair and a black and white button down collared shirt.

The laws and policies enacted each year during the Maryland legislative session heavily impact our daily lives. Last year, DRM and Chrys, as members of the Trans Rights Advocacy Coalition, successfully advocated for the passing of the Trans Health Equity Act, a law requiring Medicaid to cover gender affirming care.

Chrys is one of the first people benefitting from the new law. We sat down with Chrys to hear what motivated them to advocate for the bill and how their life has changed since it passed. Here is their story.

Chrys is a college student with a passion for the humanities. They’ve always been deeply interested in understanding why people think and act the way they do. A non-binary, gender-fluid person, Chrys is heavily involved in legislative advocacy around trans rights and community building, such as hosting picnics for trans people in the Baltimore area.

Before sharing with their older brother, “I think I might be trans”, Chrys was closeted and people assumed they were a man. In their mid-twenties they found themself increasingly questioning their gender. Chrys thought, “Maybe it’s not normal that I hate all of these things about myself that define what a man is supposed to be.”

Days when their ADHD doesn’t allow them to shave, they are misgendered and often met with discrimination and harassment. “There’s a big disconnect between who I see in the mirror and who I want to be. It’s very jarring especially because I still need to shave every day.” Experiencing gender dysphoria is a barrier to enjoying life to the fullest and connecting with those around us. This is one reason why many transgender people need gender affirming healthcare.

To align their physical appearance with their true identity, Chrys needed gender affirming care, but it was not all covered through their Medicaid insurance at the time. They used loans and savings to pay roughly $3,000 for partial treatment.

Without gender affirming care, trans people are at a higher risk for anxiety, depression, suicide and violence. In a national survey on LGBTQ youth mental health, 54 percent of young people who identified as transgender or nonbinary reported having seriously considered suicide in the last year, and 29 percent had tried to end their lives (Gender Affirming Care, 2020). Many studies have shown that gender affirming care reduces these risks (Mental Health Outcomes, 2022).

To fight for equitable access to gender affirming care, Chrys joined the Trans Rights Advocacy Coalition, a group of advocates including DRM attorney, Sam Williamson. Chrys, alongside other members of the coalition, created one of the most comprehensive reviews of Medicaid policies on trans services across the United States. This research formed the backbone of the campaign for the Trans Health Equity Act.  From coalition meetings, press conferences, testimonies, bill drafting, lobbying, and more, the Trans Rights Advocacy Coalition led the campaign for the passage of the Trans Health Equity Act in 2023. In January 2024, Governor Moore signed it into Maryland law.

Chrys is one of the first people benefiting from the Trans Health Equity Act. They will get facial feminization surgery and more hair removal newly covered by their Medicaid insurance. Chrys is relieved they won’t have to take out more loans. They are hopeful that after the procedures people won’t call them a man, discriminate against them, nor harass them for wearing a dress while having chin stubble. They look forward to waking up and smiling in the mirror and eagerly taking photos with friends.

Chrys’ story highlights why legislative advocacy is important in creating a more equitable Maryland for all.

DRM can only continue this work with your support. Give today!

 

 

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Assistive Technology Awareness Month

November is Assistive Technology Awareness Month, a time to celebrate how technology positively impacts the lives of people with disabilities.

What is Assistive Technology?

Assistive technology is any tool or system that helps people with disabilities do things, be more independent, and improve their overall quality of life.

Here are some examples:

· Wheelchairs and Mobility Aids: These help people move around on their own.

· Communication Aids: Tools that assist people with communication difficulties.

· Hearing Aids and Cochlear Implants: Improve or restore hearing.

· Screen Readers and Voice Recognition Software: Help those with visual or motor disabilities use computers.

· Adaptive Keyboards and Mouse Devices: Make computer use easier for those with fine motor skill limitations.

· Prosthetic Limbs and Orthotic Devices: Support and enhance mobility.

· Smart Home Technology: Can be adapted to control the home environment.

· Sensory Aids: Help those with sensory impairments interact with their surroundings.

These examples show just a fraction of the diverse range of assistive technologies available. The goal of assistive technology is to remove barriers and provide equal access and opportunities for individuals with disabilities.

Any device that removes a barrier can be assistive technology!

 

Assistive Technology for Students with Disabilities

The Individuals with Disabilities Education Act (IDEA) is the main law for special education. The law states that the team who develops a student’s individualized education program (IEP) must consider their need for assistive technology devices and services. Assistive technology can help students in all parts of their education. This includes training for the student and their parents to support them.

 

How to Get Assistive Technology on a Limited Income

Outside of school, people can get assistive technology through Maryland Medicaid and home and community-based waiver programs, funded by Medicaid.

Maryland Medicaid is a lifeline for many individuals who need durable medical equipment, assistive technology, and/or home modifications to lead full, independent lives. To see what programs you might be eligible for, contact Maryland Access Point (MAP).

 

Try Assistive Technology for Free

There’s a free resource for trying assistive technology. The Maryland Technology Assistance Program (MDTAP) has a loan library. It lets people explore and test assistive technology before making a commitment. Visit the MDTAP website for more info.

 

Let’s ensure everyone has the tech they need to thrive!

Assistive technology is a necessity, not a luxury. This Assistive Technology Awareness Month, let’s appreciate programs like Maryland Medicaid and resources like MDTAP that enable individuals with disabilities to access Assistive Technology.

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