No one in the federal government cares more about individuals having the option to self-direct than Dr. Pamela Doty. In her role at the Office of the Assistant Secretary for Planning and Evaluation (ASPE) in the United States Department of Health & Human Services, she was one of the primary architects of the Cash & Counseling Demonstration and Evaluation.
Nationally recognized as a champion of long-term services and supports, Pam has devoted much of her career to working tirelessly on long-term care issues as a public policy analyst and researcher. Pam has been instrumental in influencing federal legislation and regulations to expand the access, availability and quality of programs that allow individuals to exercise greater choice and control over services. No one has spent more hours thinking through the implications of federal policy on the operations of self-direction. Her knowledge is deep and broad. Pam has worked tirelessly to help states overcome obstacles to true self-direction, such as the challenges to the implementation of the Home Care Rule.
When many wondered about the future of self-direction, Pam was not discouraged. With her considerable knowledge, she was able to provide important guidance, and she spent many hours with states, encouraging them to be creative in their program design to assure compliance, while continuing to offer flexibility.
Dr. Doty continues to support self-direction on the national level. Without her tireless advocacy, self-direction as we know it today would not exist.