Three Years of AT Act Data

FY2008 -- FY2009 -- FY2010

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Three types: ◦ Financial Loans, Other - Provide AT, Other – Savings

NOTE: Totals exceed 56 as some states report multiple State Financing programs.

State Financing Activities (SFA)

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States reporting FY08 FY09 FY10Financial Loan Data 34 31 32Other Direct Provision Data (Telework) 20 20 18Other Acquisition Savings Data 6 6 6Comparability 8 10 11Flexibility 7 9 7

SFA Financial Loans

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FY08 FY09 FY10States Reporting New Loans

28 26 25

Loans Made 950 850 832Loan Rejection Rate 34% 38% 37%Devices Acquired 982 861 852Dollars Loaned $9,821,379 $8,733,346 $7,899,327Mean Loan Amount $10,338 $10,275 $9,494Mean Approved Income $39,183 $42,260 $41,696Mean Interest Rate 4.99% 3.99% 3.76%Loans in Default 183 88 82Net Dollar Loss on Defaults $1,119,454 $625,000 $424,084

SFA Financial Loan Trends

Slight decline in number of states reportingAccounts for change in loans made, dollars loaned Few moved to comparability (most AFP reporting only)Section 4 programs somewhat unstable

Mean Loan Amount slightly declining Mean Applicant Income relatively stable

Running about 190% of poverty (family of 4)

Mean Interest Rate consistent with prime decline

Default – questionable data4

SFA Financial Loan Types & Devices

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FY08 FY09 FY10Revolving Loans 21% 27% 29%Revolving Loan Dollars 8% 12% 18%Partnership Loans 79% 73% 71%Partnership Loan Dollars 92% 88% 82%

Vehicle Modification Loans 45% 46% 38%Vehicle Modification Dollars Loaned 79% 74% 76%Vehicle Modification Average Loan $17,527 $16,337 $18,534Hearing AT Device Loans 30% 30% 36%Hearing AT Device Dollars Loaned 10% 11% 14%Hearing AT Device Average Loan $2,573 $3,766 $3,678

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Loan Types & Device TrendsShift to More Revolving Loans

Far fewer guarantee and guarantee + buy down

If 100% guarantee, revolving offers more control

Vehicle Modification & Transportation Consistently majority of loans and dollars

loanedLargest amount of loan per deviceSimilar for AFP but even more of majority

Hearing AT (hearing aids) Consistently second largest AT loans & dollarsSame for AFP

SFA Other – Direct Provision of AT

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FY08 FY09 FY10States Reporting Data 28 20 18Individuals Served 1883 2086 2023Devices Acquired 2551 2835 2720Dollar Value of AT Acquired $2,468,273 $2,783,805 $2,704,664Value per Device $968 $981 $994Hearing AT Devices 49% 49% 45%Environmental Adaptations Value

45% 47% 51%

States eliminated Telework and individual funding assistanceTelecommunications EDP accounts for hearing device numbersHome Modification Programs – environmental adapt value

amounts Other data relatively stable

SFA Other – Cost Savings

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FY08 FY09 FY10States Reporting Data 6 6 6Individuals Served 993 933 1011Devices Acquired 4847 5273 4212Cost Savings for AT Acquired $305,265 $270,943 $275,256Savings per Device $63 $51 $65Speech AT Devices 35% 29% 35%Learning/Cognition/Develop AT 31% 34% 31%Vision AT Savings 63% 54% 52%

Very stable programs - cooperative buy, lease/rental, fabricationMajority Devices – Speech AT and Learning ATMajority Savings – Vision (average of $1,448 per device)

Reuse Basics

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FY08 FY09 FY10States Reporting Reuse Data

56 56 56

Reporting Exchange 43 36 36 Reporting Refurbish/Reassign 40 44 44 Reporting Open Loan 28 31 33Device Recipients 24,805 27,004 27,610 Exchange 1180 1271 1293 Refurbish/Reassign 20,020 22,500 22,501 Open Loan 3605 3233 3816Devices Acquired 31,069 34,702 35,844 Exchange 1312 1450 1331 Refurbish/Reassign 23,738 26,936 28,389 Open Loan 6019 6316 6124

Reuse Savings & AT Types

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FY08 FY09 FY10Total Savings $17,333,283 $17,229,179 $17,978,046 Exchange $3,365,398 $3,559,476 $2,826,996 Refurbish/Reassign $11,959,901 $12,236,872 $13,355,432 Open Loan $2,414,725 $1,432,831 $1,795,618AT Devices Provided Exchange-Mobility 36% 43% 28% Refurbish- Mobility 60% 55% 53% Open Loan-Mobility 61% 76% 65%AT Device Savings Exchange-Vehicle Mod 48% 53% 55% Refurbish-Mobility 71% 73% 77% Open Loan-Mobility 54% 62% 57%

Reuse Trends

Decline in states reporting Exchange - Increase in states reporting Refurbish & Open Loan

Refurbish majority (close to 80%) of recipients, devices, savings

Overall increase in recipients - plateau with FY2010

Overall increase in devices acquired – same plateau Fluctuation with exchange & open-ended loans

Overall savings variableDue to open-ended loan and exchange fluctuation

Refurbish/Reassign steady increase 11

Reuse Device Trends

Exchange Majority Devices - Mobility, Daily LivingSavings – Vehicle Modifications

Refurbish/Reassignment Majority Devices - Mobility, Daily LivingSavings - Mobility, Daily Living

Open-Ended Loan MajorityDevices - MobilitySavings - Mobility

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Device Loan Basics

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FY08 FY09 FY10States Reporting Device Loans

54 54 52

Number of Device Loans 38,411 37,833 37,436Number of Devices Loaned 47,419 51,415 50,462Loan Purpose Decision Making 57% 66% 70% Loaner during repair/funding 4% 5% 6% Accommodation 33% 24% 21% Other (Training) 6% 5% 3%Top Borrower Types Individuals with Disabilities 48% 38% 35% Representatives of Education 20% 22% 23% Family Members 13% 17% 16% Rep of Health, Rehabilitation 12% 16% 16%

Device Loan AT Types

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FY08 FY09 FY10 FY10 -NYVision 6% 7% 7%Hearing 4% 6% 6%Speech Communication

21% 20% 22% 26%

Learning/Cognition 22% 24% 24% 18%Mobility/Seating 8% 9% 10%Daily Living 9% 8% 9%Environmental Adapts

7% 7% 5%

Vehicle Mods 0% 0% 0%Computers 13% 11% 12% 14%Recreation/Leisure 8% 8% 5%Other 2% 0% 0%

Device Loan TrendsTwo additional states opted for flexibility in

2010.Overall number of device loans is level. Number of devices loaned is relatively

stable. Decision-making is primary loan purpose.

Accommodation purpose is becoming more clear. “Other” purpose for training of self or others.

Borrower Types relatively stable.Individuals with Disabilities largest group, followed by Education, Health/Rehabilitation, and Family Members.

AT Type Stable – Speech, Learning, Computers.

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Device Demonstration Basics

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FY08 FY09 FY10States Reporting Device Loans

55 55 54

Number of Device Demos 31,947 32,868 37,213Number of Demo Participants

40,371 46,420 49,937

Referrals 16,252 22,919 27,380 Vendors 43% 41% 49% Funding Source 25% 34% 24% Service Provider 21% 22% 24% Repair Service 3% 2% 1%Top Participant Types Individuals with Disabilities 46% 42% 44% Family Members 21% 23% 25% Representatives of Education 14% 12% 13% Rep of Health, Rehabilitation 8% 10% 8%

Device Demo AT Types

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FY08 FY09 FY10Vision 12% 13% 11%Hearing 20% 18% 14%Speech Communication 13% 14% 15%Learning/Cognition 12% 10% 11%Mobility/Seating 10% 8% 9%Daily Living 11% 13% 13%Environmental Adapts 4% 2% 3%Vehicle Modifications 1% 1% 0%Computers 14% 17% 21%Recreation/Leisure 2% 3% 3%Other 1% 0% 0%

Device Demo Trends

One additional state opted for flexibility in 2010.

Overall number of demos is steadily increasing.

Number of demo participants is also increasing.

Referrals are increasing (and/or reporting is better). Consistent majority of referrals to vendors.

Demo Participant Type relatively stable.Individuals with Disabilities largest group, followed by Family Members, Education, and Health/Rehabilitation.

All AT Types well represented.

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State Level Activity Summary

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SFA: smallest scope, fewest states - large ticket AT devices

Reuse: large scope, all states – focused AT typesLoan/Demo: largest scope, almost all states - all AT types

FY08 FY09 FY10Individ

uals Serve

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State Financing 3826 3869 3866 Reuse 24,805 27,004 27,610 Device Loan 38,411 37,833 37,436 Device Demo 40,371 46,420 49,937

Devices

Acquired or

Accessed

State Financing 8380 8972 7784 Reuse 31,069 34,702 35,844 Device Loan 47,419 51,415 50,462 Device Demo 31,947 32,868 37,213

Consumer Satisfaction

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Overall satisfaction very high all three years. Overall response rate steadily increasing. Only about 3% less than “satisfied” all three years and

less than 1% truly dissatisfied.

FY08 FY09 FY10Total State Level Activities Highly Satisfied 70.70% 79.88% 78.30% Satisfied 26.05% 17.88% 18.56% Satisfied Somewhat 2.43% 1.88% 2.66% Not at all Satisfied .82% .35% .49% Response Rate 67.28% 70.39% 79.06%

Training and I&A

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FY08 FY09 FY10Training Participants 62,344 70,174 88,388 Representatives of Education

33% 33% 29%

Individuals with Disabilities 22% 22% 27% Family Members 7% 8% 11% Rep of Health, Rehab 11% 11% 11% Rep of Community Living 12% 10% 9%I&A Recipients 252,647 218,955 277,433 Individuals with Disabilities 37% 35% 44% Family Members 20% 20% 16% Representatives of Education

11% 13% 12%

Rep of Community Living 10% 13% 11% Rep of Health, Rehabilitation 9% 11% 9%

Leveraged Funding

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FY08 FY09 FY10Total Funding $16,108,19

4$13,551,023 $12,703,84

3 State Financing 34% 28% 31% Reuse 11% 13% 9% Device Loan 18% 20% 26% Device Demo 12% 13% 10% Training 11% 11% 8% TA 6% 5% 9% PA, I&A 7% 10% 8%Fund Type Federal 14% 12% 8% Public Agency 58% 50% 53% State Appropriation 22% 29% 31% Private 6% 9% 8%

CONTACT INFORMATION

Diane Cordry Golden, Ph.D.

Project Consultant

National Information System for Assistive Technology

816.616.7668

dianegolden@sbcglobal.net

NISAT is a project of the Association of Assistive Technology Act Programs (ATAP)

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