Olmstead Decision Marks 27 Years as Community Integration Faces Medicaid Budget Threats

The 27th anniversary of Olmstead v. L.C. arrives as the landmark Supreme Court decision establishing the right to community-based services faces new challenges from proposed Medicaid cuts. The 1999 ruling required states to provide services in the most integrated setting appropriate to individuals' needs, fundamentally reshaping long-term services and supports delivery through Medicaid managed care. Current budget proposals threaten funding for home and community-based services that emerged from Olmstead's community integration mandate, potentially reversing decades of progress in moving individuals out of institutional settings.

LTSS · Long-Term Care · Managed Care