Advocates Warn Federal Support for Home and Community-Based Services at Risk

Advocates for people with disabilities and older adults warn that federal support for home and community-based services (HCBS) may be weakening, 25 years after the Supreme Court's Olmstead decision established the right to receive long-term care at home rather than in institutions. The concern centers on potential policy changes that could reduce federal backing for community-based care options. This comes as Medicaid HCBS programs have grown substantially, with managed care organizations increasingly responsible for delivering and coordinating these services. Any reduction in federal support would directly affect MCO LTSS programs, reimbursement structures, and member access to community-based alternatives.

LTSS · Long-Term Care · Managed Care