August 1981 At the time, President Ronald Reagan signed a bill and signed a bill that allowed the development of a state -level program that helped people with disabilities to live in external institutions such as nursing homes. Program known as HCBS (Home and Community-Based Services) exemption-4 years–Medicaid supports funds and operates in each individual. Due to the potential cut of the Trump administration’s Medicaid, the future of HCB remains in Limbo. Donald Trump’s recent financial minister, Scott Bessent, responds directly to the question of whether Republican politicians and project 2025 are recommended to reduce Medicaids, which matches the attack of Republican politicians and project 2025. I did not.
Reagan could not be described as an advocate for the rights of the disabled. In the first term for the first year, 130,500 people have already fallen from the social security disorder insurance and now become a million life ships. Like Donald Trump, Reagan wanted to reduce government spending at the expense of American welfare. But the politics of time forced Reagan’s GOP to compromise on giving some benefits to people with disabilities who calculated HCB, but Trump wants to leave millions of people. Community management.
4.5 million people rely on Medicaid HCB to avoid institutionalization.
Today, about 4.5 million people use Medicaid funding HCB as an alternative to institutionalization. Exemptions will help you to pay for home medical workers, durable medical equipment, career coaching, case management and other services. No one claims that this program is perfect, but most criticism has been based on tribes, not over -spending. More than 500,000 people with disabilities remain on the list of HCB’s waiting lists, often waiting for abandonment, and because of inconsistent requirements throughout the state, the process can be confusing and difficult.
“This is a slight mix between racism and competentism,” said American Progress’s’ Disability Justice Initiative Center.
IVES-RUBLEE says that Project 2025 says that the government can modify and add standard Medicaid services that suggest that the government is spending too much money for them. It is said that it includes promotion to terminate. .
About half of the US disabled children are currently dependent on Medicaid, while Jenny MCLELLAND, an HCBS policy manager, speaks of a director of Little Lobbyists, an organization that advocates children with complex health demands. This includes McLelland’s son James. The family in the private insurance McLelland did not deal with long -term home -based treatment, just like many plans. I was able to return home just by exemption from Medicade.
MCLELLAND’s exemption from HCBS said, “We pay money for a nurse who is sleeping while sleeping or for a nurse who breathes to work.” “Medicaid home and community -based services allow my son to live an integrated and pleasant life.
One expert said, “Reduction will allow more people to end or die in the institution.”
Advocates are worried about the fate of HCB, which helps the state to give up relatively easily, and millions of people can help to maintain hospitals, nursing homes and group housing, and MCLELLAND frequently delivers low quality. do. Often treated at higher costs. ”
The GOP has suggested some proposals to promote expenditures for Medicaid Per-Capita, which will change the current spending practices by limiting funds through formulas that do not consider the needs of the disabled. Nicole Jorwic, who cares for the advocacy and campaigns of various generations, said, “Such a change is to ultimately reduce the amount spent by the federal government to per capita according to the consumer price index.”
JORWIC says that the waiting list will increase, and the type of service provided will be narrowed as the financing is reduced or withdrawn. Given that the Federal Medicide Fund already accounts for one -third of the state budget, Jorwic believes that the state government, which coughs additional costs, will never happen. She has a popular goal in blue states, such as Maryland, and has invested millions of dollars on the cutting board where Medicaid accepted due to the lack of $ 3 billion in state financing.
Another attack on Medicaid founded in Project 2025 can allow many disabled people to hit at a young age, including lifelong caps on the support of people in Medicaid. “The state will have to occupy the rest of the spending.” any.”
MCLELLAND is also concerned that additional damage can occur due to attack on Affordable Care Act. MCLELLAND said, “There is no ethical method,” depriving people of Medicaid.
Jorwic said that the Republican motivation for reducing Medicaids needs to reduce costs for the Trump administration to raise funds for the extension or expansion of Trump’s wealthy Americans and companies. More angry and competent. ”
IVES-RUBLEE also predicts desolate results when the HCBS exemptions are abolished or dropped.
