Republican plans to severely cut federal Medicaid funds by converting the program to a block grant or a per capita cap represents a severe threat to funding for home- and community-based services (HCBS), despite recent claims to the contrary.
House Republicans claim that the Affordable Care Act’s (ACA) Medicaid expansion for low-income adults is squeezing out funding for services for vulnerable seniors and people with disabilities, such as HCBS.
In a related matter, the Foundation for Government Accountability blames the Medicaid expansion for some states’ large waiting lists for HCBS, which give people needing long-term services and supports an alternative to nursing homes. But an analyst from the group admitted in recent House testimony that “there is no correlation” between state decisions to expand Medicaid and waiting lists for HCBS.
– Center on Budget and Policy Priorities