Medicaid Resource Center

On July 4, 2025, the budget reconciliation bill, H.R. 1, was signed into law, cutting almost $1 trillion in Medicaid funding. This summary provides an overview of key provisions impacting the Medicaid program.

This timeline summarizes the major provisions of the HCBS Access Rule and the 2025 Budget Reconciliation Law and their corresponding implementation date.

This fact sheet outlines why investing in HCBS is necessary to preserving Medicaid program integrity.

These critical services help people with I/DD to live full and independent lives in their communities, but access is at risk.

All the basics about home- and community-based services in just two minutes.

An overview of why a Standard Occupational Classification (SOC) for DSPs is important.

An overview of how a 10-percentage-point increase in FMAP for home and community-based services would enable states and providers to strengthen the direct support workforce and ensure better access to I/DD services.

An article from "The 80 Million" about why DOGE’s Medicaid data drop should have been a good news story, but it is being used to fuel reckless speculation about fraud in Medicaid.

An article from KFF providing an overview of the HHS DOGE Medicaid dataset release.

A blog post from the McCourt School of Public Policy at Georgetown University that illustrates why claims of widespread waste, fraud and abuse in Medicaid are simply false.

People with I/DD, their families, community providers and state lawmakers will all be impacted by state cuts to community-based services due to federal Medicaid funding reductions.

The budget reconciliation bill signed into law on July 4, 2025 makes changes to two important state funding mechanisms: provider taxes and state-directed payments.

Medicaid work requirements not only waste millions of dollars on expensive tracking systems and overhead costs, but they are extremely burdensome for beneficiaries to navigate and for states to administer.

Get the answers to some of the questions we hear most frequently regarding how cuts to Medicaid will harm disability services.

A longstanding shortage of direct support professionals has led to closures of critically needed services and a denial of access to community.

Understand how federal Medicaid cuts will massively cut federal funding to states.

Fielded in fall 2025, this Center for Health Care Strategies survey provides insights into how states are preparing for potential funding reductions to disability services and where they anticipate the greatest challenges.

An article from HealthAffairs that details how looming cuts to Medicaid will create a ripple effect that will spread across state programs.

A report from the Rockefeller Institute details a study of disability services in New York that found the economic impact of those services alone was double the investment made by the state into those services.

Research from the Robert Wood Johnson Foundation shows that Medicaid plays an enormous role in state economies as the single largest source of federal funding to almost every state, comprising two-thirds of all federal grants to states on average.

Research from the Main Center for Economic Policy details the far-reaching costs of undervaluing the direct care workforce in Maine.

A report from United Cerebral Palsy (UCP) and ANCOR found modest but meaningful improvements in the workforce that supports people with I/DD, alongside new federal policy changes that could jeopardize that progress.

These State Medicaid fact sheets from KFF provide a snapshot with key data for Medicaid in every state related to current coverage, access and financing, as well as a politics section for each state.

The annual NCI State of the Workforce collects comprehensive data on the DSP workforce providing direct supports to adults (age 18 and over) with I/DD.

From the KU Center on Developmental Disabilities, The State of the States in Intellectual and Developmental Disabilities project was initiated in 1982 to investigate the determinants of public spending for I/DD services in the United States.

The Residential Information Systems Project (RISP) has gathered, maintained, and analyzed longitudinal data on Medicaid funded long-term supports and services (LTSS) for people with intellectual and developmental disabilities (IDD) since 1977.

From KFF, an interactive map that illustrates how many people are enrolled in Medicaid and what percentage of the population is enrolled in Medicaid for each congressional district

A report from PHI that shows that community providers, funded through Medicaid, are a top driver of job creation with the direct care workforce being the fastest-growing profession over the next decade.