04/16/2026
ADVOCACY ACTION ALERT! 📣
Home and Community Based Services (HCBS) are being threatened as cuts to Medicaid and federal appropriations are being planned.
HBCS are defined by the Centers for Medicare and Medicaid Services (CMS) as long-term care services provided in a person’s home or community rather than in an institutional setting such as a nursing home or residential program. Under CMS’ definition, HCBS support people with disabilities, chronic conditions, and age-related issues to live, work, and participate in their communities with supports that provide an alternative to institutionalized care. Person-centered care, autonomy, self-determination, and community integration are key aspects of HCBS in the CMS Final Rule
HCBS are primarily funded by Medicaid, with funding provided by the federal and state government. Proposed federal funding cuts and state-level budget constraints are directly threatening HCBS. As states are looking to cut spending, HCBS are currently in jeopardy of being reduced or eliminated. Reducing or eliminating HCBS will significantly and negatively impact people with disabilities and older adults, removing choice and forcing individuals into institutional care without the needed support to continue living in their homes and communities.
Please contact your state and federal legislators through email and phone calls to express concerns about cuts to and the potential termination of HCBS for people with disabilities, chronic conditions and older adults.
A sample letter is provided with this Action Alert. Download the full Action Alert and take action now at the link below. We're stronger together. 👏
https://www.atra-online.com/advocacy
