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Updated: The Better Care Reconciliation Act Threatens the Continued Growth of Home and Community-Based Services
A line graph titled, "Figure 1. Average annual HCBS spending per non-I/DD enrollee, 2001–13, actual and reduced as if BCRA caps had been in place." A blue line shows the average national per-enrollee HCBS spending for programs targeted to people without I/DD. Beginning in 2005, a green and a red line diverge from the blue line, showing the impact that per capita caps might have had. By 2013, the green line is 23% lower and the red line 30% lower than the blue line.

The Better Care Reconciliation Act (BCRA) proposes to cap Federal Medicaid reimbursements to the states, effectively limiting growth to a rate at first only modestly exceeding the rate of inflation in healthcare costs and then falling below inflation. A new CLPC report uses state-by-...

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Listen: Steve Kaye Talks About the Impact of Potential Cuts to Medicaid on John Hockenberry's “The Takeaway”
The logo of the Takeaway

On June 23, 2017 Steve Kaye spoke with John Hockenberry about  the new Republican healthcare proposal. In a segment on The Takeaway called “Disability Advocates: GOP Health Bill Will Dismantle a Social Safety Net,” Steve talks about the impact proposed cuts to Medicaid HCBS would have on people with...

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Watch: Congressional Briefing on the Potential Impact of the American Health Care Act on Home and Community-Based Services
Understanding the devastating impact of Medicaid per capita caps on people with disabilities. Mon. June 19, 2017. Room G50 in the Dirksen Senate Office Building. An image of a young man and an older woman holding a hand-painted sign that says, "Save Medicaid."

On June 19, CLPC director Steve Kaye joined prominent disability advocates and a state Medicaid official to give a briefing on the impact that the American Health Care Act (AHCA), if enacted, would have on long-term services and supports and other services received by people with disabilities.  Held on...

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