The State of America's Direct Support Workforce Crisis 2026

New data reveal little sign of meaningful progress ahead of impending wave of funding cuts.
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Advocate for the HCBS Relief Act: Strengthen Community Services

The Ask:

Use our advocacy tool to urge your members of Congress to support the HCBS Relief Act, providing essential relief for home and community-based services.

The Details:

The HCBS Relief Act is vital for individuals with intellectual and developmental disabilities (I/DD). In particular, it extends much-needed support for the Medicaid Home and Community Based Services program authorized under the American Rescue Plan Act (ARPA). The bill would provide a 10-percentage-point increase in Federal Medical Assistance Percentage (FMAP) for home and community-based services during 2024 and 2025, enabling states and providers to strengthen the direct support workforce and ensure better access to I/DD services.

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