The State of America's Direct Support Workforce Crisis 2026

In the face of federal Medicaid cuts, we need your response now more than ever.
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Write your members of Congress. Share resources with legislative staff. Make your voice heard. All of these are great ways to support more inclusive communities.

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Tell Congress: Protect Medicaid From Further Cuts

Medicaid is a lifeline for people with I/DD. After suffering the largest cut in funding since its creation with the passage of the budget reconciliation law last year, the future of critical home and community-based services (HCBS) continues to be under threat.

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Tell Congress to Cosponsor the Recognizing the Role of DSPs Act

The bipartisan Recognizing the Role of Direct Support Professionals Act urges the Office of Management and Budget to establish a Standard Occupational Classification (SOC) for direct support professionals (DSPs).

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Tell Congress: Support the HCBS Access Act
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Tell Congress: Enable Financial Security for People with Disabilities
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Advocate for the HCBS Relief Act: Strengthen Community Services
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Support the HEADs UP Act—Recognize People with I/DD as Medically Underserved
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Fact Sheets Cuts to Medicaid Harm Disability Services
Research & Reports The State of America’s Direct Support Workforce Crisis 2024
Capacity-Building Tools Disaster Preparedness Resources for Community Providers
Capitol Correspondence - 06.23.26

House Energy & Commerce Subcommittee to Hold Medicaid Program Integrity Hearing

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The Latest
Capitol Correspondence — 06.23.26 Administration Moves to Shift Special Education and Civil Rights Functions Across Federal Agencies
Capitol Correspondence — 06.23.26 MACPAC June Report Highlights Medicaid Implementation, Oversight and Access Priorities
Capitol Correspondence — 06.16.26 Second Reconciliation Bill Becomes Law as Attention Shifts to Potential Third Package