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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Fact Sheets

The HCBS Relief Act

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Noah Block
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Lydia Dawson
The HCBS Relief Act of 2025 (S.2076/H.R. 4029) is vital for individuals with intellectual and developmental disabilities (I/DD).
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The bill would provide a 10-percentage-point increase in Federal Medical Assistance Percentage (FMAP) for home and community-based services during 2026 and 2027, enabling states and providers to strengthen the direct support workforce and ensure better access to I/DD services.

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Research & Reports
The State of America’s Direct Support Workforce Crisis 2026
Fact Sheets
Access Rule and Budget Reconciliation Law Implementation Timeline
Research & Reports
The State of America’s Direct Support Workforce Crisis 2025
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