Only One State Has No Waiting List for Disability Services. Here’s What It Costs.I went looking for states that eliminated their waiting lists and found that most of the ones...
The Two Conversations About Autism That Never MeetThirty one states have written Employment First into law. The Lancet Commission has defined a quarter of autistic people as needing round the...
MDHHS Tried to Consolidate Michigan’s Behavioral Health System. A Court Stopped It.Ten regional entities would have become three. A consultant was paid millions to design the procurement. In January 2026...
96% of the Money That Keeps People Home Is Optional. Most of the Money That Institutionalizes Them Is Not.Federal Medicaid law makes nursing facility care mandatory and home and community...
Profound autism: why 1 in 4 autistic people need a different policy conversation The Lancet Commission drew a line: eight or older, needing 24-hour access to an adult caregiver, with...
The ARPA cliff: what happens now that the emergency HCBS money is gone States planned to spend an estimated $37.1 billion on home and community based services, most of it...
Medicaid work requirements start January 2027. Is your family member exempt? Eighty hours a month, ages 19 to 64, starting January 1, 2027. Your adult child is almost certainly exempt....
The CMS Access Rule: 5 new requirements that could transform HCBS if they survive A 2024 federal rule tells states how much of your adult child’s service dollar has to...
Employment First is failing Level 3 adults, and nobody’s tracking the outcomes Thirty-one states passed Employment First legislation. The national competitive integrated employment rate for people served by state disability...
Sixty years of promises and the crisis they built Nobody designed this. That is the problem. Six decades of reasonable decisions, each solving the previous decade’s emergency, stacked into a...
