Justice Department Tells States Home Care Is Optional
A 39-page DOJ memo argues states owe disabled people no community care, as OBBBA's Medicaid cuts and lapsed ACA subsidies strip the funding that pays for it.
PolicyElder CareDisabilityChild Care
·Pulse issue · June 23, 2026
A Justice Department memo arguing states need not provide community care for disabled people landed in the same week federal budget cuts thinned the money that pays for it, removing both the legal floor and the funding under home- and community-based care.
The DOJ argues states need not provide home- and community-based care to disabled people as OBBBA Medicaid cuts, lapsed ACA subsidies, and H.R. 1's immigrant coverage cuts strip the funding underneath.
4 briefs · 10 cited sources
What to watch next
- Does the DOJ memo's reading of Section 504 and ADA Title II survive a court challenge against Olmstead?
- How many of the 300,000 Connecticut HUSKY Part D adults will lose coverage to paperwork rather than ineligibility?
- Where do aging and disabled immigrants go when their Medicaid ends October 1 and no replacement coverage exists?
Briefs in this issue
Medicaid Ends for Legal Immigrants as Caregiver Visas Stall
H.R. 1 cuts hundreds of thousands of lawfully present immigrants off Medicaid October 1, even as a bill to bring in 100,000 caregivers waits for a vote.
WorkforcePolicyElder CareChild CareDisability
Full Social Security Benefits Only Through 2034
The 2026 Trustees report gives the combined funds until 2034, then 83 percent, the clock under every plan to credit unpaid caregiving.
ResearchPolicyElder CareChild CareDisability
Washington Moves on Housing as the Aging Math Hardens
The Senate passed an 85-5 bill barring corporate buyers of single-family homes as the SCAN Foundation told states to plan for 65-plus outnumbering kids.
BusinessCultureElder CareGeneral
Reference paths
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