Take action today against proposed Medicaid cuts: ancor.org/amplifier. Community providers support people with intellectual and developmental disabilities (I/DD) with a broad array of services, from building skills in the home, such as eating, dressing, and personal hygiene, to career planning and employment supports to find and maintain jobs. These community-based services are funded almost exclusively through Medicaid. Congressional leaders are discussing proposals that could significantly reduce Medicaid funding. These cuts would have devastating consequences for people with I/DD. Medicaid funding supports individuals with I/DD in achieving independence, improving their quality of life, and reducing reliance on institutional care. Temporary federal investments into Medicaid HCBS authorized through the American Rescue Plan Act were utilized by every state and the District of Columbia to invest in strengthening their workforce. Data from ANCOR’s research demonstrates that, during this period, fewer providers indicated they were closing programs or services. In 2022, 63% of survey respondents reported closing programs or services, but that figure dropped to 44% in 2023 and 39% in 2024. Medicaid is a partnership between states and the federal government to fund crucial healthcare services. When federal Medicaid funding is reduced, states must find new funding to balance the shortfall in state budgets. If new funding cannot be found, community-based services for people with I/DD are often reduced, leading to longer waitlists for HCBS and higher rates of unnecessary institutionalization. To keep the promise of community living for people with I/DD a reality, we must invest in—not divest from—the Medicaid program.