Home Health Care News October 31, 2025
Joyce Famakinwa

State home and community-based services (HCBS) programs are on the chopping block due to Medicaid funding cuts from the One Big Beautiful Bill – and reductions in HCBS services could have costly consequences.

If the state of California cut its HCBS funding by just 10%, the state would likely spend over $1 billion to care for HCBS recipients in nursing facilities, according to a recent report by the California Health Care Foundation and research and advisory firm ATI Advisory.

The report narrows its focus on California’s Medicaid program, Medi-Cal, and analyzes what could take place if the state cuts funding for five of its home and community-based services programs.

These programs include In-Home Supportive Services, the Home and Community-Based Alternatives...

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