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Response to RFI on Disability Policies in the 21st Century: Building Opportunities for Work and Inclusion

In a letter to House Energy and Commerce Committee Ranking Member Cathy McMorris Rodgers, MACPAC offered comments in response to a request for information (RFI) on policies that affect individuals with disabilities.

The letter points to MACPAC’s prior research on access to long-term services and supports (LTSS) in three areas: home- and community-based services (HCBS) waiver waiting lists, barriers states face to increasing access to HCBS, and estate recovery.

MACPAC published a chapter in its March 2021 report to Congress on estate recovery. In the report, MACPAC made recommendations to ease the burden of estate recovery and address equity concerns about how this practice perpetuates generational poverty and wealth inequality.

In addition, the letter also highlighted previous work MACPAC has done with Health Management Associates to develop a resource with comprehensive information about people with intellectual and developmental disabilities (ID/DD) and the Medicaid program policies and services that support their needs.