Please visit itlikethis.substack.com for the full transcript of this issue.

Most importantly, please read and listen to this excellent article on the potential damage coming to home and community based services (HCBS) for people with disabilities in Arizona, and across the country, due to federal cuts to Medicaid.

Arizonans with disabilities depend on at-home services. Medicaid cuts could erode the program

KJZZ | By Amy Silverman, Athena Ankrah

“Asked about the expected impact of H.R. 1, Arizona’s Medicaid agency, the Arizona Health Care Cost Containment System, or AHCCCS, said the law ‘will impact all Arizonans and will likely create significant strain for individuals with developmental disabilities and their families.’

“’While AHCCCS is committed to renewing its HCBS waiver and continuing to serve this population, ultimately, decisions regarding whether and how to fund HCBS services are questions for Arizona’s policymakers,’ the agency wrote in an email to KJZZ.”

Our legislators and governor are hammering out budget negotiations as we speak. And, we all wait.

Other links in this post:

https://itslikethis.substack.com/p/picturethis

https://itslikethis.substack.com/p/on-fixing-and-fretting

https://itslikethis.substack.com/p/forever-after

https://itslikethis.substack.com/p/there-you-are

This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit itslikethis.substack.com