Alaska is currently the only state without a Medicaid-funded self-directed care program, leaving many seniors and people with disabilities with fewer choices when it comes to receiving support at home.

In this episode of Capital Chat, Maggie Winston of Southeast Alaska Independent Living, or SAIL, explains what Centers for Independent Living do, how they support people with disabilities across every stage of life, and why self-directed care matters. The conversation explores how participant-directed care can give individuals more control over who provides their care, how services are delivered, and how they remain as independent as possible in their own homes and communities.

Maggie also discusses the slow-moving effort to bring this option to Alaska and how organizations like SAIL are advocating for systems change so Alaskans with disabilities, seniors, and families have more options, more dignity, and more control over their daily lives.