A bunch of letters scattered with AUTISM spelled out in the middle

Joint Statement on Upholding Scientific Integrity and Supporting the Autism Community

/in /by Jackie Dilworth

WASHINGTON, DC – As national organizations dedicated to advancing the well-being of autistic individuals, the Autistic Self Advocacy Network, Autism Society of America, Autism Speaks, The Arc of the United States, Autistic Women and Non-Binary Network, Autistic People of Color Fund, and partners across the disability and public health sectors stand united in our call for science-based decision-making and increased investment in the research, programs and services the autism community needs to live fully.

While our organizations reflect a broad range of perspectives and experiences, we are aligned in the following principles:

  • Vaccines Do Not Cause Autism. Decades of scientific research confirm there is no causal link. Public health messaging must be grounded in science and protect all communities.
  • Autistic Individuals Deserve Respect and Support. Public dialogue and policy must reflect the inherent value, rights, and diverse needs of autistic people.
  • Evidence-Based Policy Is Essential. We call on policymakers to work in collaboration with autistic individuals, families, researchers, clinicians, and disability organizations to ensure policy is grounded in science and responsive to community needs.

We are deeply concerned by growing public rhetoric and policy decisions that challenge these shared principles. Claims that autism is “preventable” is not supported by scientific consensus and perpetuate stigma. Language framing autism as a “chronic disease,” a “childhood disease” or “epidemic” distorts public understanding and undermines respect for autistic people.

At the same time, federal proposals to reduce funding for programs like Medicaid, the Department of Education, and the Administration for Community Living threaten the very services that autistic individuals and their families rely on. Research must be guided by credentialed experts and inclusive of the complexity and diversity of the lived experiences of the autism community—not redirected by misinformation or ideology. As leaders in the fields of Autism and public health, we are committed to contributing meaningfully to the ongoing dialogue and initiatives led by HHS.

We urge public leaders, institutions, and media to uphold scientific integrity and work together to strengthen—not weaken—the infrastructure of support for the entire autism community.

Signed By:

Autistic Self Advocacy Network, Colin Killick, Executive Director
Autism Society of America, Christopher Banks, President and CEO
Autism Speaks, Keith Wargo, President and CEO
The Arc of the United States, Katy Neas, CEO
Autistic Women & Nonbinary Network, Sharon daVanport, Executive Director
Autistic People of Color Fund, Ly Xīnzhèn Zhǎngsūn Brown, Founding Executive Director
Autism Empowerment, Karen Krejcha, Co-Founder, Executive Director
Dan Marino Foundation, Mary Partin, CEO

Picture of the lights on top of a police car with a dark background

Statement on the Police Killing of an Idaho Autistic Teen

/in /by Jackie Dilworth

Below is a statement from Leigh Anne McKingsley, The Arc’s Senior Director of Disability & Justice Initiatives, on the killing of Victor Perez, an autistic teenager in Idaho who was shot and killed by police.

Being disabled should never be a death sentence.

Victor Perez, a 17-year old with autism, needed an intervention when police were called to his home. Instead, he was shot multiple times and later died in the hospital.

Too many people with autism and other disabilities, especially those who are Black or Brown, face violence instead of support in times of crisis. This must change. This is a failure of systems that are supposed to protect and serve. It’s a failure to recognize each person’s humanity, to provide training, and to respond with care. The more families hear stories like this, the more fearful they are to call police – or anyone – for help.

The Arc grieves the loss of Victor’s life and so many others before him, and we demand accountability. We urgently need investment in disability-informed crisis response systems – not more punishment for behaviors rooted in disability. Every person deserves to feel safe in their own community.

Interactions between police and people with intellectual and developmental disability (IDD), including autism, end in violence more often than most people may realize. According to research, almost half of people killed by police have some kind of disability.

No more than 20 states require law enforcement training on intellectual and developmental disabilities or related conditions, including autism. Training on this topic is too haphazard and not standardized across police agencies in the U.S., meaning that some officers get trained while others don’t – this leaves too much to chance when it comes to calls involving people with disabilities.

The Arc is committed to educating police, other first responders and other professionals in the criminal justice system about people with IDD. The Arc’s National Center on Criminal Justice and Disability (NCCJD) is key to this effort.

Law enforcement must receive effective training to prepare them for situations involving interactions with people with disabilities. NCCJD is a partner with The International Association of Chiefs of Police on the Crisis Response and Intervention Training (CRIT) project that brings more information about IDD into standard police training on mental health and IDD. The CRIT training seeks to include people with IDD, including autism, as co-trainers to increase officer’s personal connection to and experience with those with disabilities in non-crisis situations.

Every person deserves to feel safe in their own community, and as a society we must put measures in place to ensure communication is clear, accommodations are provided, and systems are inclusive of people with disabilities to ensure safety for all.

Three people stand on a grassy area in front of the U.S. Capitol holding bright orange signs that say “Protect Medicaid.”

The Truth About Medicaid Expansion and Disability Services

/in , /by The Arc

In recent debates over Medicaid’s future, some have suggested that extending coverage to low-income adults through Medicaid expansion has diverted resources away from people with intellectual and developmental disabilities (IDD) and undermined the program’s original purpose.

That claim is both misleading and dangerous. It risks turning vulnerable communities against one another and distracting from the real threats facing Medicaid that come from significant cuts.

Medicaid Expansion and HCBS Waiting Lists Are Not Connected

The argument that Medicaid expansion led to longer waiting lists for people with disabilities who need home and community-based services (HCBS) is often repeated but easily disproven.

There is no correlation between whether a state expanded Medicaid and whether its HCBS waiting list grew. 10 of the 11 states without HCBS waiting lists are expansion states, and the two states with the largest waiting lists—Texas and Florida—are non-expansion states. In fact, Texas’ waiting list alone represents nearly half of the nation’s total.

Because HCBS programs are optional services within Medicaid, states control their own waiver programs, including how many people are served and how much funding is allocated. Thanks to growing support for HCBS, Medicaid has made significant progress in shifting long-term care away from institutions and into the community. In 2022, 65% of long-term services and supports (LTSS) spending went to HCBS, compared to only 18% in 1995.

Blaming Medicaid expansion for state-level decisions about HCBS funding misrepresents how the program works and distracts from the need for stronger investments in these essential services.

Cutting Medicaid Funding Won’t Help People With Disabilities

Reducing or eliminating federal funding for the Medicaid expansion population would not free up money for people with IDD; it just means less funding overall for the entire program.

Medicaid is a vital part of our social safety net, which ensures that everyone who needs care can get it, whether they are managing a chronic condition, caring for a child with disabilities, or working a low-wage job without access to employer-provided coverage.

We should be fighting to expand services and reduce waiting lists, not blaming other groups of enrollees for long-standing systemic challenges.

A Medicaid Program That Works for Everyone Is the Goal

The truth is Medicaid expansion has strengthened the program overall by bringing in new resources to support people and expanding access to care for millions of people, including many with IDD and care workers. Many people with serious health conditions and disabilities do not meet the strict disability eligibility standards necessary to access Medicaid through the Supplemental Security Income program (SSI) or do not want to impoverish themselves to meet the SSI income and asset limits.

Medicaid expansion has helped many people with disabilities access critically needed health care. What endangers HCBS and other critical supports for people with disabilities are proposals to slash federal support for Medicaid under the pretext of targeting waste, fraud, and abuse within the program.

We should be investing in HCBS, increasing pay for caregivers, and expanding access to LTSS, not rolling back coverage or undermining Medicaid’s foundation.

Q&A: What’s Going on in Washington, DC, With Medicaid Cuts?

/in , /by The Arc

Medicaid is at the center of a major budget debate in Washington, DC. But what does this mean for people who rely on Medicaid? And how will proposed changes, including work requirements and spending cuts, impact health care for people with disabilities, seniors, and low-income families?

In this Q&A, we break down what’s happening, what’s at stake, and what comes next.

Q: Didn’t the President say he does not want cuts to Medicaid?

A: Yes, the President has stated on several occasions that he opposes cuts to Medicaid. Many members of Congress also state opposition to cutting Medicaid. However, the budget resolution that passed the House on February 25, 2025, which the President also said he supports, lays the groundwork for over $880 billion in cuts to Medicaid and other low-income programs over the next 10 years. Think of it as the first inning in a long baseball game.

Watch our video for a plain language explanation.

Q: Some members of Congress say Medicaid is not mentioned in the House bill.

A: Correct. Medicaid is not mentioned in the budget resolution. However, the bill directs a specific committee—the House Energy and Commerce Committee—to find $880 billion in “savings” (over 10 years).

There is no way to achieve such “savings” or cuts without directly impacting Medicaid health care and critical services for people with disabilities, seniors, and low-income families. On March 5, the non-partisan Congressional Budget Office (CBO) published a letter detailing what programs could be cut to meet the $880 billion target.

The CBO letter confirms early expectations, finding that nearly all of the cuts could only come from Medicaid and the Children’s Health Insurance Program.

See KFF analysis.

Q: Some members of Congress say they are only targeting “waste, fraud, and abuse” in Medicaid. Is that true?

A: Everyone wants to eliminate waste, fraud, and abuse. Members of Congress are saying their goal is to get rid of waste, fraud, and abuse and that all the cuts can be financed by stopping waste, fraud, and abuse. We are skeptical.

Currently, the federal government and state governments have programs in place to prevent and detect waste, fraud, and abuse. In 2023, the Department of Health and Human Services recovered $1.8 billion in fraud. These efforts are essential, but in no way are significant to support $880 billion in cuts over 10 years. Moreover, the only way to get to this magnitude of cuts is to cut health care and services that people with disabilities, children, and adults rely on. People will be hurt by these deep cuts.

Q: Will work requirements impact people with disabilities on Medicaid?

A: Yes, despite claims that beneficiaries with disabilities won’t be affected by work requirements for Medicaid, research shows that work requirements don’t work—they don’t lead to higher employment rates and cause people to lose access to health care. These requirements, including increased paperwork, doctor’s signoffs, and other bureaucratic burdens, disproportionately impact people with disabilities who may face barriers to employment. They create real administrative waste. They achieve savings in the Medicaid program by reducing the number of people eligible for Medicaid, but they may raise states’ costs in administering the new requirements.

Watch our short video on work requirements.

Q: Some members of Congress say they want to restore the Medicaid program to its “original purpose.”

A: This refers to the people who were eligible before the Medicaid expansion (enacted in 2010), which created a new eligibility category for low-income adults to qualify for coverage. This expansion is especially beneficial for adults who might not qualify under traditional disability categories because their disability may not qualify them for coverage, or they may have slightly higher income.

Read more by KFF.

Q. What are the next steps in this process, and when can we expect them to happen?

A: The next step is for the Senate to take up the House-passed budget as soon as April. Once the House and Senate can agree on a unified budget resolution, the House Energy and Commerce and Senate Finance committees will make changes to programs to come in line with the budget targets. During this step we will see the proposed changes in the law that will result in the savings required by the Budget Resolution. The House and Senate will then have to pass the final reconciliation bills and be signed by the President.

Q: How is The Arc responding to these proposed cuts?

A: The Arc is committed to advocating for people with disabilities by highlighting the consequences of these policies. We are actively engaging with Congress and the Administration to protect Medicaid so that health care and disability services are not taken away.

Watch our CEO, Katy Neas, on CNN discussing Medicaid cuts.

For more information about the impact of cuts on states, see the following resources:

Ready to take action?

Send a message to Congress now and tell them to protect Medicaid for people with disabilities and their families!

Picture of the U.S. Capitol Building in Washington, DC

What’s Happening at the Social Security Administration? Here’s What People With Disabilities Need to Know.

/in , /by Jackie Dilworth

Millions of people with disabilities rely on Social Security benefits to survive. Recent changes at the Social Security Administration (SSA) may make accessing these benefits harder than ever. Long wait times, office closures and staff cuts, and policy rollbacks are already raising concerns and exacerbating customer service issues. Here’s what you need to know.

What Is Social Security and Why Does It Matter?

Social Security provides benefits to over 73 million people, including over 11 million people with disabilities. It offers financial protection for individuals and their families when a worker retires or dies, or when someone has a qualifying disability. Many people with disabilities depend solely on their Social Security or Supplemental Security Income (SSI) benefits and related health coverage for their basic survival.

  • Supplemental Security Income (SSI) helps people with disabilities and older adults who have little or no income and financial resources. SSI provides modest monthly benefits to help with basic needs like food, clothing, and shelter, averaging around $714 per month. In most states, recipients automatically qualify for Medicaid, which provides essential health care.
  • Social Security Disability Insurance (SSDI) provides benefits to workers with qualifying disabilities and their families. It also provides access to health insurance coverage from Medicare. A related benefit called the “Disabled Adult Child” or DAC benefit provides income support and Medicare coverage to adults whose disabilities began before they were 22 years old.

A Growing Crisis: Long Wait Times and Delays

Even before recent changes, SSA was already struggling with long wait times and backlogs processing applications for disability benefits. Every year, thousands of people die while waiting for a decision on their disability benefit application. In April 2025:

  • Over 1 million initial disability claims are pending—nearly double the number in 2019.
  • The average wait time for an initial disability decision is 232 days (nearly 8 months).
  • If an applicant is denied and requests a hearing, they can wait another 450 days (15 months)—meaning some people wait over two years for a decision.

These delays have real consequences. People with disabilities who can’t access the benefits they need risk financial hardship, homelessness, and worsening health conditions. In 2023, 30,000 people died while waiting to access Social Security benefits.

Staffing Cuts and Office Closures

In 2025, SSA has announced a dramatic reduction in staff and offices, including:

  • Plans to cut 7,000 employees (over 12% of the agency’s workforce).
  • Closure of 60% of SSA’s 10 regional offices, reducing key staff that help resolve problems with peoples’ benefits.
  • Closure of SSA’s Office of Civil Rights and Equal Opportunity, which handled reasonable accommodation requests and managed the agency’s civil rights complaints, including public complaints of discrimination on the basis of disability. This office’s statutory responsibilities have reportedly been divided and moved to other divisions within SSA.

Why does this matter? SSA workers process disability applications, answer calls, and help people navigate complex benefit rules. With fewer staff and the consolidations of regional offices, wait times could get even worse. The loss of key staff also raises concerns about SSA’s ability to modernize, maintain, and improve essential services, further limiting accessibility for beneficiaries. Modernizing SSA’s operations requires long-term investments in systems and processes that are being undercut by these changes.

New Barriers and Policy Rollbacks

New barriers and policies that harm beneficiaries are also being implemented, including:

  • Overpayment Collections: SSA can now withhold 50% of a person’s monthly SSDI check if they were overpaid, even if the overpayment was not their fault. This means someone’s SSDI benefit could suddenly be cut in half—potentially leaving them unable to make rent or buy food while the overpayment is collected or they request a waiver or alternate repayment plan. We spoke to KFF Health News about this issue in late 2023, and advocated for the pro-beneficiary policies that are now being rolled back.
    • SSI Exemption: SSI beneficiaries are exempt from this policy change and still have a 10% default withholding rate.
  • New Identity Verification Requirements: Starting April 14, 2025, SSA is implementing new measures to verify the identity of millions of people applying for benefits and changing their direct deposit information. Those who are unable to complete these processes online will be required to go to an SSA field office to verify their identity in-person.
    • Only applies to applications and direct deposit changes: These in-person requirements only apply in two situations: 1. When someone applies for benefits over the phone and their application is flagged as potentially fraudulent; or 2. When a beneficiary is not able to use online services to change the bank account that their benefits are deposited into. SSA is no longer allowing beneficiaries to change their direct deposit information by phone. Beneficiaries will now be required to use a online or in-person services to change their direct deposit information. Please note: You do not need to contact SSA or go to a field office to continue your monthly benefits at your current bank. More information is available on the SSA website.
    • These requirements will be especially burdensome for older adults, individuals who do not have reliable internet access or a smartphone, those that require assistance using online services, and those for whom online SSA services are not available. For example, there is no online application for Survivors’ Benefits and children under the age of 18 cannot have online Social Security accounts.
    • This will also significantly disadvantage beneficiaries living in rural communities who must travel long distances to reach in-person services.
  • Disability Hearings Impacted: SSA is closing some hearings rooms and has reportedly canceled some disability hearings because they could not use agency credit cards to pay for sign language interpreters or translators. This could create even more delays for applicants.

How This Affects People With Disabilities

To be clear, as of April 2, 2025, Congress and the Administration have not directly cut the benefit amounts that current Social Security recipients get each month, and they have promised not to cut Social Security benefits.

The ongoing disruption at the SSA will likely impact access to benefits, which can amount to an indirect benefit cut for both disability applicants and current beneficiaries experiencing problems with their benefits. It can also create an environment in which errors and benefit delivery interruptions may be more likely to occur. All of these changes have serious consequences for people with disabilities in the short-term and long-term:

  • Application Delays Reduce Benefits: Many Social Security benefits are calculated based on the date people apply. Delays accessing these vital benefits can result in lower overall benefit amounts for Social Security disability beneficiaries.
  • Benefit Interruptions: Disability beneficiaries already experience interruptions in their benefits for many different reasons—especially if they’re working. These changes at SSA could make benefit interruptions more frequent, longer, and more difficult to resolve.
  • Longer Wait Times for Benefits: These changes at SSA will likely increase the backlog of people waiting for a decision on their disability application. We are concerned that these longer wait times mean more disability applicants will die before they can get the Social Security benefits they need and deserve.
  • Harder to Get Help from SSA: Cuts to staff and resources make it more difficult to get assistance from SSA on the phone, online, and in-person. We have heard reports of 5-hour-long hold times for SSA’s 1-800 Helpline, brief outages of the ‘my Social Security’ online portal, temporary glitches displaying incorrect information about beneficiary payment status on online accounts, and month-long wait times to get an in-person appointment at an SSA field office.

Any changes to how SSA operates can be incredibly stressful for people with disabilities who need Social Security benefits to meet daily needs. For this reason, it is imperative that SSA be transparent about the changes they are making and the rationale for these changes. False claims about Social Security fraud also undermine trust in the system.

What Can You Do?

If you or a loved one relies on Social Security benefits, here’s some information to keep in mind. (Please note that this is general information, not legal advice. Due to the complexity of the system, the assistance of a lawyer can be helpful for resolving problems with your application or benefits.)

How to Request Casework Assistance from Your Member of Congress:

  • If you need help resolving an issue with your Social Security benefits or dealing with SSA, you can get help from caseworkers in your Member of Congress’s office.
  • Members of Congress cannot override decisions made by a federal agency, but they can often intervene on a person’s behalf to answer questions, find solutions, or help ensure you receive a fair and timely response to your problem.
  • Different offices have different ways of handling casework, so it’s helpful to start by calling your Member of Congress and saying, “I am a constituent requesting casework assistance with a Social Security benefit. What is the best way for me to submit this request?” They may give you a phone number to call, an email address to contact, or refer you to a form on their website to start the intake process. Find your representative here.
  • Be prepared to sign privacy release forms allowing staff to view personal information like your Social Security Number in order for them to assign a caseworker to handle your case. They will also ask for copies of documents relevant to the issue they are helping you with. Learn more about the casework process.

Other Practical Tips

  • Keep Records: Getting and maintaining Social Security disability benefits requires providing records related to your educational, medical, financial, family, and work history to SSA. In recent weeks, outages and other glitches impacting online ‘my Social Security’ accounts have also become more frequent.
    • Calls to SSA: When you call the SSA Helpline (1-800-772-1213), keep a record of the date, name of person you spoke to, what you asked, and what they told you. If the information you received does not make sense, sounds incorrect, or is not helpful, you can ask to speak with a supervisor.
    • Mail from SSA: When you get mail from SSA, promptly open, read, and keep a copy of it. Sometimes mail from SSA includes instructions and a deadline for something you need to do.
    • Documents You Submit to SSA: Make copies of all documents you give to SSA. Keep copies of the forms you fill out, other materials, and the date you sent them to SSA.
    • Your Social Security Record: If you are more than 18 years old, you can access your Social Security records online through a ‘my Social Security’ account. Download and keep copies of your records from the site including:
      • Your Statement
      • Your Benefit Verification Letter
      • Your Tax Form from SSA
      • Your Earnings Record
      • Your Benefits & Payments, which shows the date and amount of your next payment.
      • Screenshots of any error messages or information pertaining to your payment status that appear to be incorrect.
  • Be Proactive:
    • Avoiding Overpayments: Try to prevent problems with benefits before they arise by reporting any changes that could impact your benefits to SSA as soon as possible. Examples of things to report include changes to your contact information, address, disability/health condition, marital status, parental status, employment status, income, who you live with, and financial resources over $2,000 for SSI beneficiaries.
    • Setting Up a ‘my Social Security’ Account: If you are an adult receiving Social Security or SSI benefits and do not already have a ‘my Social Security’ account, it’s a good idea to set one up so it is available whenever you need it. SSA is increasingly encouraging people to use online services. Setting up an account will help you get easier access to information about your benefits.
  • Beware of Scammers: We are concerned that the rapid rollout of the digital identity verification tool could provide an opportunity for scammers to impersonate the SSA and harm beneficiaries. Remember, SSA will never text, message you on social media, or email you to ask for money or personal information. Learn more about common Social Security scams.
  • Know Your Rights: Information on your rights as a beneficiary or applicant are available at this page for SSDI and this page for SSI. If you receive an overpayment notice, you can appeal, request a waiver, or request a different repayment plan.
  • You Are Not Alone: Social Security disability beneficiaries can do everything right and still run into problems due to mistakes from SSA or other complexities in the system. It can be discouraging, frustrating, and anxiety-inducing. Please know you are not alone. The problems at SSA are bigger than any one person– that’s why we’re working together to make the system better for everyone.
  • Share Your Story: Personal stories help highlight the real impact of these changes. If you’ve been affected, consider sharing your experience with advocacy groups like The Arc.

The Arc Is Fighting for You

At The Arc, we are committed to advocating for policies that strengthen—not weaken—Social Security. We are working with Congress and disability rights organizations to push for oversight, protect Social Security programs, prevent harmful cuts, and improve access for those who need it most. We also continue to advocate for an increase in the SSI asset limit, which for nearly 40 years has been stuck at just $2,000 for individuals and $3,000 for married couples—far too low to get by in today’s economy.

The Arc has been a champion of Social Security for half a century. We played a key role in the creation of the Supplemental Security Income program to help build financial stability for people with disabilities. Today, we serve as a Co-Chair on the Consortium for Constituents with Disabilities’ Social Security Task Force, working to protect and update these vital programs.