The Cost of Medicaid Cuts: What Kaycee and Keith Stand to Lose
Every person deserves the chance to live, learn, and be part of their community. For many people with disabilities, Medicaid home and community-based services (HCBS) make that possible. These services help people stay healthy and connected to their communities, with the support they need. Without HCBS, many families would face fear, isolation, and impossible choices.
Melanie from West Virginia knows this better than most. Her daughter, Kaycee, is 22 years old and full of hope for her future. But getting to this point was not easy. Melanie remembers the years before HCBS, when every day felt like a crisis. As she explains, “Before Kaycee had access to Medicaid and the IDD Waiver, our family was in constant crisis. She needed step-by-step support for daily life… We were doing everything we could, but it was not enough.”
Everything changed when Kaycee finally got the support she needed. With HCBS, she gained access to therapies, medical care, and community services that helped her grow. She found her voice. She learned new skills. She began to take part in her community in ways that once felt impossible.
But Melanie knows how fragile that progress is. “If home and community-based services are cut, my daughter will not just lose support, she will lose her ability to safely live the life she has worked so hard to build.”
Kaycee still needs daily help to stay safe, communicate, and manage her medical needs. Without HCBS, she could lose the independence she fought so hard for. She could face medical emergencies, isolation, or even institutionalization.
In Ohio, Keith also depends on HCBS to live the life he chooses. He is proud of the ways he gives back to his community. He is an Eagle Scout, a volunteer football coach, a church sound tech, and a member of his local fire department’s auxiliary team. He also has complex medical needs that require daily support.
Keith shares, “I depend on HCBS services to manage my complex needs that are not always visible to others. I was born with complex heart and pulmonary complications. These services have allowed me to remain active in my community and church.”
He worries deeply about what cuts would mean for his future. “I am deeply concerned that any end to these programs would jeopardize my ability to contribute to society and live independently,” he says. “I urge you to protect these essential services for myself and others with disabilities.”
These stories show what HCBS makes possible. But right now, these services are at risk. Congress has already made major cuts to Medicaid, and more cuts may come. That means longer waiting lists, fewer supports, and more families in crisis.
People with disabilities and their families deserve better.
Now is the time to act. Contact your members of Congress and tell them to protect Medicaid home and community-based services. Lives, futures, and communities depend on it.


Family is at the heart of Burt Hudson’s connection to The Arc.
Jack is now 9 years old and, despite a speech delay from childhood apraxia of speech, he is a complex, smart, and kind third grader. He loves riding horses, dancing to Bruno Mars and Maroon 5, drumming, and acting out Muppets movies. He also has a 6-year-old younger brother, James, and “They have been a duo ever since James was born.” Burt recalls a memory from his childhood when he and his brother were wrestling in the ocean, showing John was just another sibling. The same camaraderie is seen between Jack and James.
Burt wants people with disabilities and their loved ones to know they can always turn to The Arc for guidance. “The Arc is a wonderful resource full of wonderful people, one that generations of families have relied on to find the path they need to be walking.” As Treasurer of our national Board, Burt is heartened to see The Arc remain strong through the decades. “There’s a lack of compassion and a lack of love all around us, and The Arc is the heart of this country. It shows the strength we have when we’re banded together with a common cause and love for each other. The consistent light The Arc has provided gives me comfort and hope that we’ll get through anything.”



His impact on students didn’t stop in the classroom. After his career as a teacher, he went on to become the Special Education Director in Philadelphia and now teaches graduate school, supervises teachers, and was just appointed by the Governor to serve on Pennsylvania’s Special Education Advisory Panel. He also continued to volunteer with The Arc. “I think I did everything possible with The Arc.” In 2005, The Arc of Pennsylvania asked Ken to represent The Arc on the state’s Right to Education Task Force, which later led to his joining the Boards of The Arc of Philadelphia and The Arc of Pennsylvania, where he served as president of both organizations. He learned more and more about The Arc of the United States and was eager to get involved. He went to National Conventions, joined Committees, and eventually joined the national Board. “I went from organizing days at the zoo to becoming the national President—I was flabbergasted,” shares Ken.





Cassie is a mother, former educator, and co-founder of
Between August and December of his first-grade year, Cassie recorded that six-year-old Kai was sent for “time away” around 100 times, much of which took place in a seclusion room.
When her seven-year-old son was in first grade, Michigan mom Amanda got an unexpected call from the new school principal. Her son, who has autism, had kicked the principal, and Amanda was being asked to keep her son home from school the next day.







