Legal challenge for those receiving “at home” care via Medicaid are growing across the country. Medicaid is a joint federal and state program that provides long-term care to the poor and disabled. This is distinguished from Medicare which provides general medical insurance for seniors. When prolonged nursing home visits or caregiving duties at home are needed it is Medicaid, not Medicare, that residents turn to when they cannot afford the services on their own.
Yet, it is no secret that budgets–both state and federal–are quite tight. Medicaid outlays are one of the largest single lines in those budgets, and so long-term financial plans almost always include mention of cuts to these services. Those who rely on Medicaid obviously have legitimate concerns about what this might mean in their specific case. At the end of the day, changes can be mandated both by state officials and the federal government. Each state may take a different track, and so it is important for local residents–when hearing news about proposed Medicaid changes–to understand if the proposal is coming from Illinois, the federal government, or another state altogether.