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New Brief Examines Olmstead, Medicaid Role in Community Integration

Tuesday, June 24, 2014

Marking the 15th Anniversary of the U.S Supreme Court's landmark Olmstead v. L.C. decision, the Kaiser Commission on Medicaid and the Uninsured recently released a brief titled " Olmstead's Role in Community Integration for People with Disabilities Under Medicaid:  15 Years After the Supreme Court's Olmstead Decision." The brief examines the legacy of Olmstead, with an emphasis on legal case developments and policy trends emerging in the last five years, and recognizes Medicaid's unique role in financing the home and community-based services (HCBS) that enable individuals in institutions to return to the community and those at risk of institutionalization to remain in the community with support.

Themes emerging from recent Olmstead cases highlight Medicaid's role in:  

  • Providing community-based services instead of institutionalization;
  • Providing services in the most integrated setting to enable people with disabilities to interact with non-disabled peers to the fullest extent possible;
  • Providing community-based services to prevent institutionalization for people at risk;
  • Replacing sheltered workshops with supported employment; and
  • Eliminating disability-based discrimination within the Medicaid program.

View the Brief

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