The National Alliance for Direct Support Professionals commends the states and leaders who have filed suit against the Administration’s harmful implementation of Medicaid work requirements under the 2025 Reconciliation Act.

There is nothing good about a law that threatens the health, safety and independence of people with intellectual and developmental disabilities. These Medicaid changes will create new barriers, new paperwork traps and new risks for people who already face obstacles in accessing the services and supports they need to live and thrive in their own homes and communities.

The lawsuit was filed by Arizona, California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, New Mexico, New York, North Carolina, Oregon, Pennsylvania, Rhode Island, Vermont, Virginia, Washington, Wisconsin and the District of Columbia.

The NADSP appreciates the action taken by these states, their attorneys general, and the leadership of the governors of Kentucky and Pennsylvania. We also appreciate the advocacy of our sister organizations across the disability, aging, health care and civil rights communities that have spoken out against these dangerous Medicaid changes.

We have previously raised serious concerns about the injustices in the 2025 Reconciliation Act, including Medicaid cuts, work requirements, eligibility barriers, paperwork traps and threats to home and community-based services. For people with intellectual and developmental disabilities, these are not minor policy changes. They are direct threats to daily life, community living, family stability and the direct support workforce.

Medicaid is the backbone of long-term services and supports. It funds the home and community-based services that allow people with intellectual and developmental disabilities to live, work, learn and participate in their communities. It also sustains much of the direct support workforce that makes those civil rights real every day.

We will continue to closely monitor this litigation and advocate on behalf of our members, direct support professionals, provider organizations, and the people with disabilities who depend on Medicaid-funded services and supports. We will continue to oppose policies that punish people with disabilities, weaken community services or threaten the direct support workforce.

Sincerely,

Joseph M. Macbeth

President and Chief Executive Officer

National Alliance for Direct Support Professionals