The Politics of Autism includes an extensive discussion of insurance and Medicaid services for adults with intellectual and developmental disabilities. Home and Community-Based Services (HCBS) are particularly important.
Judith Heumann and Tom Ridge at USA Today:
A year after the pandemic began, people with disabilities finally can obtain the tools and assistance they need to earn a living and stay independent.
The American Rescue Plan, recently passed by Congress and signed by President Joe Biden, allocates $12.7 billion for what's known as home and community-based services, or HCBS, through 2021. This is truly something to celebrate — finally dedicated funding to support people with disabilities who want to get back to work.
HCBS is an important source to keep people with disabilities at home, in their communities and out of costly nursing homes or group living setting, where we now know COVID-19 thrives. And it provides a critical lifeline to employment.
Many people with disabilities have said for years that they could work if they were given the needed accommodations. Now that conversation, which largely went unaddressed, is a reality.
For example, HCBS pays for internet and assistive technology, allowing people with disabilities to work from home. It provides transportation upgrades, including adaptions to vehicles, so they can drive to work. It pays for job coaches who accompany people with more significant disabilities to their jobs to ensure they are able to fulfill their responsibilities.