09/03/2026
For many people with disabilities and older adults, living at home and staying connected to their community depends on having the right support at the right time.
That support looks different for everyone. It may mean transportation, personal care, behavioral supports, community activities or help with everyday life.
At Unity House, many of those supports are made possible through Medicaid Home and Community-Based Services, or HCBS. Through New York’s OPWDD system, HCBS funding helps support many Unity House programs, including Day Habilitation, Self-Direction and residential services in our IRA homes.
You may have heard about proposed federal legislation designed to make home and community-based services (HCBS) a mandatory Medicaid benefit.
We believe these services are not extras. For many people, they are what make community living possible. Yet access to HCBS is not guaranteed in the same way as some forms of institutional care. Across the country, more than 600,000 people are waiting for services, sometimes for years.
The recently reintroduced HCBS Access Act seeks to change that. It also recognizes that access depends on a strong direct support workforce and meaningful support for families and caregivers.
Behind the policy are very human questions: Can someone live where they want to live? Make choices about their own life? Participate in their community? Can families get help before they reach a crisis?
HCBS is about more than “care at home.” It is about choice, independence and belonging. That is why the HCBS Access Act matters to Unity House and to the people and families who rely on these supports every day.
If you support our mission, we encourage you to contact your members of Congress. Tell them to support the Home and Community-Based Services (HCBS) Access Act to expand access to Medicaid home care, invest in the direct care workforce, and support family caregivers.
The HCBS Access Act (H.R. 8540) will eliminate HCBS waiting lists and provide increased funding for HCBS, expanding access and giving people with I/DD and their families a meaningful choice between community-based care or institutional care.