NADSA urges all Adult Day Services centers to contact your state’s US Senators and implore them to protect Medicaid and access to affordable health care. Linked here is the Coalition Toolkit with sample social media content, including unbranded graphics. ACS CAN hopes to activate as many partners as possible to amplify the message and get the Senate’s attention by tagging them and using the #ProtectAffordableCare and #ProtectMedicaid hashtags, urging Senators to reject cuts to Medicaid and Marketplace coverage. Please join them on Tuesday, June 17th!
The Modern Medicaid Alliance has created several Medicaid policy briefs and tools you can implement in your messaging to your Senators to preserve Medicaid funding:
NADSA signed on to a recent letter that was delivered to US Senators John Thune and Chuck Schumer by the Modern Medicaid Alliance which expresses opposition to proposed Medicaid cuts in current budget reconciliation bill H.R. 1.
Here is a link to that letter and NADSA urges all Adult Day Services providers to share this letter with their US Senators and explain how the proposed Medicaid cuts will impact your center and your center’s participants and family caregivers.
NADSA is urging Adult Day Services providers nationwide to continue calling their US Senators to oppose the drastic proposed Medicaid funding cuts currently in Energy and Commerce Committee’s portion of H.R. 1, the reconciliation bill passed by the House on May 22.
Here is a link to the Senate where you will find phone and email contact information.
Share this report on how many people in your state will have their Medicaid coverage taken away and how many people will become uninsured.
Here are key bullet points you can use when calling or emailing your Senators as to why they must oppose H.R. 1:
ADS providers, their participants, the participants’ family caregivers and businesses which support their centers must continue to let Senators know of the devastating impacts these proposed cuts will have on seniors, veterans and adults with disabilities.
Engage your network! Urge your participants, family caregivers, businesses you work with and other important partners to call and send their own emails to their Senators. Please do all you can to amplify the message and engage others who understand the value of Medicaid HCBS to family caregivers and the older adults and people with disabilities they care for in your community and state. Share this Advocacy Alert to your networks or edit it to be best received by your network members.
Share on social media! Beyond engaging your Senators directly, everyone needs to know how important Medicaid HCBS is to the health and well-being of millions of family caregivers and those they care for. Draw more attention to this critical issue by posting on social media! See below for sample social media posts. If posting on X, please ensure your message is within the platform’s 280-character limit by shortening the sample post as needed.
NADSA is urging Adult Day Services providers nationwide to call their US Senators and Congressional Representative to oppose the drastic proposed Medicaid funding cuts currently proposed by federal legislators. National partners Justice in Aging and Caring Across America are providing new resources for you to share you concerns and your personal stories with representatives on Capitol Hill.
ADS providers, their participants, the participants’ family caregivers and businesses which support their centers must continue to let Senators and Congressional Representatives know of the devastating impacts these proposed cuts will have on seniors, veterans and adults with disabilities.
Join a call-in day Tuesday, May 20. Call your member of Congress at 202-224-3121 and tell them to vote no on the reconciliation bill because it will take Medicaid and SNAP from older adults and make it harder for them to meet their basic needs. Share this report on how many people in your state will have their Medicaid coverage taken away and how many people will become uninsured.
Share your stories! You can use Caring Across Generations’ tool to record your story and share it with your lawmakers and on social media.
Engage your network! Urge your participants, family caregivers, businesses you work with and other important partners to call and send their own emails to their Senators and Representatives. Please do all you can to amplify the message and engage others who understand the value of Medicaid HCBS to family caregivers and the older adults and people with disabilities they care for in your community and state. Share this Advocacy Alert to your networks or edit it to be best received by your network members.
Share on social media! Beyond engaging your Senators and Representatives directly, everyone needs to know how important Medicaid HCBS is to the health and well-being of millions of family caregivers and those they care for. Draw more attention to this critical issue by posting on social media! See below for sample social media posts. If posting on X, please ensure your message is within the platform’s 280-character limit by shortening the sample post as needed.
NADSA continues to provide resources from a variety of national organizations you can use in combination with NADSA materials to communicate the negative impacts that will occur if Medicaid funding is reduced. Bookmark the following NADSA website page and check it daily for new information and additional resources that make the case to preserve Medicaid funding. https://www.nadsa.org/public-policy/policy-advocacy/
Earlier this week, the latest version of the budget reconciliation bill was released and includes reductions in Medicaid funding of approximately $715 billion over a 10-year period. While lower than the initially proposed $880 billion in reductions, the severity of these funding reductions will impose detrimental impacts on millions of Americans, especially the elderly and disabled populations and their family caregivers that receive care at Adult Day Services (ADS) centers. NASDA stands with dozens of other national organizations that are strongly urging Congress and the Administration to find reductions in other areas of the budget that do not impose draconian funding reductions to Medicaid.
It is imperative that ADS providers, the participants they serve and their family caregivers continue to call or visit the offices of their US Senate and US Congressional Representatives and express their concerns and share their personal stories about how these funding reductions will negatively impact the services you provide to our nation’s most vulnerable populations. The Speaker of the House Mike Johnson is targeting a vote on this bill by Memorial Day. Call and/or write to your representatives in Washington and encourage your staff, participants and their family caregivers to do the same on a daily basis. Here are links to the Senate and House of Representatives where you will find phone and email contact information. Call and write today and do so each day to explain how these funding reductions will negatively impact your ADS center and those whose care you provide. Here is a link to messages you can use and a list of key Senators and Congressional Representatives who are opposed or expressed concerns about funding cuts to Medicaid: Messages.
Next week, the House Energy and Commerce Committee will markup its part of the Republican reconciliation bill that proposes to cut Medicaid by hundreds of billions of dollars. These massive cuts put older adults, adults with disabilities and children at risk of losing coverage for critical Home and Community-Based Services (HCBS). The ability of family caregivers to continue to support them at home and the community will be severely jeopardized.
The Congressional Budget Office (CBO) analyzed five policy options that Republicans may introduce, and they all lead to massive coverage losses.
STEP 1: Call the Capitol Switchboard at 202-224-3121 to reach your Senators and Representatives and urge them to oppose any cuts to Medicaid! If you prefer to send an email, feel free to use this template and be sure to customize it to your agency/state. You can send an email via your Representative’s or Senator’s website contact pages. Find websites and contact information in the House Directory and Senate Directory.
STEP 2: Engage your network. Urge your participants, family caregivers, businesses you work with and other important partners to call and send their own emails to their Senators and Representatives. Please do all you can to amplify the message and engage others who understand the value of Medicaid HCBS to family caregivers and the older adults and people with disabilities they care for in your community and state. Share this Advocacy Alert to your networks or edit it to be best received by your network members.
STEP 3: Share on social media. Beyond engaging your Senators and Representatives directly, everyone needs to know how important Medicaid HCBS is to the health and well-being of millions of family caregivers and those they care for. Draw more attention to this critical issue by posting on social media! See below for sample social media posts. If posting on X, please ensure your message is within the platform’s 280-character limit by shortening the sample post as needed.
Sample 1: Americans who rely on Medicaid for health care and long-term care could face reduced access to critical services under the proposed Republican reconciliation bill. Medicaid is a lifeline for the millions of family caregivers who care for older adults and adults with disabilities. They rely on Medicaid for supports such as Adult Day Service and respite care to help alleviate caregiving strain and allow loved ones to live at home and in the community.
Sample 2: Older adults and individuals with disabilities are at risk of losing Medicaid coverage and access to critical HCBS services, such as Adult Day Services and respite care due to major Medicaid cuts in the proposed Republican reconciliation bill. Please educate your lawmakers on how critical Medicaid HCBS is to the health and well-being of Adult Day Services participants and their family caregivers.
The Senate and House have passed a new joint budget resolution along party lines, which could lead to drastic cuts to Medicaid, SNAP, and other programs that impact older adults. Congressional committees will be drafting and voting on legislation to enact these cuts in the coming weeks, aiming to finalize a comprehensive budget bill for a vote by the full House by Memorial Day.
This new resolution represents consensus among Republican leadership to drafting legislation that would cut Medicaid by at least $880 billion and SNAP by $230 billion to pay for tax cuts for the wealthy and corporations. Even if your Senators and Congressional Representatives are Democrats, it’s important to reiterate to them how crucial Medicaid and SNAP funding is to many participants in Adult Day Services centers. They will be your voice during the budget reconciliation process.
The participants in your centers and their family caregivers should also be urged to visit, call and email Senatorial and Congressional home offices this week. These constituents can go to their local office to register concerns such as “please don’t leave me behind” or “please don’t take away my source of food and force me into an institution.” Tell your story and the stories of your participants and how these cuts will severely impact your ability to provide care for your participants and your participants to have access to the care they need that allows them to age in their communities. The alternative for them is much more expensive institutional care.
You can look up your state’s US Senators Congressional Representatives by using the following links: Contact US Senate; Contact the House of Representatives. You will find contact information for sending emails, calling in-state offices and office locations for in-person visits.
In light of yesterday’s announcement from the Department of Health and Human Services, NADSA and its member organizations urge the agency to use caution in exercising workforce reductions and reorganizations to protect the essential health and community care needs of older adults and individuals with disabilities. HHS must ensure that Americans have continued unfettered access to Adult Day Services programs, senior centers, community health centers, nutrition programs and other essential services which currently allow individuals to remain living in the community. Without these programs, these vulnerable adults will no longer have those options and thus be forced into more costly and more restrictive, institutional settings.
Bill Zagorski, Chair, NADSA Board of Directors, has issued the following statement to address the potential cuts to Medicaid funding.
One in five Americans depend on Medicaid for health insurance and other basic life needs, and roughly two-thirds of Adult Day Services participants utilize Medicaid to pay for at least some of the cost of their attendance at centers. Many of these Americans already live in some of the poorest and rural communities in America. The February 25th House of Representatives budget vote created a real and immediate threat to Medicaid funding in every state. The National Adult Day Services Association is calling on Congress to protect Medicaid funding!
On Wednesday, March 5th, the Congressional Budget Office confirmed that the cost reduction of $880 billion assigned to the House Committee on Energy and Commerce for federal health care spending by the House’s budget, is NOT possible without cuts to Medicaid or the Children’s Health Insurance Program. Even if the Energy and Commerce Committee eliminated every program excluding those safety net benefits, the maximum savings would be $135 billion — far less than the $880 billion called for in the budget resolution.
Congress must protect Medicaid. As stated above, the Congressional Budget Office has shown the only path to saving the $880 billion outlined in the proposed House budget would be by reducing more than $700 billion from Medicaid, and the Children’s Health Insurance Program. Approximately one-third, or nearly $250 billion will target older adults.
These funding cuts to Medicaid will decimate state budgets and negatively impact Adult Day Services centers, their employees, their center’s participants, and their participants caregivers. Adult Day Services continues be the most effective means of delivering health care and long-term care to low income, vulnerable and disabled individuals by the annual independently funded Genworth and CareScout Cost of Care Survey. Congress must protect Medicaid funding or seniors and disabled adults will be forced into more costly and restrictive institutional care or be placed on extensive waiting lists without care. It is critically important that the US Congressional Representatives and US Senators protect Medicaid funding during the budget reconciliation process.
It is essential that everyone reading this message contact your state’s Republican US Senators and US Congressional Representatives today by phone and email and tell them to protect Medicaid! Here is the phone number for the United States Capitol switchboard at (202) 224-3121. A switchboard operator will connect you directly with the Senate office you request. Or, you can look up your state’s US Senators and contact them by email directly on their official website page: Contact US Senate; Contact the House of Representatives.
NADSA has developed a tool kit which provides important facts on how Medicaid cuts would detrimentally impact Adult Day Services; a draft letter that can be customized for mailing/emailing to your Congressional Representative and Senators; and, a list of the House Committee on Energy and Commerce Republican Representatives and links to their offices. The House Committee on Energy and Commerce has jurisdiction over the potential cuts to Medicaid. To download the tool kit, click on the following link: ADS Medicaid Tool Kit.
Additionally, please feel free to adapt this message or use the below text for phone and email contacts.
One in five Americans depend on Medicaid for health insurance and other basic life needs. More specifically, roughly two-thirds of Adult Day Services participants utilize Medicaid to pay for at least some of the cost of their attendance at centers. The Congressional Business Office has confirmed the only path for saving the estimated $880 billion in healthcare spending is through reductions to Medicaid and the Children’s Health Insurance Plan. Cuts to Medicaid will have an immediate impact on every state budget and force exceedingly difficult budgetary decisions that could dramatically impact your center, your employees, your participants, and their caregivers.
This is the most serious threat that Adult Day Services and HCBS have ever faced. Please make phone calls and send emails today and every day until this crisis is averted!
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NADSA works with several national organizations who support care for seniors, veterans and adults with developmental disabilities. This page will feature current and ongoing activities NADSA is collaborating on with these national organizations.
March 28, 2025 letter to US Senate and US House of Representatives leadership regarding the reorganization of the Department of Health and Human Services (HHS), especially the plan to eliminate the Administration for Community Living (ACL) and split its functions across three other agencies, as well as the consolidation of the Office for Civil Rights (OCR) and Substance Abuse and Mental Health Services Agency (SAMHSA).
March 2025: How Potential Federal Cuts to Medicaid and SNAP Could Trigger the Loss of a Million-Plus Jobs, Reduced Economic Activity, and Less
State Revenue: Tables by State
Check out additional Justice in Aging Resources on Medicaid Defense and this Medicaid Defense Toolkit with call scripts and guidance on asking for meetings.
Justice in Aging Advocacy Tools: The following are tools and scripts which were shared by Justice in Aging and can be used and shared when calling your Congressional Representative and Senators to explain how harmful proposed Medicaid cuts will be to their constituents. Republican leaders in Congress are pushing forward legislation that would cut trillions in funding for Medicaid and other programs that older adults rely on to meet their basic needs. The budget resolution also includes deep cuts to SNAP benefits that would make it even harder for older adults to buy groceries.
To sign up for Justice in Aging training sessions and webinars, policy issue briefs, and news and policy changes, click here.
Script for Individual Congressional Representative/Senators Call
Script for State Organization Congressional Representatives/Senators Call
Issue Brief: How Medicaid Funding Caps Would Harm Older Adults
Families USA Medicaid Fact Sheet
April 2, 2025 LCAO letter to Senate and Congressional Leadership regarding the significant harms older adults will face under both the House and Senate versions of the FY 2025 budget resolutions.
March 28, 2025 LCAO letter to Secretary Robert F. Kennedy, Jr. regarding the potential impacts to supports for older adults with the restructuring of the U.S. Department of Health and Human Services.
January 22, 2025 LCAO letter to President Trump outlining eight key priorities for older Americans.
December 10, 2024 Chair’s letter from Leadership Council of Aging Organizations (LCAO) regarding the effort to achieve a budget before the end of 2024.
April 18, 2025: Latest MMA News & Content
April 10, 2025: Blog Post: “Medicaid Cuts Threaten Veterans’ Health Care“
April 9, 2025: Blog Post “Medicaid is Vital for Seniors and Americans with Complex Medical Needs“
April 7-11, 2025: Modern Medicaid Alliance Week of Action: NADSA is strongly urging all Adult Day Services (ADS) providers to support the Modern Medicaid Alliance (MMA) Week of Action which begins Monday, April 7th. MMA has created a customizable toolkit with a number of templates that you can customize and personalize for your organization’s messaging across platforms, including:
April 3, 2025: Letter to Congress Medicaid
March 27, 2025: Correcting the Record About Waste, Fraud and Abuse in Medicaid
March 24, 2025: Provider Tax Fact Sheet
March 11, 2025: Facing the Potential of Federal Medicaid Cuts, State Governors Urge Caution
February 28, 2025:
February 26, 2025: The Modern Medicaid Alliance (MMA) has issued a statement today following last night’s House of Representatives’ vote:
“The latest House vote breaks a vital promise to more than 70 million Americans who depend on the Medicaid program and now face the potential for unprecedented, destabilizing cuts to their coverage and access to care. The full extent of cuts being considered go far beyond addressing ‘waste, fraud and abuse’ and would undermine Medicaid coverage for those who depend on it. Already, Senators are issuing stark warnings about the impact of Medicaid cuts on the stability of their communities, state budgets, hospitals and providers. We urge members of the House and Senate to block any Medicaid cuts or harmful policy proposals as part of the ongoing budget process.”
Opposition to Medicaid Cuts Grows
NPR (March 10): Republicans say Medicaid cuts won’t happen. But does their budget work without them?
Democratic House Joint Leadership Letter (March 7): “House Democrats would enthusiastically support a bill that protects Social Security, Medicare, veterans health and Medicaid, but Republicans have chosen to put them on the chopping block to pay for billionaire tax cuts.”
Politico (Feb. 24): “Some Senate Republicans have begun pushing back against major cuts to Medicaid. Sen. Josh Hawley of Missouri, where more than 21 percent of the population is enrolled in Medicaid, told HuffPost he doesn’t support massive cuts to the program that House Republican leaders are weighing. Hawley joined Sen. Susan Collins (R-Maine) in the early hours of Friday morning in backing a Democratic amendment to the Senate budget resolution that would prevent tax cuts for the wealthy if any Medicaid funding is cut.”
HuffPost (Feb. 22): “‘Large cuts to Medicaid would hurt a lot of people in my state — and we voted overwhelmingly for President Trump,’ Sen. Shelley Moore Capito (R-W.Va.) said in an interview…”
Axios (Jan. 22): “Sen. Lisa Murkowski (R-Alaska), a key moderate vote who is not up for reelection, expressed the most concern about cuts. ‘I come from a state where Medicaid expansion has been really, really very key, so if it’s going to be part of reconciliation, [it’s something] I would be looking very critically at,’ she said.”
Here are social media resources you can use to communicate your concerns as well:
February 14, 2025: Click on the following for several articles related to potential Medicaid funding cuts: Top Medicaid News
February 12, 2025: The Modern Medicaid Alliance released the following statement after the release of the proposed House Budget Resolution:
“Stable Medicaid funding is essential for the health and well-being of over 70 million Americans and the stability of local providers who care for them. Cuts to Medicaid would cause millions of Americans to lose access to care, destabilize rural hospitals and wreak havoc on state budgets. With seniors, veterans, and nearly half of our nation’s children depending on Medicaid, President Trump was right in promising to ‘love and cherish’ the Medicaid program. As budget legislation is considered, Medicaid should be supported and strengthened, not undermined with cuts and loss of coverage.”
February 7, 2025: The Modern Medicaid Alliance (MMA) released the following statement in response to the Senate Budget Committee’s release of its proposed budget resolution which indicates that Medicaid cuts are a possibility: https://modernmedicaid.org/pressrelease/mma-statement-on-proposed-senate-budget-resolution/
February 19, 2025: The National Council of State Legislatures issues a statement expressing concerns over federal Medicaid proposals: https://www.ncsl.org/resources/details/ncsl-joins-others-in-expressing-concerns-over-federal-medicaid-proposals