Public Policy Resources

Adult day services is on the public policy agenda of most every state in the United States as advocates seek to help sustain equitable laws and funding for this valuable community-based service that keeps people living in their homes and communities for as long as possible. NADSA members can read more in the Library about current legislation among the states.

2021 American Recovery Plan

The $1.9 trillion American Recovery Plan was signed into law on March 12, 2021. The following links include a comprehensive summary of the contents of the American Recovery Act and the changes the Senate made to the original House version.

Section by Section: ARP Title by Title Summary.pdf (

Summary of Senate Changes: ARP Summary of Modifications in the Senate Bill.pdf

Home & Community Based Services Definition

In 2014, the Centers for Medicare and Medicaid (CMS) adopted new rules for programs funded under Medicaid Home and Community Based Services (HCBS) waivers about what it means to live in a community setting.  Adult day centers may be impacted by this ruling.

For more information about the Medicaid HCBS regulation, including a settings requirements toolkit, please visit: is a platform to share information and resources regarding the new Home and Community Based Settings rule and stay informed about steps each state is taking to comply with the new rule.  The website is a project of the Association of University Centers on Disabilities, the National Association of Councils on Developmental Disabilities, and the National Disability Rights Network.  It includes news and documents from states, advocacy resources, comment deadlines, and links to the final rule and official guidance.

Just Like Home: An Advocate’s Guide for State Transitions Under the New Medicaid HCBS Rules.  The guide provides analysis and recommendations for multiple aspects of the new regulations, including determining which settings are disqualified for HCBS, and enforcing consumer protections.

Medicare Adult Day Services Bill

The Medicare Adult Day Services Bill of 2013 (H.R.3334) was introduced by Representative Sanchez (D-CA) on October 23, 2013.  This legislation builds on previous Bills, H.R. 6476 and H.R. 3043, introduced by Representative Sanchez in 2012 and 2009, respectively.  The first Bill included 98 co-sponsors from 30 states + Guam. The Bill needed additional support in order to pass.  NADSA is working with legislative staff to reintroduce a modified version of the Medicare Bill in 2015.



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