You will find information here about impacts resulting from the recent change in administration and how resulting policy shifts affect and will affect state I/DD systems. Policy experts and colleagues will share information on congressional actions, federal rule changes, executive actions, administrative updates, state challenges, and other relevant topics in this environment. NASDDDS is working diligently to ensure our members are kept as up to date as possible in a rapidly evolving environment. All resources should be vetted to ensure you have the most recent version. Please reach out to NASDDDS at cmcgraw@nasddds.org with any questions or to receive clarification or confirmation on any posted items.
Program Integrity:
California
- Letter from the Centers for Medicare & Medicaid Services
- Letter from the House Committee on Energy and Commerce
Colorado
Florida
Massachusetts
Maine
- Letter from the Centers for Medicare & Medicaid Services
- Letter from the House Committee on Energy and Commerce
Nebraska
New York
- Letter from the Centers for Medicare & Medicaid Services
- Letter from the House Committee on Energy and Commerce
Oregon
Pennsylvania
Vermont
Washington
Other
- CMS’ Deputy Administrator and Chief Operating Officer Kim Brandt testimony to the Oversight and Investigations Subcommittee of the House Energy & Commerce Committee: O&I Subcommittee: Protecting Patients and Safeguarding Taxpayer Dollars: The Role of CMS in Combatting Medicare and Medicaid Fraud
General Resources:
- Summary Slides Joint Presentation of One Big Beautiful Bill Act
- Key Terms in I/DD Support Systems for State and National Leaders Brief
- HCBS Infographic
- HCBS Stories
- Medicaid Primer Infographic
- Medicaid Primer One Pager
- Budget Reconciliation Overview Infographic
- ADvancing States OAA and APS Infographics
Federal Policy Resource List:
- Policy on Adhering to the Text of the Administrative Procedures Act (posted 2/28/2025): https://www.nasddds.org/wp-content/uploads/2025/02/2025-03300.pdf
- Rescission of Guidance on HRSN: https://www.nasddds.org/wp-content/uploads/2025/03/cib03042025.pdf
- NAMD Resource: Why Did They Do It That Way? Medicaid Financing (posted 4/30/2025): https://medicaiddirectors.org/resource/why-did-they-do-it-that-way-medicaid-financing/
- Joint Association Webinar Series: Explaining the Budget Reconciliation Process https://www.nasddds.org/wp-content/uploads/2026/04/Explaining-the-Budget.pdf