The federal-state Medicaid program provides significa,it and important services for persons with developmental disabilities in the United States. The research presented here is an empirical analysis of current congressional proposals to reduce Medicaid spending and a study of the impact of those reductions for persons with developmental disabilities. Compared to current law, the implementation of congressional proposals to reduce Medicaid spending would decrease the number of Medicaid long-term care recipients with developmental disabilities by approximately 56,000 individuals in the year 2002. The implications of Medicaid block grants and related enrollment restrictions are analyzed in the context of current trends in the provision of services to persons with developmental disabilities in the United States
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