Attempts to repeal and replace the Affordable Care Act (ACA) include massive cuts to the nation’s Medicaid program and would cost New York State between $4 billion and $7 billion in federal Medicaid funds. That represents nearly a 10% cut to all Medicaid providers and would devastate the state’s system of programs and services to people with developmental disabilities.  


Medicaid is the backbone of services to people with developmental disabilities across the nation and particularly in New York State. The Arc New York, along with thousands of other developmental disabilities providers and advocates across the nation, must vigilantly defend the Medicaid program from further actions in Washington which would prove devastating to the families we serve and services we provide. Such actions include both cuts to the nation’s Medicaid program, and attempts to eliminate it as an entitlement program by converting it to a block grant or per capita cap system of reimbursement to states.