Trump Tightens HCBS Rules After $1.1 Trillion OBBA Cuts, Threatening 10 Million Coverage Losses
Updated
Updated · Religious Action Center · Aug 7
Trump Tightens HCBS Rules After $1.1 Trillion OBBA Cuts, Threatening 10 Million Coverage Losses
1 articles · Updated · Religious Action Center · Aug 7
Summary
Early 2026 rules from the Trump administration tighten home- and community-based services by approving fewer services, scrutinizing provider networks more closely and narrowing eligibility.
Those changes follow the One Big Beautiful Bill Act, which is projected to cut $1.1 trillion in health spending over 10 years and add new Medicaid administrative hurdles.
Starting in 2027, adults ages 19-64 must document at least 80 hours a month of work, school or volunteer activity to keep Medicaid coverage, a requirement critics say many disabled people and caregivers cannot meet.
HCBS supports older adults and people with disabilities at home; losing it could push some into intermittent hospitalization, nursing homes or treatment disruptions.
The broader risk is a rollback of gains from Medicaid and Medicare, which now cover about 72 million and 69 million Americans respectively.