These posts discuss disability policy.
Every time the conversation turns to staff safety — nurses, DSPs, group home workers — certain advocacy voices immediately shift the focus […]
Medicaid keeps paying for diapers, supplies, and staffing for people with severe IDD instead of funding evidence-based toilet training that can build independence, reduce costs, and restore dignity.
HCBS waivers were designed to expand community-based care, but they have become the backbone of disability services without a federal oversight system that has kept pace. This article examines how gaps in accountability, cost-neutrality, provider transparency, and meaningful choice affect people with intellectual and developmental disabilities—using Massachusetts as a case study in why inclusion requires enforceable oversight.
Cristina Gaudio of the National Council on Severe Autism (NCSA) published one of the clearest, most unflinching accounts of what families living […]
Families are being asked to make sense of two threats at once: a federal policy shift that could be misread to weaken […]
And In Massachusetts, monopoly may look like abandonment disguised as “natural supports.” The posts have been appearing on Facebook since the June […]
For decades, Home‑ and Community‑Based Services (HCBS) waivers under §1915(c) of the Social Security Act have been promoted as the default service […]
Public conversations about Personal Care Attendant (PCA) services and home‑based supports often focus on the wrong question. Instead of asking why families […]
Governor Healey’s new executive order acknowledges the needs of adults with profound autism, but the April 2026 Auditor’s report on DDS shows a system already failing to provide safe, coordinated, high‑acuity care. SWHA breaks down what the Governor’s remarks signal — and why Massachusetts must confront deep structural deficits before any statewide plan can succeed.
Across Massachusetts, families and frontline caregivers are living through a crisis that rarely makes it into official reports or press releases. While […]
