Trump’s cuts to Medicaid threaten services that help disabled people live at home

By: Tony Leys ǀ KFF Health News

Outlets: Iowa Capital Dispatch

Published: March 2, 2026

Words: 1,678

Last Updated: 1 week, 2 days ago

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OTTUMWA, Iowa — Leisa and Kent Walker recently received a disturbing notice: The private company managing their son’s Medicaid coverage intends to cut nearly 40% of what it spends for caregivers who help him live at home instead of in a nursing home.

Sam Walker, 35, has severe autism and other disabilities. He is deaf and cannot speak. Sometimes when he’s frustrated, he hits himself or others.

Medicaid provides about $8,500 a month for health …

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