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“A key public policy goal is giving individuals with disabilities every chance to live and work as fully in the community as possible,” Grassley said. “Medicaid is one of the biggest programs that provides support for the disabled, and it doesn’t do enough to achieve the policy goal. States have financial disincentives to do more under the current system. This bill would try something different. For participating states, it would change the incentives and help states do what they’d really like to do to better serve individuals with disabilities.”
The Transition to Independence Act, S. 1604, would create a five-year, 10-state Medicaid demonstration program to give bonuses to states for helping individuals with disabilities achieve the goals of working and living in the community. It would encourage coordination among those who provide health services, housing, education and workforce training, transportation and other support to people with disabilities to maximize the outcome for the individual. The bill would be deficit-neutral. Grassley introduced the bill with Sens. Ron Wyden and Bob Casey.