The potential impact of policy changes under a Trump administration on In-Home Supportive Services (IHSS) is a subject of concern for recipients, providers, and advocates. IHSS programs provide vital assistance to individuals with disabilities and seniors, enabling them to remain in their homes and avoid institutionalization. These services encompass a range of supports, including personal care, domestic services, and paramedical care, tailored to individual needs.
Historically, IHSS funding relies on a combination of federal and state contributions. Federal Medicaid funding plays a significant role in supporting these programs. The level of federal support, and the conditions attached to it, directly influence the scope and availability of IHSS. Any alterations to federal Medicaid policy could have cascading effects on state-level IHSS programs, potentially impacting eligibility criteria, service hours, and provider reimbursement rates.