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In this blog, the author argues for a targeted federal tax credit to alleviate the prohibitive upfront costs of Wheelchair Accessible Vehicles (WAVs), which often exceed $70,000. Because individuals with physical disabilities face strict state Medicaid and SSI asset limits that prevent them from accumulating the necessary savings, existing state programs and manufacturer rebates offer insufficient relief. To bridge this financial gap, the policy proposal outlines a five-year pilot program providing a refundable $7,500 tax credit for new qualified WAVs, extending eligibility to family caregivers and capping vehicle prices at a Manufacturer’s Suggested Retail Price (MSRP) of $75,000 to prevent manufacturer price inflation. Crucially, the policy allows the credit to be transferred directly to mobility dealers at the point of sale, ensuring low-income families receive an immediate discount rather than paying thousands out-of-pocket for vital transportation infrastructure.

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A coalition of 25 states and Washington, D.C., has filed a lawsuit against the Trump administration to block a Centers for Medicare & Medicaid Services (CMS) rule that mandates Medicaid expansion recipients complete 80 hours of work, education, or community service per month to maintain their health insurance. Led by the attorneys general of California, Massachusetts, and New Jersey, the legal challenge argues that these requirements create complex administrative obstacles that will cause vulnerable individuals—including those with chronic health conditions—to lose vital healthcare coverage. Conversely, federal officials contend the policy will promote independence and skill-building. The lawsuit is politically notable as it unites traditional Democratic strongholds with six critical presidential battleground states, setting up a major clash over the role of government benefits and healthcare access.

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With the assistance of a state vocational rehabilitation agency, a student with a disability successfully achieved their lifelong dream of becoming a registered nurse. The program provided crucial support throughout their education, including a training grant for college tuition, transportation assistance to reach clinical sites, and valuable counseling that fostered essential self-advocacy skills. Today, they are successfully employed on the night shift at a specialized hospital unit helping patients recover and grow, fulfilling their desire to care for others. Looking to the future, they plan to gain a few years of clinical experience before returning to school to pursue a license as a nurse practitioner.

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A recent study highlights the significant and growing economic influence of working-age adults with disabilities in the United States, who now hold an estimated $675 billion in disposable income, including $107 billion in discretionary income. This population accounts for approximately 6.8% of total domestic disposable income, a growth driven by structural changes in the workforce such as the rise of remote work, accessible technologies, and more inclusive employer attitudes. While these findings underscore a massive, underserved consumer market and present a strong business case for prioritizing accessibility over simple legal compliance, notable income gaps and systemic barriers to wealth accumulation still persist compared to individuals without disabilities.

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Applications are now open for the 2026-2027 class of Partners in Policymaking. The Wisconsin Partners in Policymaking program is a six-session advocacy training to prepare future leaders around the state who can work with lawmakers and communities to support the inclusion of people with developmental disabilities in all aspects of life. Partners is funded by BPDD and covers costs associated with the training, hotel rooms, meals, and materials.

Applications due October 23rd 2026

Who can attend? 

We are looking for motivated individuals who want to create inclusive communities and are:

  • Parents or primary caregivers of children under 21 with developmental disabilities
  • Adults with developmental disabilities
  • Adult siblings or family members of individuals with developmental disabilities

Dates for the Class of 2026/2027 are:

  • November 13 & 14, 2026 (Madison*)
  • December 11 & 12, 2026 (Virtual only)
  • January 22 & 23, 2027 (Virtual only)
  • February 26 & 27, 2027 (Virtual only)
  • April 9 & 10, 2027 (Madison*)
  • May 14 & 15, 2027 (Madison*)

We want cultural and geographic diversity in the group attending. Participants will be chosen by a team of parents, self-advocates, and professionals.

If you have questions, please contact Jenny Neugart at jennifer.neugart@wisconsin.gov or (608) 266‐7707.

Partners in Policymaking
Application
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Wisconsin Medicaid Home and Community-Based Services Heightened Scrutiny


We want your input. 


The Wisconsin Department of Health Services (DHS) looks at certain home and community-based services (HCBS) settings more closely. The goal is to see if they can get paid by Medicaid for waiver-funded services. We call this process heightened scrutiny review. DHS wants your input on our findings. That’s why we’re opening a 30-day public comment period.

A setting can get paid by Medicaid if it is a home and community-based setting. The federal HCBS settings rule sets the guidelines. Guidelines say a setting is not home and community-based if it is:

  • In a publicly or privately owned facility providing inpatient treatment (including skilled nursing facilities).
  • On the grounds of, or next to, a public institution.
  • Keeps people away from others who don’t get Medicaid HCBS waiver services.

If any of these are true, then the setting needs a heightened scrutiny review to see if it is home and community-based.

DHS has found enough evidence to show that the new settings meet the HCBS settings rule and aren’t institutional. View the settings (PDF) under review and their supporting documentation. You can find more information on the Heightened Scrutiny webpage

Public comment is a time to share your thoughts on the submitted documentation and onsite visit.

Submit your comments by August 15, 2026. You can:

  • Email your comments to DHS at DHSHCBSHeightenedScrutiny@dhs.wisconsin.gov.
  • Mail your written comments to:
    Division of Medicaid Services
    Bureau of Programs and Policy
    Attn: Public Comments–Wisconsin Medicaid HCBS Heightened Scrutiny
    PO Box 309
    Madison, WI 53703-0309

You can get paper copies of the evidentiary summaries mailed to you. Call 877-498-9525.

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According to a June 2026 report by KFF, the long-term care sector relies heavily on immigrant workers, who made up 30% of the hands-on care workforce in 2024. This group includes both naturalized U.S. citizens (18%) and noncitizens (12%) working as nursing assistants, personal care aides, and home health aides, with many coming from countries like Mexico, the Dominican Republic, the Philippines, China, Jamaica, and Haiti. Because the senior living and care industry depends so much on these employees, industry advocacy groups warn that even small changes to federal immigration policies—such as a recent Supreme Court ruling allowing the government to end temporary protected status for immigrants from Haiti and Syria—can immediately cause severe staffing shortages for care providers across the country.

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A quadriplegic man from Fox Crossing, Wisconsin, is embarking on a 20-day journey to the state Capitol in his wheelchair to advocate for disability and caregiver rights. In addition to protesting the low pay of home health aides, he is targeting recent $900 billion Medicaid cuts and a new Justice Department opinion that he believes undermines the Americans with Disabilities Act by favoring institutional funding over home and community-based care. Emphasizing that home care is essential for the independence, mental health, and dignity of individuals with disabilities, he plans to arrive in Madison on August 1st, where he has invited others to join him for the final mile before he delivers a speech at the Capitol.



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In celebration of Disability Pride Month and the anniversary of the Americans with Disabilities Act this July, the Wisconsin Department of Natural Resources (DNR) is highlighting its universal recreation options across the Wisconsin State Park System. The initiative showcases accessible infrastructure and adaptive equipment available for visitors, including all-terrain wheelchairs, adaptive kayaks, beach access mats, barrier-free camping cabins, and sensory-friendly bags at nature centers. To encourage inclusivity, the DNR is hosting a variety of universally accessible events throughout the month—ranging from guided hikes to live music—and has updated its online events calendar with a "universal recreation" filter to help families easily locate accessible activities and properties year-round.

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This blog highlights disability inclusion as an essential, proactive requirement for effective leadership rather than an optional or reactive practice. True inclusive leadership involves intentionally dismantling barriers and building a culture of psychological safety where all team members feel valued, respected, and empowered to succeed before being asked for accommodations. By implementing straightforward daily practices—such as providing resources in multiple formats, hosting physically accessible events, and incorporating closed captioning—leaders can foster environments that boost innovation, resilience, and employee satisfaction. Ultimately, prioritizing accessibility and actively supporting disabled employees allows organizations to unlock their team's full potential and drive broad, positive impact.

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