64% of Wisconsin nursing home residents rely on Medicaid for their care. Wisconsin's Department of Health Services estimates billions in additional state costs if federal Medicaid reductions move forward. But if Medicaid funds shrink, Wisconsin programs like Family Care and IRIS (Include, Respect, I Self-Direct) will feel it too. Home health agencies already run on thin margins, and cuts or restrictions on how states raise funds mean less flexibility to protect home-based services. A recent analysis by state disability and aging organizations warned unpaid caregivers in Wisconsin will shoulder even more responsibility if Medicaid reductions go through.

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