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Senior and disability services face tight FY27; HCBS supplemental likely, department warns
Summary
DHSS staff told lawmakers FY27 home‑and‑community‑based services (HCBS) and Area Agency on Aging lines remain under pressure; department officials said a supplemental is likely for HCBS and confirmed reductions to smaller programs including the Give 5 volunteer effort and some caregiver supports.
Department leaders told the committee they expect continued pressure on home‑and‑community‑based services (HCBS) and that the FY27 operating budget may not eliminate the need for a supplemental appropriation.
Melanie Hyland, director of the Division of Senior and Disability Services, described four program components — HCBS, adult protective services, senior programs and the long‑term care ombudsman — and explained how statutory funding and intrastate formulas distribute money to Area Agencies on Aging (AAAs). Committee members pressed for detail on two HCBS cores (self‑directed and in‑home models) that together represent more than half of an approximately $1.3 billion Medicaid HCBS program.
On supplemental timing and amounts, Hyland said the cost‑to‑continue figures reflect service levels through June 30, 2026, and that historically the program has required supplemental requests. She acknowledged the department expects to return with a supplemental for FY27 and that the split between GR and federal funds can vary due to FMAP calculations and utilization. "I do believe we will need a supplemental because that is how this program has been operating," Hyland said.
Members also questioned reductions to senior programs, including a $1 million reduction to caregiver supports and elimination of the Give 5 volunteer recruitment program. Hyland said communities and national volunteer groups may continue such recruitment work but the state will not fund the program at the requested level under present revenue constraints.
Representatives sought AAA expenditure detail and monitoring information for senior‑meal programs; the department agreed to supply per‑AAA expenditure breakdowns to the committee.
