{"id":180725,"date":"2025-09-25T11:50:13","date_gmt":"2025-09-25T11:50:13","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/180725\/"},"modified":"2025-09-25T11:50:13","modified_gmt":"2025-09-25T11:50:13","slug":"pa-disability-advocates-long-term-care-facilities-brace-for-ripple-effects-of-medicaid-cuts","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/180725\/","title":{"rendered":"Pa. disability advocates, long-term care facilities brace for ripple effects of Medicaid cuts"},"content":{"rendered":"<p>On the outskirts of Philadelphia, near the border of Bala Cynwyd, Pennsylvania sits an impressive castle-like stone building. The site has been home to residents of Inglis House for nearly 100 years.<\/p>\n<p>People in wheelchairs zoomed in and out of the main lobby on a recent Tuesday. Others, also in wheelchairs, participated in demonstrations on pickleball and bowling in a large room with a cavernous ceiling.<\/p>\n<p>Outside in a large courtyard with manicured lawns and a fountain, residents enjoyed the warm weather and clear skies.<\/p>\n<p>\u201cHey, Jen. How are you, lady?\u201d a nursing administrator called out as she walked down a pathway.<\/p>\n<p>\u201cGood. You?\u201d a woman answered as a nurse pushed her wheelchair by.<\/p>\n<p><a href=\"https:\/\/www.inglis.org\/programs-and-services\/inglis-house\" class=\"Link\" target=\"_blank\" rel=\"nofollow noopener\">Inglis House<\/a> is a residential nursing facility that provides long-term care for about 180 people with disabilities. Uniquely, it\u2019s a wheelchair community that includes people of all ages and conditions.<\/p>\n<p>It has a physical therapy department, a small grocery store in the basement, a library and recreation rooms.<\/p>\n<p>Aaron Deede, 43, moved in about two years ago. He needs help with some medical issues and activities of daily living after surviving an accident two decades ago, but retaining some independence remains important.<\/p>\n<p>At Inglis, he\u2019s not restricted to a hospital bed and is one of the busiest residents at the facility. He\u2019s in a band, which practices a couple times a week, and is a member of the theater group.<\/p>\n<p>\u201cI\u2019m never in my room,\u201d Deede said. \u201cThat\u2019s why I love this. There\u2019s always something to do.\u201d<\/p>\n<p>    <img decoding=\"async\" class=\"Image\" alt=\"A white man sitting in a wheelchair holds a trophy while wearing several medals. A white woman is leaning next to him in an embrace.\"  width=\"880\" height=\"629\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/09\/1758801012_695_\"\/><\/p>\n<p>    Aaron Deede and his mother, Ann Phillips, at the 2024 Keen Games wheelchair sporting event at Inglis House in Philadelphia.<\/p>\n<p>Most of Deede\u2019s care is covered by Medicaid, just like 93% of all residents at Inglis.<\/p>\n<p>It was a relief for his mother, Ann Phillips, who had been caring for her son at home in Wilmington since his accident. Phillips and her husband struggled to do it on their own as they got older.<\/p>\n<p>\u201cIt checked off all the boxes I believe didn\u2019t exist anywhere,\u201d she said of Inglis House. \u201cI was thrilled. I thought it was an answer to my prayers. I can have peace of mind and he can have what he dreamed of.\u201d<\/p>\n<p>But Phillips said she worries about how long this \u201cpeace of mind\u201d will last in light of impending federal funding cuts that could have downstream effects on nursing facilities <a href=\"https:\/\/whyy.org\/articles\/medicaid-pennsylvania-cuts-shapiro\/\" class=\"Link\" target=\"_blank\" rel=\"nofollow noopener\">and health care<\/a>.<\/p>\n<p>\u201cI\u2019m really, really scared, because I cannot replicate what he\u2019s got,\u201d she said. \u201cIt is keeping me awake.\u201d<\/p>\n<p>The Trump administration\u2019s <a href=\"https:\/\/whyy.org\/articles\/president-donald-trump-signs-spending-bill-july-fourth-white-house-picnic\/\" class=\"Link\" target=\"_blank\" rel=\"nofollow noopener\">2025 Budget Reconciliation Act<\/a>, also known as the \u201cOne Big Beautiful Bill,\u201d includes major <a href=\"https:\/\/whyy.org\/articles\/pennsylvania-legislators-react-trump-house-gop-spending-bill\/\" class=\"Link\" target=\"_blank\" rel=\"nofollow noopener\">changes and cuts<\/a> to health insurance programs like Medicare and Medicaid, which cover seniors and people with low incomes, including people with disabilities.<\/p>\n<p>Supporters of the act claim that the changes should not affect <a href=\"https:\/\/www.npr.org\/2025\/07\/23\/1256100356\/1a-medicaid-cuts-07-23-2025\" class=\"Link\" target=\"_blank\" rel=\"nofollow noopener\">vulnerable populations<\/a> who depend on these programs, but Pennsylvania health policy experts and disability advocates say that\u2019s highly unlikely.<\/p>\n<p>\u201cI think there is a lot of reason to be concerned that vulnerable people in our community are going to suffer as a result of this bill,\u201d said Dr. Rachel Werner, executive director of the Leonard Davis Institute of Health Economics at the University of Pennsylvania.<\/p>\n<p>Predicted funding losses at long-term care facilities<\/p>\n<p>Many people who use wheelchairs need high levels of daily care and who can\u2019t work to fully support themselves financially because of disabilities will remain eligible for Medicare and Medicaid.<\/p>\n<p>They won\u2019t lose their health insurance, but experts predict that Pennsylvania will receive fewer federal Medicaid dollars overall in the coming years because of cuts to other populations and parts of the program.<\/p>\n<p>As a result, the state may cut <a href=\"https:\/\/www.pa.gov\/agencies\/dhs\/resources\/for-providers\/ltc-providers\/nursing-facilities-rates\" class=\"Link\" target=\"_blank\" rel=\"nofollow noopener\">payment rates<\/a> to nursing homes across the commonwealth, which could force some nursing facilities to lay off staff or freeze hiring and wages, cut optional health care services and scale back activities and programs for residents, Werner said.<\/p>\n<p>\u201cWhich is all very concerning, because it reduces quality of life for residents,\u201d she added.<\/p>\n<p>A facility may also reduce its census, or the number of beds and people it serves.<\/p>\n<p>\u201cBecause they\u2019re going to lack the staff and the ability to care for those residents in a safe manner,\u201d Werner said. \u201cThis is going to further reduce the revenue nursing homes have and ultimately could lead to nursing homes closing.\u201d<\/p>\n<p>These are the scenarios that Inglis is fighting to prevent, said Dyann Roth, president and CEO. The organization has been regularly fielding calls and questions from residents and their families concerned about how care could change at the facility.<\/p>\n<p>    <img decoding=\"async\" class=\"Image\" alt=\"A white woman smiles while sitting in a chair.\"  width=\"880\" height=\"587\" loading=\"lazy\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/09\/1758801012_270_\"\/><\/p>\n<p>    Dyann Roth is president and CEO at Inglis, which operates a nursing home, more than 400 units of affordable and accessible housing options for people with disabilities, employment support services and other programs.<\/p>\n<p>Leaders and providers are worried, too, Roth said, because the stakes are high.<\/p>\n<p>\u201cWe have human beings\u2019 lives at risk,\u201d she said.<\/p>\n<p>The goal is to keep as many services and people as possible, Roth said. In order to do that, she said that Inglis has to prepare as best as possible for funding losses.<\/p>\n<p>\u201cWe have to look at contingency plans for the future to mitigate the effects that we know are going to come. We just don\u2019t know when and to what degree,\u201d she said.<\/p>\n<p>Plans involve looking into opportunities to bring in more money from other kinds of insurance programs and revenue streams, without spending more to do so.<\/p>\n<p>It can also include using technology to supplement or support care, and find more efficient ways to provide existing services.<\/p>\n<p>\u201cBecause the cost is just going to keep going up,\u201d Roth said. \u201cBut I think it\u2019s when we do our most innovative work.\u201d<\/p>\n<p>Increasing awareness in communities<\/p>\n<p>Inglis resident Ru Amagasu, 59, has been carefully following the debate around the new federal law and how funding cuts could potentially affect his home and care someday.<\/p>\n<p>He recently organized a rally outside the facility to raise awareness in the community and keep people focused on the issue.<\/p>\n<p>\u201cPeople are living their lives and have enough difficulties as it is, so having these other circumstances and people living this other life doesn\u2019t occupy many people\u2019s concerns or thoughts,\u201d he said. \u201cIt\u2019s hard to get the word out, but I think it\u2019s important.\u201d<\/p>\n<p>Inglis is a special place, he said, one that has both the health care resources and the social and community pieces that make it an ideal place to live, especially for younger people with disabilities.<\/p>\n<p>Amagasu, who has used a power wheelchair since surviving an accident in 2017, moved into Inglis just before the pandemic.<\/p>\n<p>\u201cSome of these circumstances that happen to people, it\u2019s just kind of out of the blue, so I think it\u2019s really important to have these kinds of facilities able to take care of folks,\u201d he said.<\/p>\n<p>Read more from our partners, <a href=\"https:\/\/whyy.org\/articles\/pennsylvania-disability-long-term-care-facilities-medicaid-cuts-impact\/\" class=\"Link\" target=\"_blank\" rel=\"nofollow noopener\">WHYY<\/a>.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/ssl.google-analytics.com\/collect?v=1&amp;t=event&amp;tid=UA-1815875-15&amp;cid=4dd35ef5-217a-5a0e-8ce5-2029ae7032ca&amp;ec=Partner%20View&amp;ea=pageview&amp;el=WESA\"\/><\/p>\n","protected":false},"excerpt":{"rendered":"On the outskirts of Philadelphia, near the border of Bala Cynwyd, Pennsylvania sits an impressive castle-like stone building.&hellip;\n","protected":false},"author":2,"featured_media":180726,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[97,252,253],"class_list":["post-180725","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-health","tag-health-care","tag-healthcare"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/180725","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=180725"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/180725\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/180726"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=180725"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=180725"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=180725"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}