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Medicaid Waivers Support Independent Living for Disabled Americans

For decades, U.S. policy has supported disabled Americans living outside of institutions. Federal and state discussions on Medicaid funding could impact these long-standing programs.

07/18/2026 · Ashford edition

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Why it matters locally: Medicaid waivers are crucial for many disabled Alabamians, allowing them to receive in-home care and maintain independence, similar to the story highlighted nationally. The Alabama Medicaid Agency administers these waivers, impacting thousands of residents across the state.

Rebecca Anger, 57, has received personal care services through Medicaid waivers since 1989. These services enable her to live in her own home in Arizona. Anger became paralyzed following an accident when she was seven years old. She lives independently; her closest family member resides approximately 100 miles away. Micaela, one of Anger's attendants, has worked with her for seven years. Anger stated, "She knows what I need before I need it, and that’s what makes for a good caregiver." Anger reported, “I will lose my life, plain and simple, if I lose my care.” Anger earned a master's degree in public health. She worked for the state health department and advised state officials on disability policy. She also served on local and state boards, advocating for disabled Americans while managing her own care. Anger participates in adaptive sports, including skiing and kayaking.

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