Washington, D.C.’s adult day care sector is entering 2026 under heightened regulatory attention as the District continues strengthening oversight across community-based and long-term care services. Unlike rural states where access is the primary challenge, D.C.’s focus is increasingly centered on care quality, documentation accuracy, and operational transparency in a dense,

North Dakota’s adult day care and community-based care sector is entering 2026 shaped by continued reliance on Medicaid Home- and Community-Based Services (HCBS) to meet care needs across a largely rural state. Over the past several months, state Medicaid planning and budget priorities have reinforced the importance of sustaining community-based

Alaska’s adult day care and community-based care sector is entering 2026 shaped by continued reliance on Medicaid Home- and Community-Based Services (HCBS) to meet care needs across one of the most geographically challenging states in the country. Recent Medicaid planning and budget priorities reinforce the importance of sustaining community-based care