South 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. Policy direction over the past several months has reinforced the importance of maintaining access to non-institutional care options,

Delaware’s adult day care and community-based care sector is entering 2026 shaped by a steady expansion of Medicaid Home- and Community-Based Services (HCBS). State policy over the past several months has continued to emphasize aging in place, care coordination, and accountability across community services, reinforcing a long-term shift away from

Rhode Island’s adult day care and community-based care sector is entering 2026 shaped by a continued policy shift away from institutional care and toward services that support aging in place. Over the past several months, the state has expanded and refined its Medicaid Home- and Community-Based Services (HCBS) framework, reinforcing

Montana’s adult day care and community-based care sector is entering 2026 shaped by policy decisions aimed at stabilizing services in a state defined by rural geography and an aging population. Over the past several months, Montana has expanded Medicaid support for home- and community-based services as part of broader efforts

New Hampshire’s adult day care and community-based care sector is entering 2026 amid policy changes designed to stabilize the workforce and protect access to services for older adults and individuals with disabilities. Recent Medicaid rate adjustments and workforce-focused initiatives signal a continued commitment to home- and community-based services, even as

Maine’s adult day care and community-based care sector is heading into 2026 amid important policy and funding developments that directly affect how services are delivered and sustained. On one side, the state is moving forward with legislation to strengthen aging services through increased funding for community support programs. On the

Hawaii’s adult day care and community-based care sector is entering 2026 under growing pressure from two converging realities: a rapidly aging population and persistent workforce challenges across long-term care services. In response, the state has expanded Medicaid support for home- and community-based services, signaling a renewed focus on keeping older

Idaho’s adult day care and community-based care sector is facing renewed pressure as recent Medicaid reimbursement rate cuts begin to take effect. Entering 2026, providers across the state are raising concerns that reduced Medicaid funding could impact service availability, workforce stability, and long-term sustainability for programs that support older adults