Policy priority

HCBS Investment

Invest in the lowest-cost, most-preferred care setting: home.

The challenge

Ohio's aging population requires expanded access to home and community-based services.

Why it matters

Nine out of ten Ohioans prefer to age at home, and home care costs a fraction of institutional care.

What the Alliance supports

  • Increased HCBS funding in the state budget
  • Reinvesting unspent HCBS dollars into provider rates instead of treating them as surplus

Evidence

Unspent HCBS funds are not a surplus — they signal a capacity deficit where agencies lack the staff to fill authorized hours.

“Invest in care at home.”