Community Integration Policy

Every person with a disability has the right to live, work and fully participate in the community.

CPR advocates for federal and state policies to ensure all people with disabilities have the opportunity to live, work and fully participate in their communities.

CPR also is a critical resource for advocates and state agencies regarding implementation of the Medicaid Home and Community-Based Services (HCBS) Settings Rules. In January 2014, the federal government issued rules that for the first time define what is required for a setting to be considered community-based. These new rules will ensure that people who receive HCBS have access to the benefits of community living, meaning they are integrated in the broader community, they are making choices about their daily lives, and they have opportunities to work in real jobs at fair pay. CPR is leading a coalition of national disability organizations working to ensure implementation of the HCBS settings rules achieve systems change so that people with disabilities can live, work, receive services, and fully engage in community life.  Learn more about the HCBS settings rules, the HCBS Advocacy Coalition, and states’ progress on transition plans.

CPR also engages in advocacy to ensure that people with disabilities not only have opportunities for integration in where they live, but also where they spend their days. Opportunities for competitive integrated employment – work in community jobs alongside co-workers without disabilities and at real pay – is essential to integration of people with disabilities.   Learn more about the CPR’s policy work around employment.

People with disabilities can live, work and fully participate in their communities with access to needed supports. Medicaid is the primary source of community services for people with disabilities. CPR engages in policy to protect Medicaid’s community-based services and advocate for additional funding and incentives for these services.  Learn more about CPR’s policy work around Medicaid.

Children belong in homes with families in the community, not in institutions.  That includes children with disabilities.  After the American Academy of Pediatrics (AAP) issued a clinical report in 2014 focused on congregate care settings, such as nursing homes, for children with complex medical conditions and developmental disabilities.  CPR brought together a coalition of experts on family-based options for children with complex medical needs that worked to educate the AAP about these options.  As a result of this advocacy, the AAP issued an addendum to the clinical report describing these family-based alternatives.