chevron overturned, HUD "OLMSTEAD VOUCHERS," 2nd Trump Administration & Olmstead

Val's Take/Conjecture

• In 2015, CMS (the Centers for Medicare & Medicaid Services) determined that Medicaid would NOT COVER HOUSING but would cover "Housing-Related Services" and even "Olmstead Planning."
• Under the first Trump Administration, Attorney General Jeff Sessions withdrew over 20 pieces of US Department of Justice "Guidance."​
• But it would be the US Supreme Court that overturned the Chevron Doctrine this year in 2024 and held such Executive Agency Guidance was not binding.
• The 1999 Olmstead Supreme Court decision was about a "Comprehensive, Effectively Working State Plan for People with Disabilities"  --- "moving at a reasonable pace."​
• The most glaring failure has been the failure to provide adequate housing for people with disabilities.
• In Denver, the city took on the task of housing people with disabilities ---- it was seemingly was after the fact that city officials realized these were people with disabilities and needed a fair amount of case management, etc.
  • Val's Take:  One of the things that is so confusing about the Neuro-Developmental/Psychiatric Continuum 
    • Most of the people on it do have an IQ over 70, sometimes a lot over 70
    • They are dealing with idiosyncratic pre-natal Neuro-Developmental Disorders to the Immune System, Microbiome, and Endocrine System as well as the Central Nervous System.
    • Further, the environmental INFLAMMATORY HITS can be exaggerated by pre-natal Maternal Immune Activation.
    • Biomarkers are important for individualized, personalized treatment.

​HUD Takes Action to Support Community Living for People with Disabilities (August 2024)

​After 25 years of Olmstead, it became painfully obvious that there were not enough housing resources for people with disabilities in most states, and it wasn't getting addressed ---- except maybe by Denver Mayor Mike Johnston and he was relying at least in great part on Federal Housing Vouchers.

Could a 2nd Trump Administration roll back "Olmstead Housing Vouchers" --- It could but it may not want to.

If HUD can cover Housing Vouchers, I think that makes the process of "Olmstead Planning" much easier for all the Stakeholders.

I don't think a 2nd Trump Administration is going to be focused on Olmstead Enforcement --- but there could be encouragement of reasonable, flexible plans to address the needs of people of disabilities who are institutionalized or at risk of institutionalization.