But virtually no state does this. So nursing home placement has become standard operating procedure. Now it's taking a gargantuan effort to shift things. Despite the marketing, no one likes the idea of living in a nursing home. People want to be in charge of their own lives, in their own homes.
States have only a tiny bit left over to use for in- home services.
That'd give them an incentive. Gold will talk to attorneys about his winning suit so other cases can be filed. A state can get a waiver so it can waive the federal requirement that the program be statewide, for example. States do this when they apply for waivers because they want to make the program small, so it doesn't take too much money. It's an important tool that's being overlooked.