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Public Statement: DDA Budget Cuts and Proposed Waiver Amendments

Public Statement DRM re: DDA Budget Cuts and Proposed Waiver Amendments, May 2026 

Disability Rights Maryland (DRM) is aware of and deeply concerned by the recent budget reductions and accompanying proposed waiver amendments affecting services delivered through the Maryland Developmental Disabilities Administration (DDA), including cuts to both the provider-managed model and self-directed services model.  

While we recognize the fiscal challenges facing Maryland and the importance of DDA remaining fiscally solvent, budget pressures do not diminish the State’s legal obligations. Maryland must ensure that any change to service delivery under the waiver does not undermine the legal rights of individuals under the Americans with Disabilities Act and Olmstead v. L.C., which require that services be delivered in the most integrated, least restrictive setting appropriate to each individual. Home and Community-Based Services (HCBS) exist to enable individuals with disabilities to live, work, and fully participate in their communities. Budget cuts and waiver amendments that limit access to community-based services increase the risk of unnecessary institutionalization, service disruption, and serious harm to individuals with disabilities.  

We are particularly concerned by reports from people with disabilities, families, and providers that their input has not been meaningfully considered by DDA in the development of these proposals. The lack of transparency and communication regarding these budget cuts and proposed waiver amendments undermines trust and makes it more difficult for affected Marylanders to understand and anticipate changes that directly impact their daily lives. 

As Maryland’s Protection and Advocacy Agency, DRM is closely reviewing the proposed cost-containment measures and will assess their legality under federal and state law. We will submit formal comments regarding the proposed waiver amendments. The text of the waiver amendments are available at the following link on the MD Department of Health website: https://health.maryland.gov/dda/Pages/Community-Pathways-Waiver-Amendment-4-2026.aspx.  

DDA has posted information about regional webinars about the waiver amendments and budget cuts at the above website as well.  We encourage all interested parties to stay engaged as information becomes available and consider submitting comments on the proposed waiver amendments.  

DRM will examine these proposals from a systemic perspective and, where possible, represent individuals in challenging reductions or denials of services to protect people with disabilities from unnecessary institutionalization. However, these changes will affect thousands of Marylanders, and DRM can only represent a limited number of individuals in their personal situations.  We therefore encourage individuals and families to seek additional advocacy resources where available. 

We urge the State to work openly and collaboratively with people with disabilities, families, providers, and advocates to identify solutions that preserve access to necessary home and community-based services without compromising the well-being and fundamental rights of people with disabilities.  

 

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Charting the Life Course Workshop

Young man with short brown hair smiling at camera wearing black glasses and a red tshirt

DRM is hosting a workshop helping student beneficiaries of Social Security age 14-21 and their parents problem-solve and build a plan for specific goals around employment.

We will use the Charting the LifeCourse framework to help students, and their parents develop their vision for a good life, think about what they need to know and do to prepare for future employment, identify how to find or develop supports, and discover what it takes to live the lives they want to live. 

 

Date: Saturday, May 30, 2026 at 9am – 3pm

Location: Disability Rights Maryland, First Floor Conference Rooms, 1500 Union Ave # 2000, Baltimore, Maryland 21211 

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DRM Statement about Snow and Ice in Travel Paths

DRM Statement, January 29, 2026 

 

We recognize that this storm has created serious challenges, and that extremely cold temperatures and repeated freeze–thaw cycles make snow and ice removal more difficult. We appreciate the actions Baltimore City and Maryland are taking and their efforts to communicate with residents. At the same time, more must be done to ensure that people with disabilities are not left without access to transportation, medical care, work and their communities. 

 

When sidewalks, curb cuts, and bus stop boarding areas are not fully cleared of snow and ice, people with disabilities can be effectively cut off from public transit and daily life, even after roads become passable. For wheelchair users, people who use walkers or canes, and many other people with disabilities, a single blocked curb ramp can make an entire trip impossible. In situations like these, we routinely hear that people miss medical appointments, cannot get to work, or are forced to remain at home days after a storm because the pedestrian network is only partially cleared. When sidewalks are impassable, people are often forced into the street to get around snowbanks or ice, creating serious and predictable safety risks. 

 

These impacts are compounded during prolonged cold snaps like the one Maryland is experiencing now, where hardened snow and refreezing turn untreated areas into sheets of ice. In these conditions, accessibility barriers are not just inconvenient; they are dangerous and exclusionary. 

 

These issues are also not new. Baltimore has a history of inaccessible sidewalks and curb ramps. The City is operating under the Goodlaxson1 partial consent decree. Under the ADA and the Goodlaxson consent decree, Baltimore has an obligation not only to build accessible sidewalks and curb ramps, but to maintain them in a condition that people with disabilities can actually use. The decree also mandates an annual public initiative to educate the public on the need for timely removal of snow and other debris from curb ramps and pedestrian walkways that provide access to bus stops and public transportation stations. 

 

Maintenance also means clearing sidewalks to a fully usable path width, not just a narrow trench. After snowstorms, sidewalks are often cleared only to a narrow, shovel-width path. While well-intentioned, this does not accommodate wheelchair users, people with walkers or other mobility devices, or others who need space and stability to move safely. For many, including people with visual disabilities, these narrow and uneven paths can be disorienting and hazardous. A path that narrow is functionally unusable and can be just as exclusionary as no clearing at all. 

 

In Baltimore City, residential and commercial property owners are legally required to clear snow and ice from sidewalks within three hours after a snowfall ends, or by 11:00 a.m. if snowfall stops between 3:00 p.m. and 6:00 a.m. While enforcement may vary during extreme conditions, these requirements exist because sidewalks are part of the public pedestrian network and must remain accessible to everyone. The Baltimore Snow Corps pilot program reflects an important recognition that older adults, people with disabilities, and others may need assistance clearing sidewalks. 

 

These conditions also directly affect people who rely on paratransit services, who must be able to safely access the vehicle. When sidewalks are icy, narrowed, or blocked, people may be unable to reach the pickup point, board the vehicle safely, or navigate from the drop-off location to their destination. The result is that people may lose access to essential services, not necessarily because the service is unavailable, but because the surrounding pedestrian environment makes it unusable.  

 

For many riders with disabilities, buses running does not mean transit is usable if sidewalks, curb ramps, and bus stops remain blocked or unsafe. Without clear and accessible paths to reach buses, people remain effectively cut off from transportation and community access even as service resumes. 

 

If roads reopen but sidewalks, curb ramps, bus stops, and pedestrian routes remain blocked or constricted, transportation and community access are “open” in name only for people with disabilities. True recovery from a storm requires clearing the full accessible travel path so that people with disabilities can safely move through the city and maintain access to care, work, and community life on the same timeline as everyone else. 

 

 

Gabriel Rubinstein 

Managing Attorney 

Disability Rights Maryland 

 

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A Mother’s Fight for Fairness — Linda and Troy’s Story

Photo of Linda and her son Troy. Linda is a older White woman with short blonde hair wearing a purple sweater and squatting down next to Troy and smiling at him. Troy is an older White man sitting in a sofa chair. He is wearing a red sweater and sitting under a blue blanket.

When Linda talks about her son Troy, her face lights up. “He’s my inspiration,” she says. Troy is almost 57 and has lived his entire life with tuberous sclerosis, a rare genetic disorder that causes tumors to grow in the brain and other organs. It has meant years of seizures, developmental delays, and constant medical care — but it has also meant a lifetime filled with joy, humor, and resilience.

Troy grew up surrounded by love. As a baby, he started having seizures at six months old. Doctors didn’t know what was wrong at first. The condition wasn’t widely recognized in the U.S. at the time. Still, Linda pushed for answers. She worked full-time, raised her son, finished her degree at Towson University, and completed a master’s program at Johns Hopkins — all while becoming Troy’s fiercest advocate.

“I knew I needed to learn everything I could,” she says. “Nobody gives you a manual when your child is born.”

Eventually, specialists at Kennedy Krieger and Johns Hopkins finally diagnosed Troy. The seizures, the tumors, the developmental delays — it all made sense at last. And from that moment on, Linda built her life around making sure Troy got the support he needed to live safely and with dignity.

For decades, Troy had funding for one-on-one community support — a service that provided trained staff to help him move safely through daily life. With multiple seizure types and mobility challenges, Troy cannot go out alone. He needs someone with him when he walks, travels, or even gets into a car.

“It’s common sense,” Linda says. “He’s medically fragile. He needs help.”

But in December of last year, everything changed.

Linda got a letter saying the state planned to cut Troy’s one-on-one services — support he had received for nearly a decade. The explanation was vague. The reasons didn’t make sense. And no one could tell her exactly what was “wrong” with his paperwork.

“It felt like trying to play a game when you don’t know the rules,” she says.

The nursing plan? They said it wasn’t “adequate.”
The personal plan? They said it wasn’t “current enough.”

When Linda pressed for details, she got none.

Her heart dropped.

She knew what losing that funding would mean: fewer outings, more isolation, and far more risk. Troy’s health had already declined. He now used a G-tube for feeding and had trouble walking on his own. Removing support now wasn’t just confusing — it was dangerous.

“I thought, ‘You’re taking away the very thing that keeps him safe?’” she remembers. “I couldn’t accept that.”

So, Linda did what she’s always done. She fought. Hard.

She gathered letters from doctors, including the state’s only adult tuberous sclerosis specialist. She pushed for updated assessments, collected months of documentation, organized support from his provider agency, and searched for someone — anyone — who could help her navigate the confusing system. A system she had worked in for over 4 decades in various capacities.

That’s when she called Disability Rights Maryland.

“When the phone rang and someone said, ‘We got your message, please be patient,’ it meant everything to me,” she says. “Just to be heard.”

From there, Linda connected with an attorney who took her concerns seriously, explained her options, and guided her through the appeal process. For the first time in months, she didn’t feel like she was fighting alone.

And she was determined to do more than win for just her son.

“This isn’t only about Troy,” she said. “This is about every family who gets a letter they don’t understand. Every parent who’s older. Every person who doesn’t have someone to fight for them.”

And for the next seven months, that’s what she did — with a team behind her and her son beside her.

When Families Fight Alone — and Why No One Should Have To

By the time the spring arrived, Linda had spent months chasing paperwork, calling agencies, collecting medical letters, and pushing through a process that felt confusing at every turn. And she knew she wasn’t the only one.

Across Maryland, families of people with disabilities were quietly losing services — sometimes without clear explanations, sometimes without the tools to fight back, and sometimes without anyone in their corner.

“I kept thinking about parents who are in their 70s, caring for adult children in their 50s,” she says. “What happens to them when the state takes away funding? Who helps them when they don’t even know where to start?”

Fear and confusion are powerful barriers. Many people give up before they even begin.

“Fear keeps you stuck in the mud,” Linda says. “But you can’t let it win. You can’t do it alone either.”

That’s why she kept pushing.

With guidance from a DRM attorney, Sandy Balan, she learned about a process she didn’t even know existed: a case resolution conference. It was a chance to meet directly with the state and present updated information before going to a full hearing.

And Troy could be part of it.

Linda arranged for the meeting to take place at Troy’s home. His longtime house manager set up the video screen. Staff members joined. And when the state representatives logged in, they didn’t just see paperwork — they saw Troy, a strategic decision by Linda.

They saw him walk carefully with a gait belt.
They saw his fatigue.
They saw the reality of his health after a year of decline.

“They said, ‘We didn’t know things had changed this much,’” Linda remembers.

For the first time, she felt the system pause long enough to truly see her son.

And that changed everything.

Within weeks, the state reinstated Troy’s one-on-one community support. The funding he had relied on for nearly a decade would return in December.

“I knew we won right there,” Linda says. “Not just for us — but for everyone who needed somebody to keep fighting.”

But the victory also underscored a deeper problem.

Many families don’t know their rights. Many don’t know where to ask questions. And too many feel defeated before they begin.

The letters are confusing.
The rules are unclear.
The deadlines are tight.
And the stakes are enormous.

“People are losing services for reasons they don’t even understand,” Linda says. “It shouldn’t take a master’s degree, decades of experience, and a full team of professionals just to keep someone safe.”

That is exactly why Disability Rights Maryland matters.

DRM completed the team she needed: the attorney who knew the law, the guidance to gather evidence, and the reassurance that she didn’t have to navigate the system alone.

“You were the wind beneath my wings,” she says. “I slept at night because I knew you were behind me.”

Now, Linda wants other Maryland families to know that help exists — and they deserve to use it.

Her advice is simple and powerful:

  • Don’t give up before you start.
  • Build a team from people who already care about your loved one.
  • Ask questions until you get clear answers.
  • Lean on professionals and friends who support you.
  • And don’t let fear make you believe you’re alone.

Because no family should have to fight this hard for basic safety. No one should lose services because they didn’t understand a form. And no one should feel abandoned in a system that is supposed to protect them.

Troy is doing better now. His nutrition is stable. His care team understands his needs. And thanks to his reinstated funding, he can continue to go outside with the support he needs to stay safe.

“He’s resilient,” Linda says. “He inspires me every day.”

Her hope is that Maryland listens — not just to her, but to every family fighting quietly in the background.

“Why take away support from people who need it most?” she asks. “It’s wrong. And it’s happening more than people realize.”

Troy is an older White man smiling next to a horse.

Linda and Troy’s story makes one thing clear:

Families shouldn’t have to fight these battles alone. And because of supporters like you, they don’t have to.

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