This fact sheet provides an overview of Home and Community-Based Services (HCBS) in New Jersey — which is paid for by Medicaid, not Medicare — and their vital role in supporting the health and well-being of older adults and disabled people, allowing them to stay in their homes and communities as they age, and makes the case for why New Jersey must commit to maintaining and expanding these vital supports in spite of federal and other fiscal threats. The passage of the Budget Reconciliation Act (H.R 1 Public Law No. 119-21) on July 4, 2025, restricts Medicaid funding to states. New Jersey is anticipated to lose billions in federal funding as a result of these changes, placing HCBS and other optional benefits at risk for cuts in the state.