Local disability advocates and service providers are raising concerns about potential cuts to Medicaid-funded support programs under changes proposed in Gov. Bob Ferguson’s 2026 supplemental budget. According to reporting by The Columbian, advocates estimate that as many as 5,000 Washington residents with developmental and intellectual disabilities could lose access to some services if new eligibility criteria are adopted.

The proposal, which remains under consideration in Olympia, would revise how the state evaluates eligibility for certain Medicaid-funded programs administered through the Developmental Disabilities Administration. Advocacy groups say the revised criteria could leave individuals with significant support needs ineligible for services they currently rely on, including community supports, employment programs, and in‑home assistance.

While the projected statewide impact is still being analyzed, any reduction in service eligibility would have direct implications for individuals and families in Cowlitz County. Local disability service providers say the region’s already limited support infrastructure makes it more vulnerable to disruptions. If eligibility narrows, families may face longer wait times, reduced access to in‑home care, or increased out‑of‑pocket responsibilities.

The state has not released county‑level estimates showing how many Longview- or Kelso-area residents might be affected. However, Census and state caseload data show that Cowlitz County relies heavily on Medicaid waivers and community‑based disability programs due to the area’s lower average household income and higher disability prevalence compared with statewide averages.

Advocacy organizations are urging lawmakers to reconsider the eligibility revision during the ongoing supplemental budget negotiations. As of February 17, 2026, the Legislature has not adopted final budget language, and the proposed changes remain subject to amendment.

Why this matters

Higher-need residents in rural and semi-rural counties often depend on community‑based disability services to remain safely housed, maintain employment, and avoid institutionalization. Any statewide eligibility shift could deepen existing gaps in service access for Cowlitz County residents already navigating a strained support system.

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