DOGE slashes disability and aging services

https://www.politico.com/newsletters/west-wing-playbook-remaking-government/2025/04/25/doge-slashes-disability-and-aging-services-00311303

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The Trump administration has drawn a bright line around Medicare and Social Security, promising Americans that the two programs will remain untouched.

But a budget proposal obtained by POLITICO shows a different kind of rollback underway — one that could impact the lives of millions of older Americans and people with disabilities.

The Trump administration is poised to eliminate dozens of federal programs, including protective services for vulnerable seniors, chronic disease self-management education, resource centers for people who have been paralyzed or lost a limb and one that tries to help older people prevent falls. Even a more modest federal initiative aimed at making polling places more accessible would be eliminated under the proposal.

All of these programs facing the knife fall under the Administration for Community Living, a component of the Department of Health and Human Services that aims to help older adults and people with disabilities remain in their homes and communities. The whole department is being zeroed out, according to the budget proposal.

Those services are often invisible in the national debate, but they are critical to maintaining independence and quality of life for some of the country’s most vulnerable residents, said ALISON BARKOFF, former acting administrator of ACL, which funds more than 2,500 programs nationwide.

“The combination of dismantling ACL and eliminating programs along the lines of what’s proposed would decimate the system that keeps older adults and people with disabilities in their homes and out of far more expensive institutions,” said Barkoff, who served in the Biden administration.

Some programs will survive, but not in their current form. Remaining ACL responsibilities will be scattered across other parts of HHS, including the Administration for Children and Families, the Assistant Secretary for Planning and Evaluation, and the Centers for Medicare and Medicaid Services, according to an HHS announcement.

This week, DOGE staffers met with another agency: the U.S. Access Board, an independent federal agency that develops and maintains accessibility standards under federal laws like the Americans with Disabilities Act. AMY NIEVES, a spokesperson for the Access Board, confirmed the meeting and said that additional contacts with DOGE are expected.

Spokespeople for HHS and DOGE did not respond to requests for comment.

These cuts carry political risks. Voters over the age of 65, a key constituency for President DONALD TRUMP, may not take kindly to the erosion of services that, while less visible than Social Security checks, often determine whether someone can live on their own or needs institutional care.

“Cuts to ACL programs are going to mean costs to programs like Medicare and Medicaid,” Barkoff said.

Elsewhere across the government, the administration is pressing ahead with similar cuts: DOGE recently cancelled a Department of Education contract for “Charting My Path,” a program designed to help teenagers with disabilities transition from high school to adulthood. Trump has also announced plans to shift special education oversight from the Education Department to HHS, though details of the plan remain sparse.

MESSAGE US — West Wing Playbook is obsessively covering the Trump administration’s reshaping of the federal government. Are you a federal worker? A DOGE staffer? Have you picked up on any upcoming DOGE moves? We want to hear from you on how this is playing out. Email us at westwingtips@politico.com.