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ATLANTA – Nick Papadopoulos clenched the bed at his nursing home, terrified he would roll off without guardrails.

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A wispy woman floated in from another room, confused, and crawled into bed with him. Papadopoulos, 38, yelled and hit the call button for help.

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It was the start of a yearslong nightmare lived by millions of disabled and elderly Americans who rely on Medicaid: Instead of receiving in-home care to live independently, they are often forced to live in institutions.

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On Aug. 31, the Trump administration moved to make it easier for states to place disabled and elderly people in institutions. To appease a lawsuit from several Republican-led states, government lawyers told a federal judge they were willing to erase a 50-year-old provision requiring federal funds be used to care for people in their homes, whenever possible.

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In effect, it undermines a landmarkSupreme Court case from Papadopoulos’ home state that said denying people the ability to live in their communities is discrimination.

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Advocates say the government’s concession erodes hard-fought civil rights under the Americans with Disabilities Act. And it threatens the return of a system where disabled people are locked in institutions instead of being allowed to live in their homes.

Original source: https://www.usatoday.com/news/nation/

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