In particular, many people with disabilities rely on Medicaid's optional home- and community-based services, which are at higher risk of funding cuts than mandatory nursing facility services. Community-based services can enable people with disabilities to live at home with the independence others take for granted. For instance, Maryland's developmental disabilities waiver funds group homes, day programs, and supported employment. The ACA's Community First Choice (CFC) program covers personal care aides who support over 7,200 Marylanders in living at home. Beyond overall Medicaid cuts, AHCA ends extra federal CFC funding that incentivizes such community-based services over more costly institutions.