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Alabama

New Report Ranks Regional Care Infrastructure as Federal Cuts Loom

Many states have made marked progress over the past two years in extending crucial care and benefits to children, workers and aging adults. But they will be hard-pressed to fill the void left by impending federal cuts to social services,…

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Key points

  • More than half of U.S. states expanded care services for children, seniors, and workers over the past two years.
  • Nearby states New York and Massachusetts earned top scores in the national policy study.
  • Federal reductions to Medicaid, SNAP, and health insurance subsidies threaten to strain future state budgets.

— As families across Bennington County and surrounding regional communities navigate rising costs, a new national report shows that over half of U.S. states have expanded child care, elder care, and employee paid leave over the past two years. However, pending federal funding cuts could soon threaten those local gains.

According to a report first published by Stateline, researchers at The Century Foundation and Caring Across Generations analyzed state-level policy progress for children, seniors, and workers with disabilities. Neighboring states New York and Massachusetts received top overall marks, while New York was also named among the five most improved states since 2024.

Top Performers and Regional Progress

The study graded states on support systems for vulnerable residents and workplace benefits like paid family and medical leave. Top-ranking states in the study include:

The lowest overall scores were given to Alabama, Mississippi, Wyoming, Florida, and North Carolina. Despite lower overall scores, some Southern states made incremental progress by expanding paid leave for state workers.

Budget Pressure From Federal Reductions

Despite recent state-level investments, the report warns that federal reductions will put immense pressure on local programs. Recent federal legislation signed last summer altered eligibility requirements and reduced spending for both Medicaid and the Supplemental Nutrition Assistance Program, commonly known as SNAP or food stamps.

Furthermore, the expiration of federal Obamacare subsidies late last year pushed millions of Americans off health plans. The report noted that cuts to these federal programs “have left state budgets with constraints that will be difficult, if not impossible, to overcome.”

How This Affects Our Area

For residents in Southern Vermont and nearby border towns in New York and Massachusetts, state-funded care programs remain crucial safety nets. Local families and healthcare providers will be watching closely as state lawmakers navigate tighter budgets to preserve vital social services.

This article was produced with the assistance of AI and reviewed by our editorial team.

Based on reporting by Kevin Hardy originally published by Stateline. Read the original story.

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