Medicaid home care spending is at grave risk in many states as they look for ways to slash their budgets. For example: New York Gov. Andrew Cuomo proposed January 31 to cut Medicaid spending by $2.8 billion and specifically singled out home care for mention in his speech about the cuts. "Home care already saves millions of dollars by preventing higher-cost health services," says the Home Care Association of New York State in a release. "Destroying existing services will not eliminate the need for them," says the New York Association of Homes & Services for the Aging in the release. "Rather, it will only lead to adverse health outcomes and increased reliance on services in more expensive settings." South Carolina is also implementing home care cuts, but they won't be as severe as first proposed. Initially the state planned to cut hospice coverage altogether. Now it is keeping hospice coverage, but still plans to cut home care visits by onethird, reports Bloomberg Businessweek. In California, advocates for the disabled community are fighting big reductions in the state's In-Home Supportive Services program proposed by Gov. Jerry Brown (D), reports the San Francisco Examiner.