The U.S. House passed President Donald Trump's budget bill last month.

That bill includes cuts to Medicaid, which supporters say will only affect able-bodied non-working adults.

Opponents of the bill, though, say other groups could be at risk of losing coverage due to paperwork burdens.

31,000 Kentuckians with intellectual or developmental disabilities covered by Medicaid could be one of those groups.

Key assets Kentucky is one of the few medical providers in the state for this population, and its leadership says if those clients lose coverage, they may be completely out of options.

Our Mackenzie Spink has more.

Key assets Kentucky provides a range of mental health services to young people in the state, but its children in community care or seek program is especially unique in this area.

CCRC provides group homes for youth in the foster care system who need intensive care for diagnoses like autism spectrum disorder or other intellectual disability.

It's the only program of its kind in the state, and these kids had significant support needs and they were living in psychiatric hospitals, which, most of us can agree that is not a place for a kid to grow up.

So it was really, our mission to create a community model for them to live and to group homes, to be a part of neighborhoods, to go to schools and really thrive in their communities.

The children in the Key Assets Group homes receive tailored treatment plans to meet their unique needs, and their special emphasis placed on engaging them in the community.

We have 1 to 1 staffing, so when the kids come home, they're met, at the school bus, and those youth are bringing them inside, and then they all have a routine and a schedule.

So often that's, you know, snack time.

And then there, if they have even homework, then they work on homework, right.

And so our goal is that we want them to have as normal of a childhood as possible.

It's already not normal because they're not living with our family.

So what can we do to really, help them be a part of that community?

And ultimately we want that community to embrace them, to see, look at these kids in our community.

How can we wrap, you know, our love and support around these kids as well?

Jeremy Hayden's 17 year old son, Andrew, currently lives in a Key Assets Group home.

He says it's provided a quality of life for his son that just wasn't possible in the home.

Andrew has a myriad of special needs and health conditions, ranging from cerebral palsy.

He's non-verbal autism, struggles with some behavioral challenges as well.

As my son has gotten older and bigger, and just larger in general, like some of the challenges have become difficult for us.

Added in-home setting.

After spending time at a hospital in Cincinnati, the nearest care option for many special needs families in Kentucky, Hayden said it was clear Andrew thrived in a structured environment that couldn't be replicated at home.

After a long journey of advocating for his son, Hayden was able to secure a single case agreement with the state for Andrew to enter into key assets care without going into the foster system.

And Andrew has never been better.

He truly has.

And I say that from the heart and from fact.

Like Andrew was thriving.

You know, when Andrew first went to key assets, Andrew was was pretty much in a wheelchair.

But since being a key asset, it's like immediately they got to work, they got him strengthened.

He's he rarely even needs a wheelchair anymore at this point.

He's walking, moving around.

Great.

He gets all kinds of therapies that we could never get him in our home.

Key assets.

Clients often use a mix of funding, including Medicaid dollars to pay for their stay in the CCRC housing hall says if one of them lost their Medicaid coverage, she can't imagine what the next steps would be.

In a state with so few resources specialized for this population, it would be devastating to those individuals not to have that.

There's nowhere else to there's nowhere else to receive that health care.

There's nowhere else to receive that that mental health, you know, care and support.

We do face a serious problem right now with some of our kids that are in the foster care system of having to live, in state offices and hotels because there's no places for them to go.

Now, that's not a medicaid issue, but that just goes to show the shortage that we even have of being able to provide really good homes for kids that are coming into foster care.

So although we may only serve up to 20 to youth in this program, that would be up to 20 to use, that would be that would be homeless.

I don't know where they would go.

I really don't know, because most of the supports for them are because of their disabilities and are paid for by Medicaid.

The Congressional Budget Office estimates that the One Big Beautiful Bill act would lead to almost 11 million people being uninsured by 2034.

House speaker Mike Johnson has said that the Americans who will be affected are those, quote, entwined in our work to eliminate fraud, waste and abuse, end quote, and that vulnerable groups, including the disabled, will be protected.

For Kentucky edition, I'm McKenzie Spink.

Thank you McKenzie.

Key asset Kentucky's community support program serves nearly 700 young people in central Kentucky, providing mental health and case management services.

Hall says nearly all of those clients are covered by Medicaid.