New Hampshire has increased the amount of Medicaid funding it devotes to home-based care for the disabled since a 1999 U.S. Supreme Court ruling gave people a choice to live outside institutions.
By 2012, according to data provided by the Centers for Medicare and Medicaid Services, the state was providing 50.3 percent of Medicaid long-term care money for disabled people living in home- or community-based settings. That compares to 40.3 percent in 2002.
Nationally in 2012, states devoted an average of 49.5 percent of Medicaid long-term care funding for home settings, compared to 31.1 percent a decade earlier.
The Supreme Court ruled that unnecessarily segregating people in mental hospitals, nursing homes and other institutions amounted to discrimination.