At midnight on October 1st, federal funding for some services stopped since Congress failed to pass an interim budget with Democrats using extension of the Affordable Care Act/Covered CA subsidies as a bargaining chip. Health and Human Services is expected to furlough about 40% of its workforce, which has already been decreased by about 20,000 positions under the Trump administration. Reporters in this MedPage Today article list services including heightened risk of community health center closures, decreased support from the CDC to local and state health departments and a reduction in food safety efforts.
Medicaid and Medicare will continue, as will operations at the Indian Health Service, however important support services will be limited including limited federal staff to provide help to Medicaid and Medicare enrollees.
The National Consumer Voice for Quality Long-Term Care reports the impact of a shutdown will be significant on nursing home surveys and certification which already are backlogged, putting nursing home residents at increased risk of harm.