audio, stills, text and or video: Go to zReportage.com to see more - The Congressional Budget Office (CBO) has released its score of the Senate's health care repeal plan, showing that the bill would eliminate coverage for 15 million Americans next year and for 22 million by 2026. The CBO projects that the Senate bill would slash Medicaid funding by $772 billion over the next decade, increase individual market premiums by 20 percent next year, and make comprehensive coverage 'extremely expensive' in some markets. Individuals with developmental disabilities depend on Medicaid waivers for any quality of life. Thousands in the U.S. are served by the waivers, but thousands more are on waiting lists. Proposed cuts and caps to Medicaid would be devastating for all of them. According to the Center for American Progress 'People with disabilities who rely on home and community-based services through Medicaid, such as personal attendant care, skilled nursing, and specialized therapies, could lose access to the services they need in order to live independently and remain in their homes.'
© Robin Rayne/zReportage.com/ZUMA Wire

January 23, 2014 - Athens, Georgia, U.S. - PERRY HENDRICKS chooses his favorite groceries during an outing. They are supported by staff from the Georgia Options non-profit organization that helps individuals with developmental disabilities live independently. Perry lived in state institutions for decades before transitioning to his own home.
© Robin Rayne/zReportage.com/ZUMA Wire

February 18, 2014 - Athens, Georgia, U.S. - Perry holds a balloon during an outing in the park with staff and others supported by Georgia Options. Though non-verbal, PERRY HENDRICKS smiled a lot in his new life in a private duplex apartment with his roommate Howard Jackson. They are supported by staff from the Georgia Options non-profit organization that helps individuals with developmental disabilities live independently with funding from his Medicaid waiver. Perry lived in state institutions for decades before transitioning to his own home.
© Robin Rayne/zReportage.com/ZUMA Wire

August 3, 2014 - Waycross, Georgia, U.S. - HELEN LOTSON and JEALETTE FULLWORD enjoy their breakfast at the Easter Seal-sponsored Satilla House, with help from their individual support staff. Both women have significant intellectual challenges and lived in state institutions before relocating to this house.
© Robin Rayne/zReportage.com/ZUMA Wire

August 3, 2014 - Waycross, Georgia, U.S. - HELEN LOTSON rocks back and forth during praise music at her church. She lives at a group home, Satilla House, managed by Easter Seals. The private group home is staffed by nurses and nursing assistants, funded by individual Medicaid waivers to individuals with developmental disabilities.
© Robin Rayne/zReportage.com/ZUMA Wire

August 3, 2014 - Waycross, Georgia, U.S. - HELEN LOTSON gets hugs from her caregiver at Satilla House, managed by Easter Seal of South Georgia that provides 24/7 care for several individuals with developmental disabilities. The private group home is staffed by nurses and nursing assistants, funded by individual Medicaid waivers.
© Robin Rayne/zReportage.com/ZUMA Wire

August 3, 2014 - Waycross, Georgia, U.S. - A caregiver lifts HELEN LOTSON from her bed and into her wheelchair at Satilla House, managed by Easter Seal of South Georgia that provides 24/7 care for several individuals with developmental disabilities. The private group home is staffed by nurses and nursing assistants, funded by individual Medicaid waivers. Helen lived for many years at Central state Hospital, a state institution.
© Robin Rayne/zReportage.com/ZUMA Wire

August 4, 2014 - Waycross, Georgia, U.S. - A caregiver reads Bible stories to JEANETTE FULLWOOD at Satilla House, managed by Easter Seal of South Georgia that provides 24/7 care for several individuals with developmental disabilities. The private group home is staffed by nurses and nursing assistants, funded by individual Medicaid waivers.
© Robin Rayne/zReportage.com/ZUMA Wire

August 4, 2014 - Waycross, Georgia, U.S. - A caregiver reads Bible stories to JEANETTE FULLWOOD at Satilla House, managed by Easter Seal of South Georgia that provides 24/7 care for several individuals with developmental disabilities. The private group home is staffed by nurses and nursing assistants, funded by individual Medicaid waivers.
© Robin Rayne/zReportage.com/ZUMA Wire

August 4, 2014 - Waycross, Georgia, U.S. - A caregiver reads Bible stories to JEANETTE FULLWOOD at Satilla House, managed by Easter Seal of South Georgia that provides 24/7 care for several individuals with developmental disabilities. The private group home is staffed by nurses and nursing assistants, funded by individual Medicaid waivers.
© Robin Rayne/zReportage.com/ZUMA Wire

September 2, 2014 - Valdosta, Georgia, U.S. - CYNTHIA PARKER receives medications with a nebulizer treatment at the Easter Seals group home where they live with full-time support staff. She has intellectual disabilities and previously lived in state institutions. Her care is supported by her individual Medicaid waiver.
© Robin Rayne/zReportage.com/ZUMA Wire

September 2, 2014 - Valdosta, Georgia, U.S. - CYNTHIA PARKER is washed and dressed for the day by her support staff at Easter Seals group home in Valdosta. The unassuming residence is home to three women with significant developmental disabilities and is staffed by nurses and nursing assistants 24/7, funded by individual Medicaid waivers.
© Robin Rayne/zReportage.com/ZUMA Wire

September 2, 2014 - Valdosta, Georgia, U.S. - CYNTHIA PARKER is washed and dressed for the day by her support staff at Easter Seals group home in Valdosta. The unassuming residence is home to three women with significant developmental disabilities and is staffed by nurses and nursing assistants 24/7, funded by individual Medicaid waivers.
© Robin Rayne/zReportage.com/ZUMA Wire

September 2, 2014 - Valdosta, Georgia, U.S. - ANGELA CURRY and CYNTHIA PARKER ride with support staff to a local shopping mall during an afternoon outing from their Easter Seals group home. The unassuming residence is home to three women with significant developmental disabilities and is staffed by nurses and nursing assistants 24/7, funded by individual Medicaid waivers.
© Robin Rayne/zReportage.com/ZUMA Wire

September 2, 2014 - Valdosta, Georgia, U.S. - ANGELA CURRY relaxes in a wading pool at Easter Seals group home in Valdosta. The unassuming residence is home to three women with significant developmental disabilities and is staffed by nurses and nursing assistants 24/7, funded by individual Medicaid waivers.
© Robin Rayne/zReportage.com/ZUMA Wire

September 2, 2014 - Valdosta, Georgia, U.S. - MARY ANN STRINGER smiles while receiving her nebulizer treatment at Easter Seals group home in Valdosta. The unassuming residence is home to three women with significant developmental disabilities and is staffed by nurses and nursing assistants 24/7, funded by individual Medicaid waivers.
© Robin Rayne/zReportage.com/ZUMA Wire

September 3, 2014 - Valdosta, Georgia, U.S. - CYNTHIA PARKER and her caregiver dance outside Easter Seals group home in Valdosta. The unassuming residence is home to three women with significant developmental disabilities and is staffed by nurses and nursing assistants 24/7, funded by individual Medicaid waivers.
© Robin Rayne/zReportage.com/ZUMA Wire

September 16, 2014 - Waycross, Georgia, U.S. - JEANETTE FULLWOOD returns home from an outing. She lives in the Satilla House, a group home, managed by Easter Seals of South Georgia that provides 24/7 care for several individuals with developmental disabilities. The private group home is staffed by nurses and nursing assistants, funded by individual Medicaid waivers.
© Robin Rayne/zReportage.com/ZUMA Wire

October 13, 2014 - Athens, Georgia, U.S. - PERRY HENDRICKS gazes out window from his private bedroom at his duplex apartment. He is supported by staff from the Georgia Options non-profit organization that helps individuals with developmental disabilities live independently, with funding from their Medicaid waivers. Perry lived in state institutions for decades before transitioning to his own home.
© Robin Rayne/zReportage.com/ZUMA Wire

July 31, 2015 - Athens, Georgia, U.S. - JOHN CALVERT sits in his apartment beside artwork he created. Calvert lived at Central State Hospital in Georgia for 14 years before it closed. He was born with intellectual disabilities that left him with a mental ability of a young child. Now 41, John lives in his own apartment with direct support staff to keep him safe, well-nourished and active. That support comes from Georgia Options, a non-profit organization that supports individuals with developmental disabilities, and Medicaid waiver funding makes it all possible.
© Robin Rayne/zReportage.com/ZUMA Wire

August 4, 2015 - Athens, Georgia, U.S. - JOHN CALVERT and his support staffer JOSH HALL play basketball in a city park. John lived at Central State Hospital in Georgia for 14 years before it closed. He was born with intellectual disabilities that left him with the mental ability of a young child. Now 41, John lives in his own apartment with direct support staff to keep him safe, well-nourished and active. That support comes from Georgia Options, a non-profit organization that supports individuals with developmental disabilities, and Medicaid waiver funding makes it all possible.
© Robin Rayne/zReportage.com/ZUMA Wire

November 3, 2015 - Athens, Georgia, U.S. - JOHN CALVERT greets a horse at the Butterfly Dreams stable where he likes to ride several times a month. The stable specializes in accommodating individuals with disabilities. John lived at Central State Hospital in Georgia for 14 years before it closed. He was born with intellectual disabilities that left him with a mental ability of a young child. Now 41, John lives in his own apartment with direct support staff to keep him safe, well-nourished and active. That support comes from Georgia Options, a non-profit organization that supports individuals with developmental disabilities, and Medicaid waiver funding makes it all possible.
© Robin Rayne/zReportage.com/ZUMA Wire

June 26, 2017 - Dalton, Georgia, U.S. - LANCE STEPHENS jokes with KEVIN and WENDY CURTIS in their 'host home' where Lance has lived for the last seven years. With them is ANGELA MACKER, Lance's support coordinator, who oversees his case. Lance, now 48, lives with the Curtis family because of financial support from his Medicaid waiver. He has cerebral palsy and previously lived in group homes and shared living arrangements.
© Robin Rayne/zReportage.com/ZUMA Wire

June 26, 2017 - Dalton, Georgia, U.S. - LANCE STEPHENS plays on an electric keyboard in his private bedroom at the host home where he lives with owners Kevin and Wendy Curtis. Lance, now 48, lives with the Curtis family because of financial support from his Medicaid waiver. He has cerebral palsy and previous lived in group homes and shared living arrangements before moving to the Curtis home.
© Robin Rayne/zReportage.com/ZUMA Wire

June 26, 2017 - Dalton, Georgia, U.S. - LANCE STEPHENS rides down the massive wood ramp with hosts KEVIN and WENDY CURTIS on their way to their van for an outing. Lance, now 48, is able to live with the Curtis family because of financial support from his Medicaid waiver. He has cerebral palsy and previous lived in group homes and shared living arrangements.
© Robin Rayne/zReportage.com/ZUMA Wire

July 5, 2017 - Comer, Georgia, U.S. - PAM WALLEY and her daughter CALLIE'S caregiver Lori Cain do their best to stabilize Callie's leg after her thigh bone snapped while she was being moved in her bed. Callie has cerebral palsy and is unable to speak or walk. At 22, she is cared for at home with support from nurses and aides, funded in part by a Medicaid waiver which helps families and individuals with disabilities survive, and thrive, in community rather than institutions.
© Robin Rayne/zReportage.com/ZUMA Wire

July 5, 2017 - Comer, Georgia, U.S. - PAM WALLEY and her daughter CALLIE'S caregiver LORI CAIN do their best to stabilize Callie's leg after her thigh bone snapped while she was being moved in her bed. Callie has cerebral palsy and is unable to speak or walk. At 22, she is cared for at home with support from nurses and aides, funded in part by a Medicaid waiver which helps families and individuals with disabilities live in community rather than institutions.
© Robin Rayne/zReportage.com/ZUMA Wire

July 5, 2017 - Comer, Georgia, U.S. - PAM WALLEY comforts daughter CALLIE in a trauma center after her thigh bone snapped while she was being moved in her bed. Callie has cerebral palsy and is unable to speak or walk. Her bones are quite fragile due to osteopenia. At 22, Callie is cared for at home with support from nurses and aides, funded in part by a Medicaid waiver which helps families and individuals with disabilities survive, and thrive, in community rather than institutions.
© Robin Rayne/zReportage.com/ZUMA Wire