Alex Padilla: “Sometimes it's imperative to remain within an institution and change it from the inside.”

We request that you immediately rescind the July 2026 memo and reinstate the 2020 and 2024 guidance.

“Should this egregious trend continue, 11 projects in 10 states…that anticipate signing a CIG grant agreement this year could be subjected to senseless delay.”

Ultimately, we are concerned that the changes to CMS’s guidance will result in the disenfranchisement of nursing home residents.

Despite these statutory protections, ORR has nevertheless taken drastic steps to gut legal representation for children.