Congressman Bill Cassidy (R-LA), a physician, introduced H.R. 1853, the Medicaid Accountability and Care (MAC) Act of 2013. The bill would provide for a base amount of funding for each Medicaid beneficiary regardless of where they lived. People who receive Medicaid would be put into one of four categories: elderly, blind or disabled, children, or adults. The base amount would be adjusted for “factors known to influence their cost of care.” The Arc is very concerned that the individual entitlement to Medicaid services would be lost under a per person cap payment system and that the long-term services and supports needs of individuals with significant disabilities might exceed the average per person cap.