Encompass Community Supports is a non-profit organization funded by federal, state, and local governments.
We serve as both the CSB and AAA for Virginia’s Planning District 9 (PD9) which includes the counties of Fauquier, Culpeper, Madison, Orange and Rappahannock. Virginia has 40 Community Services Board (CSB) and 26 Area Agencies on Aging (AAA) in the state. We want to help people live healthier, happier lives in their communities.
H.R.1, the “One Big Beautiful Bill Act”, became Public Law No. 119-21 on July 4, 2025 during the 119th Congress. The bill will enact the largest federal healthcare cuts in U.S. history, and modeling suggests the cuts equal $1 trillion over the next decade. This represents a significant change to our healthcare system.
While the full impact will unfold over time, Community Services Boards and Area Agencies on Aging, some of the most vital safety-net systems in our communities, are squarely in its path.
CSBs are by statute the single point of entry into publicly funded mental health, intellectual and developmental disability and substance use disorder services. Medicaid cuts and a shift towards block grants mean fewer guaranteed resources and more local responsibility. Services like crisis support, outpatient therapy, case management, and waiver supports may face reduced capacity.
As the Area Agency on Aging, we support older adults with nutrition programs, caregiver support, in home services and transportation. Cuts to the Older Americans Act and Medicaid mean many seniors, especially those in rural areas, will face the future with less support to age safely and with dignity in their homes and communities.
Many of these changes are scheduled to be implemented in 2026 and beyond. To continue the discussion with your legislator, and advocate for a budget that supports all, go to: https://www.congress.gov/members/find-your-member.
The need does not go away if funding does.