In June 2017, Disability Rights Iowa sued the state to protest service hour cuts made to disability support services by the state’s Medicaid IA Health Link managed care organizations (MCOs). The complaint was filed on behalf of six beneficiaries needing home- and community-based services (HCBS) to avoid being institutionalized. They allege that by allowing the Medicaid MCOs to cut service hours, the state is violating the federal American with Disabilities Act (ADA) and the Olmstead decision supporting the right of people with disabilities to live in community settings. The plaintiffs seek class-action status to include . . .