Lisa Archibald has been caring for her non-verbal and profoundly disabled brother John David in her home for more than 20 years. With multiple physical and developmental disabilities, he requires 24-7 care. Proposed cuts in Georgia’s Medicaid disability budgets may force relocation to a group or nursing home, a move Archibald considers a ‘death sentence’ because of his extensive care requirements, high turnover and inadequate staff training. “We tried a group home years ago, and he nearly died,” she said. “I won’t do that to him again, though that is what the state is advocating.” John David requires 24/7 care with 2:1 staffing, including one LPN or RN, she said. The cuts would require Archibald to increase the time she cares for him to 20 hours daily, leaving little time to sleep or work, she said. Georgia currently has 187 medically fragile residents who would be impacted by the state’s proposed budget cuts.