For millions of older adults, Medicaid is the financial lifeline that makes nursing home care possible. As the largest single payer of long-term care in the United States, Medicaid covers the costs for more than 60% of the over 1 million nursing home residents, according to KFF.

Government funding cuts, caregiver shortages and immigration limits are adding new strains to an industry that’s already hard pressed to meet demand.

As a House Republican committee examines steep cuts to Medicaid at a pivotal hearing Tuesday, nursing home residents like Allen are among the less well-known recipients who could be affected — especially if lawmakers upend an unusual, long-standing tax arrangement enjoyed by most nursing homes.

There’s a growing crisis for some of the aging population in the nation's capital, advocates say. The News4 I-Team found some D.C. residents who need care are being sent long distances from the community they know.