The 2023 report repeatedly asked agencies to investigate, respond, and create accessible complaint and appeal routes. That request now meets a concrete 2026 federal rule for many HCBS programs. Since July 9, covered states must offer accessible grievance assistance, acknowledge receipt, use independent reviewers, accept evidence and legal argument, provide the case file, prohibit retaliation, and usually decide within ninety days. The right belongs to the beneficiary; exclusions and program details matter. Medeiros may assist with written consent. ABI Resources cannot replace the person's grievance. The proof is operational: intake logs, receipts, accommodations, reviewer independence, case files, decisions, and deadlines—not a policy page no one can use.