Since many Americans with special needs, or their caretakers, use Medicare Advantage plans as a way to pay for their higher medical costs, they have every right to be concerned about the reduced funding congressional leadership is proposing to pay for its massive health care legislation. Dennis Smith, who worked tirelessly to improve options for disabled Americans when he was at the Center for Medicare and Medicaid Services, notes that H.R. 3200 would reduce reimbursement for Medicare Advantage plans, resulting in fewer health insurance plans tailored to those with disabilities being available. That would mean fewer choices for people with special needs, not more as the White House claims.