Heather Holloway, age 39, has a congenital disorder that left her with permanently dislocated hips and knees. She also struggles with depression. Heather relies on Medicaid to cover her health care needs, which are modest but critical. She needs regular check-ups and preventive care, prescription medicine for her depression, new crutches every several years, and dental care. After Michigan eliminated vision benefits for adults in Medicaid, Heather had to buy glasses on her own, using Christmas money given to her by a relative. Home health services covered by Medicaid help Heather with everyday chores that she has trouble doing on her own, enabling her to live independently. Although she is currently unemployed, Heather is an active volunteer in her community.