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Mississippi Medicaid Workforce Training Initiative - Updated

DateResponseResponse
Aug 18th 2018 7:57 pm Response: #364649 Please see attached
Aug 18th 2018 7:48 pm Response: #364505 Attached are comments of the Bazelon Center for Mental Health Law
Aug 18th 2018 4:58 pm Response: #364197 I am grateful for the opportunity to comment on the Mississippi Division of Medicaid’s Medicaid Workforce Training Initiative 1115 Demonstration Waiver Application, which proposes to take away health coverage from individuals who don’t meet rigid work requirements.

The proposed Medicaid Workforce Training Initiatives unfairly targets low-income mothers and children who are among the primary beneficiaries of Medicaid in our state. Under the initiative, mothers will have to choose between caring for their children and losing their health coverage, or paying for expensive childcare in order to work and maintain their coverage.

Many single mothers in our state who rely on Medicaid live on less than $500 a month. One medical emergency could lead to food insecurity or homelessness, which is a catastrophic consequence for a family struggling to make ends meet. Even seemingly routine visits to the doctor for minor illnesses could result in overwhelming debt for mothers, effectively decreasing their ability to move out of poverty.

Medicaid currently works for so many of Mississippi’s mothers and children, but the proposal to take health coverage away from parents who can’t meet work requirements would be detrimental to these families by placing an unreasonably heavy burden on parents who are simply seeking to access proper health care for their children.

Many people cannot help the fact that a) they are poor and b) there are no jobs. But people still need to eat and access health care. Do we want children and families dying in the street? To tie healthcare to employment, and then state that very employment is making them too rich to get it seems spectacularly punitive.

E. Watts
Aug 18th 2018 4:57 pm Response: #364189 I am deeply concerned about the Mississippi Division of Medicaid’s Medicaid Workforce Training Initiative 1115 Demonstration Waiver Application, which proposes to take away health coverage from individuals who don’t meet rigid work requirements.

In our state, Medicaid provides health coverage for thousands of low-income families. The proposed waiver would mean these families would lose healthcare coverage, which is potentially disastrous for their physical and economic well-being. Under the initiative, parents and caregivers will unfairly have to choose between caring for their loved ones and losing coverage or foregoing their caregiving responsibilities to maintain coverage for themselves and their families.

Access to Medicaid safeguards against excessive medical debt—or potential bankruptcy—for parents living at or below the poverty level, and helps to ensure families are able to receive the proper medical attention when their lives may depend on it.

Not only does this waiver jeopardize the economic outlook for families who already struggle financially, but it would also increase the already staggering health disparities in Mississippi.

The bottom line is, work requirements create an unnecessary barrier to health coverage and do not work for our community or any other place in our state.

On behalf of the Mississippi Public Health Association representing over 600 public health professionals, I do not believe this waiver/policy is in the best interest of families, hospitals and other medical providers. People will lose their health coverage if the are unable to meet minimum work standards and also if they are able to find full time minimum wage work... which is a realistic scenario. This policy will ultimately impact preventive health care access as well as hospitals and providers who will ultimately be required to see many more patients without adequate payment/coverage. This is not family friendly policy and will not result in improving the health of Mississippians which should be the goal.

C. Daughdrill
Aug 18th 2018 4:55 pm Response: #364185 I am grateful for the opportunity to comment on the Mississippi Division of Medicaid’s Medicaid Workforce Training Initiative 1115 Demonstration Waiver Application, which proposes to take away health coverage from individuals who don’t meet rigid work requirements.

The proposed Medicaid Workforce Training Initiatives unfairly targets low-income mothers and children who are among the primary beneficiaries of Medicaid in our state. Under the initiative, mothers will have to choose between caring for their children and losing their health coverage, or paying for expensive childcare in order to work and maintain their coverage.

Many single mothers in our state who rely on Medicaid live on less than $500 a month. One medical emergency could lead to food insecurity or homelessness, which is a catastrophic consequence for a family struggling to make ends meet. Even seemingly routine visits to the doctor for minor illnesses could result in overwhelming debt for mothers, effectively decreasing their ability to move out of poverty.

Medicaid currently works for so many of Mississippi’s mothers and children, but the proposal to take health coverage away from parents who can’t meet work requirements would be detrimental to these families by placing an unreasonably heavy burden on parents who are simply seeking to access proper health care for their children.

Thank you for your time and consideration.

H. Curtler III
Aug 18th 2018 4:20 pm Response: #364165 Attached please find the comments of Deborah Stein, JD on the Mississippi Medicaid waiver request
Aug 18th 2018 2:11 pm Response: #363533 On behalf of more than 9,000 pediatric nurse practitioners (PNPs) and fellow pediatric-focused advanced practice registered nurses (APRNs) committed to providing optimal health care to children, the National Association of Pediatric Nurse Practitioners (NAPNAP) appreciates the opportunity to offer its comments on the State of Mississippi’s revised proposed demonstration waiver under Section 1115 of the Social Security Act for the Mississippi Medicaid Workforce Training Initiative. NAPNAP and its members are troubled that the impact that the policies proposed in this waiver will create costly and unnecessary barriers to health coverage and care for all enrollees including children, regardless of whether they are eligible for possible exemptions. We urge you not to approve this proposal as it is currently designed. Please see our attached comments and include the full text as part of the administrative record in this matter for purposes of the Administrative Procedures Act.
Aug 18th 2018 1:28 pm Response: #363205 Attached you find comments from the Mississippi State Conference NAACP
Aug 18th 2018 1:26 pm Response: #363177 These Texas-based organizations submit the attached comments on the updated Mississippi Medicaid waiver request: ADAPT of Texas Center for Public Policy Priorities Children's Defense Fund–Texas CTD/Coalition of Texans with Disabilities Easterseals Central Texas Methodist Healthcare Ministries National Association of Social Workers/Texas Chapter Personal Attendant Coalition of Texas Texans Care for Children Texas Association of Community Health Plans (TACHP) Texas Impact Young Invincibles
Aug 18th 2018 1:26 pm Response: #363173 Attached you find comments from the Mississippi State Conference NAACP
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