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TennCare II - Amendment 36

DateResponseResponse
Aug 24th 2018 12:35 pm Response: #368161 I strongly urge you to not approve this amendment. Excluding providers from TennCare will only serve to restrict access to a variety of family planning services. The application boasts that benefits are not being restricted, but reducing the number of available providers per your amendment criteria will inevitable reduce the number of providers available to treat women for a host of preventative healthcare needs (beyond elective procedures). Access is already limited in the state. This amendment is not within the spirit of Medicaid if the spirit of Medicaid is to improve access to care.

With specific regard to the amendment's proposed exclusion on providers offering abortion services: The state is effectively making abortion services unavailable to the Medicaid insured population. Roe vs. Wade protects women's right to make choices about carrying their pregnancies to term. Many women who elect to have an abortion do so after making a difficult personal and medical decision. It is a gross overstep of the state to believe they know more about any women's health decision than the woman herself. Passing this amendment will only serve to put more women's lives at risk. Women who wish to have an abortion will not be deterred by your restriction. You are simply forcing them to engage in unsafe, informal medical procedures that put their lives at risk. Please reconsider this amendment. It is not a positive way to improve Medicaid or ensure appropriate healthcare for Medicaid beneficiaries.
Aug 24th 2018 2:27 pm Response: #368173 Please see the attached document for my public comments on TennCare Amendment 36
Aug 24th 2018 3:16 pm Response: #368177 This is an attack not just on women but against poor patients. It would prohibit anyone on Medicaid from accessing preventive care at Planned Parenthood health centers for birth control, cancer screenings, and STD testing and treatment. Patients should be able to see the qualified health care provider of their choice for these sensitive services.

This bill would have a devastating impact on the people who rely on Planned Parenthood and other reproductive and sexual health providers for essential services and make it harder to prevent unintended pregnancy in Tennessee. Women will not stay silent as politicians vote to take away their care and rights.

In an effort to "defund" Planned Parenthood, this bill would exclude providers that provide safe, legal abortion from serving patients on Medicaid. While the attack is on Planned Parenthood, the bigger danger and consequence is that it endangers the "freedom of choice" provision, which requires that individuals enrolled in Medicaid be allowed to see the qualified family planning provider of their choice. Any rollback of patients' rights is a slippery slope, which in other states has resulted in mandatory drug testing, work requirements, and elimination of confidentiality protections for Medicaid recipients.
Aug 24th 2018 8:40 pm Response: #368181 The TennCare waiver would prohibit any patient on Medicaid from accessing preventive care at Planned Parenthood health centers for birth control, cancer screenings, and STD testing and treatment. Restricting these services would be detrimental to public health and extremely ignorant of those making this decision. People of all incomes need to be able to access preventive care. Prohibiting this will only lead to more pregnancies and more STDs. Let the people get the education and treatment they need!
Aug 25th 2018 8:25 am Response: #368185 Dear Medicaid review team:
I attended the public hearing in Nashville and not a single person spoke publicly for the government telling insureds who they can see for their most personal of healthcare. This effort was called out as a taking away of healthcare, a violation of the Commerce Clause of the Constitution that will be costly to the taxpayers of our State to unsuccessfully defend in court and backhanded strike against the women who legally and safely have a medical procedure that is protected by her right to privacy and her liberty.

We don't need to tell y'all that no government money is used to pay for abortion services. But it needs to go into this absurd process because the application you are reviewing suggests otherwise. Medicaid reimbursement service at these clinics are subsidized by donations from their fundraising efforts and their supporters, not the other way around. And the services Medicaid patients receive at these clinics are essential reproductive and human sexuality care that are reducing unplanned pregnancies and the spread of infection and disease. Y'all can't be alright with reducing care to folks that will only make them more poor and more unhealthy. This is a bad idea and medical science and medical ethics confirms this, as well as the Constitution. C'mon man, we can do better than this.
Aug 25th 2018 8:30 am Response: #368189 I agree with this comment:
I attended the public hearing in Nashville and not a single person spoke publicly for the government telling insureds who they can see for their most personal of healthcare. This effort was called out as a taking away of healthcare, a violation of the Commerce Clause of the Constitution that will be costly to the taxpayers of our State to unsuccessfully defend in court and backhanded strike against the women who legally and safely have a medical procedure that is protected by her right to privacy and her liberty.

We don't need to tell y'all that no government money is used to pay for abortion services. But it needs to go into this absurd process because the application you are reviewing suggests otherwise. Medicaid reimbursement service at these clinics are subsidized by donations from their fundraising efforts and their supporters, not the other way around. And the services Medicaid patients receive at these clinics are essential reproductive and human sexuality care that are reducing unplanned pregnancies and the spread of infection and disease. Y'all can't be alright with reducing care to folks that will only make them more poor and more unhealthy. This is a bad idea and medical science and medical ethics confirms this, as well as the Constitution.
Aug 25th 2018 1:47 pm Response: #368201 Planned Parenthood provides necessary services that I believe should be covered by Medicaid.
Aug 25th 2018 2:02 pm Response: #368205 This would be horrible if passed. its taking away peoples right to decide what happens to their bodies and the assistance to maintain a healthy body by having gynocologist visits to screen for cancer or diseases that could lead to death. why would they try and get rid of these services??? its a vwry bad idea. its not right.
Aug 25th 2018 4:47 pm Response: #368209 I oppose this waiver. This waiver would prohibit any patient on Medicaid from accessing preventive care at Planned Parenthood health centers for birth control, cancer screenings, and STD testing and treatment. People on low-incomes should be able to see the qualified health care provider of their choice for these sensitive services.
Aug 26th 2018 8:25 am Response: #368229 Medicaid recipients deserve free choice in deciding who they receive their most personal healthcare from. This is not about abortion services as we know federal funds are not used for abortion services. It is about abridging the rights of citizens, particularly women, and this should never be the role of government. Limiting health services will keep the poor poor and less healthy, it is that simple. Don’t do it.
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