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Questionnaire NameThe Healthy Indiana Plan (HIP) 2.0 - Amendment
DescriptionOn May 25, 2017, Indiana submitted an amendment to the section 1115 demonstration, Health Indiana Plan (HIP) 2.0. The application requests, along with other technical revisions, to (1) require beneficiaries to participate in Gateway to Work, the HIP job training and employment services program, (2) change the monthly premium contributions from two percent of a beneficiary's income to income tiers that are about two percent of income, (3) phasing out the HIP Employer Link employer sponsored insurance program. On July 20, 2017, the state submitted a slightly revised amendment that addresses public comments received. The federal comment period opened on July 25, 2017 and closes on August 31, 2017.
Response FromID: #228249 on Jun 14th 2017 8:17 am
The Healthy Indiana Plan (HIP) 2.0 - Amendment

The Healthy Indiana Plan (HIP) 2.0 - Amendment

We encourage the public to submit their comments on Medicaid.gov as they relate to demonstrations open for public comments. In support of transparency and open government, all public comments received are immediately posted and are in the public domain. Center for Medicaid and CHIP Services staff will review all public comments posted and we reserve the discretion to delete comments that are generally understood as any of the following: obscene, profane, threatening, or otherwise inappropriate.

Refer to the Application

The federal comment period opened on June 9, 2017.

Please provide your comments here and/or attach below:

I would like for our government representatives to consider the impact to individuals in very specific situations with this amendment. While I do not require marketplace insurance or HIP, I know a number of individuals both professionally and personally that do. As a Higher Education professor, I mentor and counsel traditional and non-traditional students regarding the best plans for their academic success. I have had a number of students whom I advise that are in situations regarding an appeal process due to not prioritizing their mental health needs. I can bear witness to the truth that if an individual is struggling with a mental health disease or traumatic event, that person is highly at risk for academic failure or at the very least not performing to their fullest potential.

Additionally, personally, a grandparent in our family is waiting on an organ transplant. If the spouse, who is also acting as watchful caregiver and requires to be present 24-7, were required to be seeking employment to be be eligible for HIP 2.0 this would be impossible. This loved family member's extreme and life-saving health need would supersede the spouse's desire for their own healthcare plan. This then puts the spouse (caregiver) in jeopardy if a fluke accident or other emergency would occur.

I believe that it is time that the person is placed before the need for systematic justification of eligibility. Without additional clarification, this provision only works to make meeting requirements for "affordable health care" less accessible. Please consider the professional opinions of the education community and any documented family health circumstances. Providing the means for encouraging work ethic and pursuit, while also acknowledging the most appropriate plan for the individual is the best ideal. I hope that this balance can be achieved.
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