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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: #228269 on Jun 14th 2017 5:47 pm
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 disapprove of the proposed work requirements for Indiana's HIP 2.0 because they do not take into consideration reasons people may not be able fulfill them, such as 1) lack of consistent childcare (before and after school, during school breaks, when a child is ill, or during late working shifts) since most low-wage and entry jobs do not offer time off for family needs; 2) lack of transportation to get to and from a job, especially for late working shifts when few buslines are available; and 3) seemingly minor physical or mental/emotional problems that do not qualify as disabilities yet limit a person's functionality - e.g. inability to stand or sit for long periods, anger management issues, or lower intelligence or social skills.

A problem with the Gateway to Work program is its intensity and necessary time commitment. I know a person who could not participate because he had to be available to drive his partner to and from her job and for childcare - at least one of them has a job. Indiana should make adjustments to this good program so more people can participate.

Another problem is that although unemployment rates are low, not everyone is employed - I know many who are searching unsuccessfully for a job. Also, many jobs have limited and/or irregular hours. To remove a person's access to health care because they can't find or maintain consistent employment for the required time is to punish them unreasonably. It will just push them further into the poverty cycle of poor health and possibly homelessness.

Demand that Indiana use Medicaid as it was intended, to help people get healthcare, not punish them for being unsuccessful.
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