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Questionnaire NameKentucky Health - Proposed Modifications to Application
DescriptionOn August 24, 2016, Kentucky submitted an application for a five year section 1115 demonstration, entitled "Kentucky HEALTH." On July 3, 2017, Kentucky submitted modifications to the pending HEALTH demonstration application, which removes their request to expand presumptive eligibility sites, removes the graduated hour requirements for the community engagement and employment requirement, and requests authority to implement a lockout for failure to report a change in circumstance. The federal public comment period will be open from July 3, 2017 through August 2, 2017.
Response FromID: #228745 on Jul 13th 2017 11:00 pm
Kentucky HEALTH - Proposed Modifications to Application

Kentucky HEALTH - Proposed Modifications to Application

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

Open for Public Comment – 7/3/17 – 8/2/17

Please provide your comments here and/or attach below:

By K.A. Owens July 13, 2017


Kynect and expanded Medicaid have been one of the most extraordinary accomplishments Kentucky has made in the last 30 years. We are talking about 400 hundred and forty thousand people in Kentucky who now have a primary care provider, who can get an eye exam, who can see specialists, who can get a dental exam, an x-ray and their teeth cleaned once a year. It has been a tremendous step forward.

For some reason Gov. Bevin wants to reverse this progress.

The changes Gov. Bevin wants to make in expanded Medicaid to eliminate vision and dental, and create premiums with lockouts for people who can’t pay the premiums – these actions have nothing to do with health care.

As a matter of fact his changes are not even justified by economics, but seem to be motivated by the concept that poor people are defective morally, that poor people (poor people being defined as people whose wages are artificially low) are not trying hard enough and that poor people need to be guided by people like him.

In reality, poverty is structural; poverty is built in to the system by the people who have the power to do so. The people on Medicaid are in no more need of moral guidance than the governor and the people on the governor’s staff.

There is nothing more offensive than the wealthy (people whose earnings are artificially high and who have the best health care that money can buy) having the nerve to tell poor people they can’t have health care.

Gov. Bevin’s tactic is to submit a 1115 waiver to the federal government detailing his desired changes to expanded Medicaid and then announce that if his changes are not accepted he will abolish the program. He uses this tactic because he obviously feels that poor people in Kentucky just haven’t suffered enough.

As a citizen of the state of Kentucky I ask that Gov. Bevin withdraw his 1115 waiver and consult with people who have the best interests of all Kentuckians at heart before he makes his next move regarding health care.
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