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Questionnaire NameKentucky HEALTH - Application and CMS STCs
DescriptionIn light of the district court's decision in Stewart v. Azar, No. 18-152 (D.D.C. June 29, 2018), we are inviting additional comments on Kentucky's demonstration project "Kentucky Helping to Engage and Achieve Long Term Health (KY HEALTH)" and its component parts, including the Kentucky HEALTH program. Although an additional public comment period is not legally required, CMS is conducting one to ensure that interested stakeholders have an opportunity to comment on the issues raised in the litigation and in the court's decision. CMS is opening the 30-day federal public comment period on (1) Kentucky's original demonstration proposal from August 24, 2016, (2) Kentucky's revised proposal from July 3, 2017, and (3) the special terms and conditions (STCs) that CMS approved on January 12, 2018. The federal public comment period will be open from July 19, 2018 through August 18, 2018.
Response FromID: #319121 on Jul 19th 2018 5:03 pm
Kentucky HEALTH - Application and CMS STCs

Kentucky HEALTH - Application and CMS STCs

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 – 7/19/18 – 8/18/18

Please provide your comments here and/or attach below:

The Kentucky HEALTH application states as its chief aim, in its first pages, as decreasing the number of Kentuckians receiving Medicaid benefits. The waiver application sees health insurance for poor Kentuckians as an a priori harm and bases this claim on debunked myths about Medicaid expansion, which is largely paid for by the Federal government and which is associated in many studies with job expansion in participating states. This perverted aim, based on economic myth, drives the baffling choices in the rest of the waiver application -- from decreasing the number of eligible Kentuckians, to restructuring the plan based on high deductibles (shown time and again to be a barrier to care), to decreasing benefits, to making eligibility dependent on work requirements that have not been shown to promote health. The "My Rewards" accounts are infantilizing and insulting, showing just how little CMS or the government of the Commonwealth understands the health needs of Kentucky's citizens.
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