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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: #319161 on Jul 19th 2018 7:08 pm
Kentucky HEALTH - Application and CMS STCs

Kentucky HEALTH - Application and CMS STCs

We encourage the public to submit their comments on 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:

I am 61 years old and worked for 40 years, 30 of those as a nurse, while also taking care of a disabled husband. I was having problems with my back and after my husbands death 1 year ago I began recieving his social security survivor benefits which was basically the same as my take home pay from work. I signed up for medicaid for the first time in my life. I paid into the system for years.
I have multiple bulging disks in my back, degenerative disk disease, facet joint disease. All this from wear and tear from hard work. While I agree that those who can work should, I feel that that those who have worked hard and are over 55 or 60 should be exempt from the work requirement. While a lot of people can continue to work past 65, there are also alot of us who can't and don't fit into the very narrow category of medically frail. These people are at a stage in their life where multiple medical problems pop up, we deal with arthritis, joint pain from years of work and several people die unexpectedly in their late 50's to early 60's, like my husband did.
Food stamps and other programs for seniors don't have work requirements for those 60 and older. Also there are states who cut off these requirements at 55 or 60.
There will be people in the 55 and over age group that will die if these requirements proceed as written. Many like me will lose coverage at a time in our lives when we are most vulnerable and won't be able to seek treatment until it becomes too late for us and when it will be more expensive to cover.
We've worked hard and only need help until medicare kicks in at 65. We've paid in so alot of people could have care, now it's our turn to have some help for a few years. It's scary getting older and not knowing what might happen to you and even scarier to think that if it does happen you can't recieve care because you can't afford it PLEASE consider an age cutoff of 55 or 60 for work requirements.
Thank you
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