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Questionnaire NameSouth Dakota Career Connector
DescriptionSouth Dakota requests a new 5-year section 1115 demonstration which seeks require those age 19 to 59 who are enrolled in the parent and other caretaker relatives eligibility group and reside in Minnehaha or Pennington County to participate in the Career Connector program. To comply with the requirement, beneficiaries will need to demonstrate they work at least 80 hours per month or are achieve monthly milestones in their individualized plan. Failure to meet the requirements will result in termination of Medicaid benefits. The state is proposing a number of exemptions. The federal public comment period will be open from August 27, 2018 through September 26, 2018.
Response FromID: #370549 on Sep 14th 2018 10:01 am
South Dakota Career Connector

South Dakota Career Connector

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 – 8/27/18 – 9/26/18

Please provide your comments here and/or attach below:

There are so many reasons to oppose SD's proposal to to take Medicaid away from parents who don't report enough work hours that I am forced to make a bulleted list of all of them:
>The proposal admits that 15% of these very low income participants will lose their Medicaid coverage. Why? Yes, support parents in getting jobs and improving their well-being, but don't do it by taking away their health care coverage!
>This proposal targets parents who live in deep poverty. It would create a catch-22 situation where hundreds of parents – mostly mothers – would lose health coverage if they don’t get jobs AND if they do. South Dakota’s failure to expand Medicaid to cover low-wage workers turns the proposed “work requirement” into a work penalty.
>There is so much "red tape" documenting work-related activities that it will cause people to lose coverage. Young parents, and others will mental health issues just can't keep up with it.
>Not enough support is available to address childcare and transportation needs of participants
>No state that now has Medicaid work requirements imposes this requirement on single parents of children as young as those in SD’s proposal. Approximately half, of those targeted in South Dakota are parents caring for children age 12 months to 6 years.
>The estimate is that 30% of the participants would be Native Americans and the impact would be “devastating” [according to the Tribal Chairmen's letter to the state] That in itself means Native Americans would be disproportionately impacted by South Dakota’s proposal and more likely to lose coverage than whites.
This list could go on!
I am writing simply to point out some of the major flaws in the proposal, to show you that concerned South Dakotans do care that we are not taking care of our citizens living in poverty in a state with the 4th-lowest hourly wages in the country, and to formally plead with the Center for Medicaid Services to reject SD's plan. Thank you for your consideration!
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