The proposed MFAR rule comes after countless attempts by the Trump administration to block grant and cap Medicaid, rescind important access protections, and promote policies that make it harder for individuals to get the health care they need. This proposed rule is yet another step in the administration's ongoing agenda to dismantle the financing structure of Medicaid and cut benefits, coverage, and access. At a time when state budgets are strained and Medicaid programs are set to take on new populations of unemployed Americans as a result of the coronavirus epidemic, this change would be especially devastating to providers across the country and the vulnerable low-income patients who rely on them.
"We are writing to express our serious concern regarding the
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Dear Administrator Verma:
We are writing to express our serious concern regarding the
Medicaid provides comprehensive, affordable coverage for over 71 million Americans, including children, individuals living with disabilities, pregnant women, seniors, and low-income parents and adults. Ensuring the fiscal integrity of the program is vital to assuring the program can efficiently and effectively serve the millions of Americans who depend on it. Yet, this Administration continues to take actions to undermine this essential program. In addition to attempts to block grant and cap Medicaid, rescind important access protections, and promote policies that make it harder for individuals to get the health care they need, this proposed rule is yet another step in the Administration's ongoing agenda to dismantle the financing structure of Medicaid and cut benefits, coverage, and access.
Numerous stakeholders including: the bipartisan
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Such responses are representative of feedback from thousands of stakeholders who have weighed in warning of the calamitous impact CMS's proposed Medicaid Fiscal Accountability Regulation would have on the Medicaid program, states, providers, and the millions of Americans Medicaid serves. To make matters worse, in issuing its proposed rule, the Administration failed to conduct a full fiscal impact analysis stating that the "fiscal impact on the Medicaid program from the implementation of the policies in the proposed is unknown." This is one of the many reasons that independent organizations like MACPAC urged CMS "not to implement new limits for supplemental payments and financing arrangements at this time." Such blatant administrative malpractice is completely unacceptable and one more item on a long list of reasons why the proposed rule must not move forward.
It is for these reasons that we request CMS withdraw the proposed Medicaid Fiscal Accountability Regulation and instead work with