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Waivers are new battlefront in Republican-led states that expanded Medicaid
Modern Healthcare

Providers, patients and lawmakers in Arizona and Iowa are urging the CMS to reject Medicaid changes proposed by Republican governors. But in Michigan, the same array of stakeholders wants the CMS to allow conservative provisions to save the state’s Medicaid expansion. That’s because when Michigan lawmakers passed legislation in 2013 expanding Medicaid eligibility in the state, they included a clause requiring the expansion to sunset in 2016 unless the CMS accepts provisions such as sharp increases in premiums and cost-sharing obligations. This past fall, Arizona submitted a waiver application requesting permission to begin requiring premium contributions for beneficiaries with incomes both above and below 100% of the federal poverty level.

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