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Excerpt: "As a preliminary matter, we are gravely concerned that the rule could adversely impact the ability of the state to adequately fund its portion of the Medicaid program. Moreover, the possible impact is not at all clear. This is of grave concern as much is at stake given the size and import of adequately financing Florida’s Medicaid Program.
In spite of the fact that Florida has not expanded Medicaid under the ACA and has extremely limited eligibility standards for low -income parents and individuals with disabilities, 4 million people rely on the state’s Medicaid program. This includes 3 out of 7 children; 4 out of 7 nursing home residents; 1 out of 3 individuals with disabilities.
Also, as discussed more fully below, the proposed rule also raises grave concerns regarding Florida’s Low Income Pool (LIP), a program that is vital to all uninsured Floridians below 200% of the poverty level.
We urge that the rule not be finalized."