1115(a) Demonstration Waiver Work/Community Engagement Amendment

Pursuant to 42 CFR § 431.408, the Oklahoma Health Care Authority (OHCA) is providing public notice of its plan to submit an amendment to the existing approved 2018 Section 1115(a) extension waiver for the SoonerCare Choice and Insure Oklahoma programs.

The proposed amendment will implement work/community engagement requirements as a condition of SoonerCare eligibility for certain adults not otherwise exempted.

It is the intent of the Oklahoma Health Care Authority to submit the amendment no later than October 1, 2018 with an effective date of February 1, 2019.  The initial budget impact for system modifications is estimated at $700,000 total dollars with $70,000 of the total being state share.  However, additional dollars are anticipated for the administration of the program but an exact amount is unknown at this time.

The OHCA expects to conduct several public meetings around the state during the months of July-September.  As of this date, the agency has scheduled the below required public meetings. Information on additional meetings will be provided on the agency’s public website as future dates and times are determined.

 
July 11, 2018 at 11:00 a.m.
 

Tribal Consultation  

Ed McFall Boardroom

Oklahoma Health Care Authority

4345 N. Lincoln Blvd, Oklahoma City, Oklahoma
 

July 19, 2018 at 1:00 p.m.

Medical Advisory Committee

Ed McFall Boardroom

Oklahoma Health Care Authority

4345 N. Lincoln Blvd, Oklahoma City, Oklahoma
  

August 10, 2018 at 11:30 a.m.  

OU Sooner Health Access Network

OU – Tulsa Schusterman Center – Learning Center

4502 E. 41st Street, Tulsa, Oklahoma

 
The OHCA welcomes comments from the public regarding the amendment to the SoonerCare Choice and Insure Oklahoma 1115(a) Demonstration Waiver program. Please view the waiver amendment in its entirety here: Work/Community Engagement Waiver Amendment Request Draft. Comments and questions may be submitted below or by contacting Bill Garrison, OHCA Federal & State Reporting Coordinator by telephone at 405-522-7914.

Please view additional documents here:

  1. SoonerCare Choice Budget Neutrality
  2. 1115(a) Waiver Projects Currently Undergoing Application and Amendment
  3. CMS Standard Funding Questions 




Comments

Order:

Anonymous
If you work 20 hours at even $7.25 an hour, that income exceeds your max income criterion for the "adult caretaker/relative w/child" category for household sizes of 1 and 2. Your own requirements will be literally impossible for these people to meet once their children are over age 6. Seriously?
OHCA Staff Reply
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7/9

shrinkmom
I have MH/BH clients on Soonercare who are unable or should not (for emotional reasons) work. They do not qualify under the proposed exemptions. Many of them depend on their counseling to stay out of hospital or keep their children out of DHS. What is the plan for them?
OHCA Staff Reply
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7/10

Kera Page
I think it’s great for some people. Unfortunately I have two children right now that are young and I cannot work because of lack of money for daycare for the youngest. I will however go BACK to work after my cancer treatment is completed. I think In the proposal you should think about some people who cannot work but also are fighting for disability. If you kick off some people without means to pay for visits to doctors several people may deteriorate in their health. I’m 23”4 and was diagnosed with stage 3 triple negative breast cancer at 23. Without soonercare I wouldn’t have been able to receive treatment. I am so thankful for soonercare and with these new guidelines I worry about people going through treatment like me, who have no physical strength to be able to endure a job. Even a part time job is very hard on someone recovering intense chemotherapy.
OHCA Staff Reply
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7/11

Stephanie D Patrick
I habe fibromaylagia, Lupus, RA, heat intolerance, extreme social anxiety, have had 2 heart attacks in two years with 4 stent placements in my heart. I could go on. I have a Cardiologist, Rhuematologist, Gastrointerologist, Pain Management Dr and Regular Dr that I must see. I Do get soonercare and I Am awaiting Disability. I am a decision for disability as we speak although you have to fight for years just to get it. I am struggling now as it is. I have lost almost everything. My kids take care of me. I am drug tested every month and have paperwork from my DR stating I am unable to hold and function at any job. If I go off of my Many Needed meds including Heart Meds there is a possibility I will die. And now I am going to lose my much needed medical too? If you are able to work you'll not qualify for disability but get to keep medical. If you cant work you get no medical but disability?
OHCA Staff Reply
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7/11

Anonymous
I believe that there are people who truly need SoonerCare for their medical needs, ie, those with cancer, mental health conditions, degenerative conditions. However, there are many, MANY, people re diving SoonerCare who are completely able to work who are not doing so. The Govenors Initiative is absolutely the right move to put people back to work and off state aid. Perhaps daycare vouchers could be given to those with small children to encourage them to work as well. We have far too many people taking advantage of state and federal aid packages in this started. There are help wanted signs posted everywhere. Ones self worth is improved greatly when they are able to provide for themselves and their family.
OHCA Staff Reply
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7/11

Anonymous
I think this would be good for some situations but not all. For one, if someone works 20 hours per week even at minimum wage, they would not qualify due to being above the income limitations. Second, I am a stay at home mom of an infant. Daycare costs are too expensive and do not qualify for childcare assistance. I live in the country and hour away from a city where I could participate in the work/service requirements proposed. I would be left without health care for myself and my baby.
OHCA Staff Reply
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7/11

L. S.
I am a single mother of 3. My 13yr old had about 30 appointments in the last 2 and 1/2 weeks. You cannot schedule all on same day and this is with 2-3 in one day which is about all we can manage. On average we do 4-7 appts a week. Every week. I am the only transportation for my other school age children and buses do not run in our area. So I also have to be able to transport them to and from school. One of my children's school also requires I do 20 volunteer hours a year or pay $25 each hour. I am not able to work and haven't found an employer in 4 years who WILL work with me. I now have small medical problems going on but if not addressed on a regular basis could be deadly. I have to take medicine daily and have routine bloodwork. Without insurance my health and my children's would not be good. And I HAVE to take care of my health in order to take care of them. Soonercare is a blessing for us!
OHCA Staff Reply
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7/11

Ms. F
I have a 12, 11, 6 and 3 year old. There is no way for me to work and pay daycare for 4 kids during summer and 1 during the school year. I had to quit a job because I was having to borrow money to get gas to get to the job after paying rent and daycare bills! I was losing money trying to work! I have no family here to watch my kids. Day job, night job, FT job, PT job, same situation. What are we supposed to do? There's so much more to my personal story but bottom line, I need insurance.
OHCA Staff Reply
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7/11

Tasha Morrison
I am a stay at home mom and currently expecting twins in febuary I don't work do to bad anxiety and the cost of daycare being to high if I was to work I would have to put my entire pay check to daycare just to still not get soonercare because I would make to much money this isn't going to help this will hurt more families than help
OHCA Staff Reply
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7/11

Tasha Marie Morrison
Who is exempted from this?
OHCA Staff Reply
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7/11

Kate B
This is punishing the poor!!!!
OHCA Staff Reply
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7/12

Teresa Sweetwood
I do not feel this shows any type of compassion for adults in need. Especially if they cannot work to begin with due to a physical or mental complication. Also, if the adult has children who may need day care, this makes absolutely no sense. These families are already extremely low income. I feel this is only punishing them. Whoever came up with this idea has no clue how difficult it already is to find any type of assistance. This is health insurance. Not a hand out. I read this will be HIGHLY costly updating the computer system to even verify employment or work hours since this process is all computer generalized. I find this a heartless, evil, attempt to punish those less fortunate in physical or mental ways. And most definitely if children are involved, they will suffer the most. They may even be left alone at home if there is no immediate money to pay a babysitter. And isn't that counteractive if they will then need to apply for child care assistance? Why aren't these ideas reseaeched at all before they even get this far??? Plus. The previous concerns from others who posted. A young woman who has cancer. And receiving treatment which makes a person very ill and weak. They would be forced to work? And. The income can lead them to being denied services. Which I think is what this whole issue is about. I know this doesn't sound...professional. But this sickens me. Ive worked with clients who are struggling. Most cannot even qualify for Soonercare to begin with if they have a minimum wage job. And if the adults do not have children, Ive not known of anyone to have Soonercare. This is so counter productive to assisting people in need. Its inhumane. Stop it already!! Please!!!!
OHCA Staff Reply
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7/12

Anonymous
What about people that own there own business and cheat the system still? I think they need to still work a job that you have to pay taxes. It’s not fair when they lie about what they make and a few people know they do and they still don’t get caught! I think they need to work at least 32 hours a week unless they can’t work at all.
OHCA Staff Reply
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7/12

Anonymous
I do believe those whom are not disabled SHOULD be required to work a minimum of 20 per week. I work in healthcare and see a LARGE amount of patients come through the doors with Medicaid that ARE FULLY CAPABLE of working a part time job. This will eliminate people from abusing the system.
OHCA Staff Reply
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7/12

Anonymous
I believe people should be required to work when reviving Medicaid
OHCA Staff Reply
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OHCA Staff Reply
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7/12

Anonymous
I vote yes
OHCA Staff Reply
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7/12

Anonymous
I am a single mother of 3 girls. We live on a Social Security Death benefit, which is barely enough to pay the bills, but we survive. I have tried working part time twice in the last 7 years since my husband passed away, and its just not an option. I have no family within a reasonable distance that can help with getting my children back and forth to school, doctor appts, dentist appts, school functions/activities or to stay with them when they are ill or out of school for summer break, days off school, etc. Soonercare is the only form of health insurance I can get for my children and it has been a God send. Its the only assistance I qualify for and receive. If it were to require me to work, I don't know what I would do or how I would provide health care for my children. I hope you reconsider that part of your changes to the plan or, at the very least, evaluate it on a case by case basis and allow for something in the writing of the new policies for families who don't have the option of working outside the home to still be able to qualify. Thank you for your time and attention.
OHCA Staff Reply
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7/12

Anonymous
Absolutely agree with working 20 hours to obtain medical care. I work 40-50 hours per week and pay an astronomical amount for my health insurance. Why should someone who doesn’t do anything get medical treatment for free? I understand if it’s a disability keeping them from working but in my cases, there is no disability other than pure laziness. Everyone needs to do SOMETHING to earn money and healthcare. It’s time for people to start providing something to society instead of society constantly providing for them.
OHCA Staff Reply
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7/12

Anonymous
I think the proposal is a movement in the right direction. I work in the healthcare field and the amount of people who have Soonercare and are able biding people without jobs disgusts me. Something needs to be done!
OHCA Staff Reply
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7/12

Anonymous
This would definitely hit the small companies that employ people just 2 or 3 days a week. They would lose a lot of hard working moms that are working to provide for their families. I work for a business that employs people 3 days a week for just 5.5 hours a day. Who’s gonna go find another job in addition to this one to make up the 3.5 hours. NO ONE! They will quit to find one job that gives them enough hours to stay within the minimum!
OHCA Staff Reply
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7/12

Anonymous
I agree with the new rule.
OHCA Staff Reply
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7/12

Anonymous
Not being able to afford medical care will not change even if the one’s to he affected by these changes lose their insurance. Transportation is an issue in iur state. Engaging in civic activities, even working as a single parent can be challenging even in the metro. Much less rural areas. Seems it should take into account time spent for travel to and from. If a person has to spend more than an hour and half one way and try to parent, what have we solved.
OHCA Staff Reply
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7/12

Ashley paul
I think exceptions should be made for parents seeking a higher education. I am currently in my second year of college and my husband works more than 20 hours a week. The worry for me is that—only two of my four children are biologically my husbands, so what will happen to the other two? Will they be dropped due to the fact that I am not working? Their biological father has abandoned all parental responsibilities, and has not been in the picture for years. Making this exception is crucial. It will help out families seeking to better themselves through a higher education so they won’t have to rely on programs such as soonercare. With four kids and attending college full time, there is no way I could keep a part-time job or attend a community service program. It would not be fair for two of my children to be dropped from their insurance when my husband works full-time and I attend college.
OHCA Staff Reply
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7/12

Ashlee
I agree with making people work to better their lives however, now you will punish everyone who goes to work and cut their benefits off because they make more then a few hundred dollars a month. For example, now that my 16 year old daughter works, I got my soonercare benefits cutoff. I have a lot of muscle and bone issues and now there will be many medically necessary medications and testing that needs to be done, won't because I have now no insurance and too broke to afford out of pocket or a private insurance company. So make people work then it is only fair to raise to max income allowed to receive soonercare.
OHCA Staff Reply
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7/12

Amber Allen
To Oklahoma lawmakers and officials, the modifications you are intending to make with Soonercare healthcare coverage for low-income and poor Oklahomans, only proves that you are finally and truly out of touch with the people of your state. It is at this time the public must realize that we have chosen the wrong leaders, for your only consistencies have been in undermining the needs of the most vulnerable people in this state: the poor. From the failing public services to the constant assumptions that most or all of the poor are drug-addicted, politically incompetent, or socially ignorant is further proof that YOU are the ones in need of an overhaul. Many of the poor families in the state of Oklahoma are working people, and many are seeking jobs in a harsh economy that is highly susceptible to further damage due to your inability to be morally dutiful, to the people of this state. Many of the families of Oklahoma have lineage dating back since statehood, my family being one of them. As a descendant of working Oklahomans, poor Oklahomans, Oklahomans that have contributed to the structure of this state just as well as any wealthy Oklahoman has, I can say that the decisions of the current leadership of this state, does NOT make me proud. Oklahoma's so called "leaders" need to understand quickly that the poor are not poor because they are of a beggars status, or because they don't understand productivity, they are disadvantaged because of constant economic obstacles and stagnation for progression, at the hands of those they've selected as leaders. No family of any economic background should have the worrisome trouble of having no medical coverage as they make their living the best ways they can. Do better!
OHCA Staff Reply
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7/12

Anonymous
What about people who are disabled? Not just physically disabled, but ones with invisible mental illnesses? As someone with a physical illness (Diabetes) I also have many invisible mental illnesses and an invisible physical illness (tinnitus) that keeps me from joining the work force, especially since the majority of the work force now is dealing with other people or phones. Those jobs are so stressful that it can make me physically sick. I suggest this not be a blanket requirement but a case by case basis.
OHCA Staff Reply
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7/12

Anonymous
Please leave the requirements alone. Income levels should be requirement enough. If you feel someone is abusing the system that should be addressed on a case by case basis. This proposal will adversely affect thousands by unforeseen consequences.
OHCA Staff Reply
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7/12

Anonymous
There should be an amendment to allow new mother's to be excluded from being forced to work.
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7/12

Bailey Hoffner
I love Oklahoma because people here genuinely care about the well-being of people around them.
I really really really want to start seeing that translate into policy.
This policy will hurt families and the most vulnerable of Oklahomans - I don't want to have to learn how members of our communities are suffering because of an overly restrictive work requirement policy. SoonerCare has been extremely successful. When I needed it, it was there for me and ensured that I had quality, affordable healthcare at a time when pre-existing conditions would have made that otherwise impossible for me (2 time Hodgkins Lymphoma survivor). Once I was able to afford healthcare on my own, I felt incredibly happy knowing that my spot in the program would go on to help someone else, currently in need. It is the health of our fellow Oklahomans that we are putting at risk, the health of our neighbors, the health of families all around us. Please, for the sake of our most vulnerable citizens, reconsider the implementation of this requirement.
OHCA Staff Reply
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7/12

Anonymous
I am and have been a stay at home mother of 2 very young children for 3 years and we depend on SoonerCare for medical and dental provisions.
OHCA Staff Reply
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7/12

Anonymous
Disabled individuals should be exempt
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7/12

Anonymous
I thinks it's a great idea to make people work/volunteer in order to get benefits. I also have some other suggestions like limiting the number of babies soonercare covers from each mom. Also put picture for identification on the food stamps card and require cashiers to check ID to limit people from selling their food stamps. And requiring a drug screen in order to get benefits.
OHCA Staff Reply
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7/12

Anonymous
that's the problem with the system we have given to much free stuff out and the tax payers are the ones that suffer
OHCA Staff Reply
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7/12

Anonymous
Forcing on SC, many who are disabled,to work or do this community service is untenable and discriminatory. Forcing women who just had a baby to work can very often be against doctor's orders as well.
OHCA Staff Reply
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7/12

Jeremy Wance
I'm so tired of our state government (probably NOT the people at OKHCA that are reading this -- the fault lies a lot higher up) finding new ways to screw the poor, while handing tax cuts to the rich. How are we supposed to grow and prosper when we are punishing people who are (often) working? How does it affect our future if innocent children are denied proper healthcare? When will we realize that this is actually an issue of CORPORATE welfare: companies like Wal-Mart pay less than a living wage and don't provide reasonable healthcare insurance options. They save money (read: profit) by forcing people to look to State programs for assistance. Let's start charging employers who do this! We can put the money into SoonerCare!
OHCA Staff Reply
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7/12

Iyla Griffin
I do not support the revision to the SoonerCare plan which creates the work requirement for so-called able-bodied adults. The income guidelines are so low for parents with children, this would surely make all working people ineligible for the SoonerCare benefits they may desperately need. Health care should not be a carrot to get people to work and join the economy. There are a lot of things people who are not working do for our community and their families. Health care shouldn't be something that you have to qualify for on a monthly or quarterly basis. SoonerCare should be here to assist people who have no other health care options, not to make people work, attend school, or training. Those are also great activities, but should not be qualifiers to access health care.
OHCA Staff Reply
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7/12

Lori
I hope it takes in consideration parents that are on SSI and parents that are already working a main job.
OHCA Staff Reply
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7/12

Ruby
I do not support work or community engagement requirements for SoonerCare eligibility. Oklahomans deserve access to healthcare regardless of their employnent status. You really want your unemployed population without insurance? This sounds like a recipe for tragedy. First, look at the mothers; childcare is so expensive that figuring out the logistics to cover 20 hours may not be feasible for some. In addition, what happens when you cut very sick people whose medical conditions don’t make the approved list? What about people suffering from addiction? Mental illness? MAKE HEALTHCARE EASIER TO ACCESS and we will have a healthier state.
OHCA Staff Reply
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7/12

Cheryl
I had to quit my job after my husband had a major stroke. He isn't bad enough for a nursing home but needs someone with him 95% of the time. His ssi isn't much but we are making it work. We can't afford insurance and I don't qualify for soonercare. On the other hand I know a lady that draws 3 checks a month, gets food stamps and soonercare. She is able to work at least part time but doesnt. What is fair about this. I think if a person can work they should but in some cases you also need to help those like my case, which I know that I am not the only one like this.
OHCA Staff Reply
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7/12

Myaria Hamilton
So with this bill you'll be raising the requirements of the income correct? Because a minimum wage job is gonna keep you from being able to receive sooner care. Where's the income requirements for this? Have you even checked on why they dont have jobs because assuming that its because they dont want to work? You get a job working at the gas station and it WILL put you over the limit you can make even as a single parent. There is no way to work around that unless your raising the income requirements too or they will not be used to determine renewals.
OHCA Staff Reply
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7/12

Anonymous
I do not support the work requirement revision to the SoonerCare plan. Healthcare shouldn't be attached to employment status and we as a country are doing a huge disservice by following that model. I am not totally familiar with the rules regarding both parents and Soonercare as I am lucky enough to have insurance through my work, but what are you going to do when there is one parent working, one parent not working, and a child? Are you going to require that both parents work? Who is going to watch their child and how would they pay for that child care? Is one parent exempt and the other not? New mothers will suffer from this the most. This country doesn't seem care about the relationship between new parents and their children as new mothers are expected to be back and work and back to normal almost immediately. Post-partum care is a lot longer for women than 2 months. I could not walk for 6 weeks alone after having my child. If you end up passing these revisions, you should please consider extending the 60 days exemption for new mothers to at least 6 months. Parents deserve to be with their children and mothers deserve ample time to heal in peace and bond with their child. What we really should be working on is figuring out a way to give health care to everyone, regardless of their employment status.
OHCA Staff Reply
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7/12

Tara
Please read the above comments - each and every one of them - carefully. People have shown you the flaws in this policy change (ex. qualifying for disability but not for healthcare, working 20 hours a week and actually losing healthcare due to "income" requirements, etc.) People have shared their stories, however painful and/or humbling. Please take their words to heart, and understand that this policy will disproportionately affect single, disabled and/or ill mothers, and it will certainly disproportionately affect the poor.
OHCA Staff Reply
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7/12

Anonymous
I do not support this. I am a single mother of three. I am the type of person that walks in to receive healthcare and get looks from healthcare workers because I am on Soonercare and look fully capable of working. Looks are deceiving. I have been having excruciating back and nerve pain and can't stand for more than 10-15mins or I'll pass out. I am not on disability and do not qualify. Do not receive child support. I am a registered voter. I have read the exemptions and my family would not be exempt. I live in a small town with not many options for work. I have no family close by. No help. Buses do not transport so I have to take and pick up my kids from school. My kids are 10 and older. I have a child receiving disability that I have to fight tooth and nail to keep him on and it still doesn't cover all of his medical costs. We go to between 4 and 10 appointments a week. I worked from age 16 up until about 4 years ago where no job has been able to work with me and around my child's appointments. A normal day for us; I take 2 children to school and then we get to 1st appointment of day by 745 in same town. Next is appointment in different town 25 miles away. Get done we usually have one more atleast 20 more miles away from this one. Get done get this child to school but it's almost noon and school has already served lunch so we have to eat first. I now have about 3 hours before it's time to pick everyone up. Now if I have an appointment for myself or other children add that on. Sometimes 10 a week! My family sees 3 ear doctors every 4 months, 2 heart doctors every 6 months-1 year, a speech therapist 2x a week, a Craniofacial dr every 6 months, a regular dr, an allergy dr 1x week, dentist, orthodontist every 4 weeks, a second orthodontist not as often, pain management,a urologist, a gastronoligst, I then also have school care meetings and IEP meetings for 2 kids, I guarantee you I'm forgetting some like my own womanly checks and that's not even the half of it. Our food benefits keep getting cut we don't have enough groceries to last a month with coupons and growing my own veggies. There are several co pays I still have to pay being on soonercare, meds that aren't covered, and a $1,500 device. I have to constantly fight to receive coverage for some of my child's appointments because soonercare says he doesn't qualify but drs say otherwise and are fighting for us too. Just because your an adolescent doesn't mean you should give up on their care and needs. We desperately need soonercare! I cannot work or volunteer where would I find the time and never have I found anyone who will work with me. This will greatly hurt us! Single mom's should be exempt with kids under 18. Parents who have a child on SSI should be exempt if single. The income guidelines should be enough. I approve drug testing. When I was working I only got about 14 hrs a week and lost insurance on myself, snap benefit was cut, had to pay child care, etc... There needs to be a middle somewhere where we can afford to work to get off of benefits. Raise the income level and drug test. I wish I could work. I wish working didn't create a bigger struggle. I wish I didn't have to be on benefits. I dont have any other options right now. I'm not lazy, there's not many people who could do what I'm doing. I am struggling and fear we will be without healthcare, food, and shelter. I see more homeless people in my little town everyday and that's not normal. If you want to take my healthcare away fine but don't take my childrens. However if I can't stay healthy who will take care of them??? I pray you put yourselves in my shoes and try to understand.
OHCA Staff Reply
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7/12

Jessica
This proposal creates a Catch-22 for parents: if they work the hours needed to meet the requirements, they’ll earn too much to stay qualified. Most of these parents can't afford or don't have access to employer health coverage, and they won't be eligible for Insure Oklahoma. Without other health coverage options, many of these parents will join the ranks of the uninsured, without access to primary care, care for chronic conditions, treatment for mental illness, and more. This isn’t just bad for parents: it’s bad for their children!
OHCA Staff Reply
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7/12

Mary
Oklahoma is better than this. People’s lives are at stake. Please do the right thing. Protect the most vulnerable among us.
OHCA Staff Reply
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7/12

Doyne
Along with education, accessible and obtainable healthcare should be priority for this state. If we want to see Oklahoma prosper into the future...these two things are going to be what makes Oklahoma great.
It's ridiculous that poor working Oklahoman's are having to go uninsured. Fix this! You were put into this office to better our state. With the time you have left, please do so.
OHCA Staff Reply
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7/12

Charlie
Please rethink this proposal and help those who need healthcare assistance the most!
OHCA Staff Reply
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7/12

Teresa
This is a cruel way to treat Oklahoma citizens. It sickens me to be part of this state. There is less and less humanity in this state when ideas like this are created by out legislators and citizens believe 'able bodied' people are taking advantage of the system. Stop it!
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7/12

Melissa
This proposal will create a worse state of affairs for the exact families SoonerCare should be protecting. I urge you to withdraw this proposal.
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7/12

Judy
Please do not change anything. I beg you
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7/12

Joan
Our children in Oklahoma are worth the investment. Supporting healthcare effects education outcomes and parenting outcomes. A child’s trajectory begins with healthcare.
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7/12

MICHELYNN
This waiver proposal is mean and cruel. Jesus of Nazareth did not ask for work background checks on the people he healed. The money you would spend to set up this bureaucratic system will be wasted - it would be better spent on the healthcare people need. Healthcare is Human RIGHT!!!
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7/12

Johnnie
This is an outrageous attack on Oklahoma families. Do you truly believe that people who live below the poverty line are trying to steal benefits from the state? I am so disheartened by this policy that reeks of the stench of our current administration in Washington, D.C. We are all citizens of the great State of Oklahoman and have a tradition of coming together to help each other in crisis. This policy is not a part of that tradition. Please reconsider this atrocious act.
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7/12

Eldred
Please withdraw the current proposal for Sooner Care as it is harmful to Oklahomans and to the well-being of the State of Oklahoma.
I suggest you send the directive back to the legislature with the instruction that it is simply unworkable, unconstitutional, and prohibitively expensive.
Courage.
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7/12

Dan
Some Oklahoma parents will lose their health coverage as a result of this proposal if it’s approved by the federal government. However, the proposal provides no estimates of how many. The purpose of SoonerCare is to provide access to health coverage for low-income Oklahoma families, but this proposal does not appear to consider the effect on the parents who will lose coverage under this proposal. Oklahoma families deserve to know how this proposal will impact them
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7/12

Bob
I am writing to express my opposition to this or any proposition that obstructs access to medical care for Oklahomans with limited financial resources. On the contrary, The Healthcare Authority should be lobbying for the legislature to expand medical services by accepting federal monies that are currently going to other states.
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7/12

Terry
Stop the GOP evilness!
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7/12

Gayle
The proposed new requirements for SoonerCare will hurt Oklahomans and will ultimately end up costing the state more to process all the new data for these applications (which has happened in other states that implemented a work requirement.) This proposal creates a catch-22 for parents -- if they work the hours needed to stay on SoonerCare, they likely will earn too much to qualify and yet with part time jobs, they don't get medical insurance coverage. So these folks join the ranks of the uninsured and will end up overwhelming emergency rooms and the hospitals pick up the cost and end up passing that on with higher rates for those with insurance.
An Oklahoman taking care of her children and elderly mother should not have to worry if she can afford a doctor when she's ill. A father with an irregular work schedule should not have to choose between a meal and his insulin. That's why SoonerCare is there to ensure that our most vulnerable families can get essential health care in time of need.
From all I have read, the majority of people on SoonerCare are not freeloaders and have legitimate reasons why they need access to SoonerCare. This idea that SoonerCare is loaded with lazy people who just don't want to work is a fallacy. And ultimately if this proposal is enacted, it will end up costing the state more money than SoonerCare itself just to process the applications. Of course, the hope of the proponents of this change, is that people simply won't apply. But the end result of that will be to transfer the burden of cost to hospitals and especially in rural areas, force the shut down of those hospitals. The state has an obligation to protect Oklahomans in need!
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7/12

Nick
Soonercare is supposed to be there for families who can't earn enough to afford health insurance. Demanding they work contradicts the very mission of the program. This is transparently trash, designed to funnel more money away from people who have none, and you know it.
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7/12

Brenda
Mary Fallin! You have without a doubt been the worse governor in Oklahoma history. You have disappointed me time and time again. But this is an all-time low even for you. If you goal was to make the state of Oklahoma the laughing stock of the nation and to make our citizens the last in every indicator, you have succeeded.
It's time for you to for the very first time to put Oklahoma first. Do not hurt the most vulnerable in our state.
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7/12

Jane
This proposal is flawed and in the end will be costly to implement without producing cost savings. Bad policy.
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7/12

Andrew
Medicare is already too restricted, we need MORE health care coverage for poor, even those not working or declining to work for whatever reason. Otherwise the rest of us pay for their ER treatment through higher costs to us. We need to expand Medicaid in OK, just like most other states.
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7/12

Whitney
I do not support your Soonercare work requirements, especially until more research and information is provided. Please research and identify how many individuals will be affected by this cut, and what their general circumstances are, before advocating for this policy change that is against your mission and hurtful for Oklahoma families in poverty.
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7/12

Kathy
Please do something to help these people not further injure them. Thank you.
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7/12

Stephanie
As a single mother bringing home $900/month from my full-time job in 2002, I found myself unexpectedly pregnant. (My then-husband had left me with out 2 yo son to go use Meth before we had discovered the pregnancy. I was forced to take maternity leave before the baby came because of an underlying heart condition. While on leave, I lost the DHS benefit that covered my toddler's daycare (because naturally, chasing a toddler is better for my heart than my desk job was.). As I used up nearly 6 of the planned-for 12 weeks of leave, I found out that with very careful budgeting and money-management, taking full advantage of all available social services, I could bring in about $800/month from food stamps and student loans. This plan enabled me to spend the next two years as almost a 'stay-at-home' mom, all during my daughter's infancy, and until my oldest began pre-K. I attended night classes so family members could watch my kids, and I graduated with my Bachelor's Degree in 2004 .
Since that time, I have worked fulltime for the Office of Juvenile Affairs. In my capacity as a Juvenile Justice Specialist, I have enrolled a couple hundred troubled youths into Medicaid/Soonercare over the past 14 years. I have helped families figure out how to get medical needs for non-insured adults, and I have seen the desperation on the faces of mothers whose children are undocumented and therefore do not qualify.
In a State like Oklahoma, where the Department of Corrections is the biggest mental health provider, we simply must do everything we can to peovide adequate insurance for as many people as possible. These policies of defunding Planned Parenthood, refusing the Federal money on the table for Medicaid expansion, and now adding ridiculous work requirements merely provide soundbites for a Tea-Party base that is dying. These draconian policies further widen the gulf between the 'haves' and the have-nots'. These policies cost very real people their very lives.
You see, during my period of being on my own little 'sabbatical' from work, I was working, 25 hours a week as an unpaid intern. How could I, a single mother of 2 pre-school-aged children have possibly gotten a 40 hour per week job and carried my other coursework and completed the internship? I could not have. And to have some person sitting in DC or OKC mandate me to do so would have meant that I forgo my education.
I repudiate that thought, because of the youths and families I have helped with my education over the past 14 years.
Please, leave it as it is. There are enough hoops and hurdles in place to accessing healthcare as it is without adding another layer.
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7/12

Diana
Medicaid is for poor states like Oklahoma. Please apply for it!!!!
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7/12

Cynthia
Please protect soonercare for Oklahomans in need.
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7/12

Beatrice
I am an educator of 25 years, and I've witnessed how lack of insurance affects thousands of kids in this time. The idea of insurance, a plan to help with the inevitable illnesses of childhood, should not be something beyond order he financial reach of the many, reserved for the few. But that is the reality for too many Oklahoma families.
The fact that people can't afford medical insurance is absurd in our society. Where else is the basic tenet of health tied to the moral implications of work but the USA? If an individual is unable to work or does work doesn't mean that children should be in need over basic health care needs.
I've had too many sick kids come to school because going to the doctor is expensive or parents cannot afford to miss work. Already those who are most vunerable are excluded
from basic health care because of these reasons. To reduce the healthcare safety net that benefits thousands of Oklahoma kids it to increase our already stratified healthcare system as a state. How does that help Oklahoma thrive? It doesn't. SoonerCare is a neccessity for many Oklahomans. How foolish and cruel to deny those in greatest need the health insurance opportunity to care for their families.
I want to live in a state where children are cared for and have the healthcare to grow and become thriving members of society. Lawmakers should want the same, and shame on them if they don't.
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7/12

Linda
Healthcare is a basic need and should not be subject to politic winds. Parents and grandparents who care for children and/or the elderly or disabled may not always be able to work the number of hours to stay on SoonerCare or they may be cut off because they make too much money.
Access to primary healthcare is the right thing to do for parents, their children and, in the end, for all Oklahomans!
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7/12

Deanna
I am writing to ask you to drop proceedings to implement a work requirement in the Sooner Care and Medicaid programs. There is ample evidence from other states that this requirement results in the loss of healthcare for too many children and families. The work requirement does nothing to help people find, qualify for, or keep a job, and it does not require employers to do their part in providing adequate hours or the flexibility needed for a parent or caregiver, or for someone with chronic health problems. The work requirement program as currently written is ambiguous and cannot be applied in a way that won't result in families in need losing healthcare.
Caring for the health of the people in our state is there first step to increased quality of life and productivity! Please withdraw the Medicaid waiver request.
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7/12

Harold
I believe health care is a right and an obligation for society to provide. The proposed work requirements punish those who need help the most and make care impossible to receive. Please reject the SoonerCare proposal.
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7/12

Edmund
Do not make it more difficult for Oklahomans that need SoonerCare for getting it. To punish those who are in need is simply not right. As it is written this law is unfair. Do the right thing for needy Oklahomans....the elderly....children. Do not be draconian in trying to rip SoonerCare away from those who need it the most.
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7/12

Cynthia
I am writing to ask you not to tie Sooner Care to proof of employment. It adds a layer of hardship on many people who are already in a fragile position. It adds a layer of bureaucracy to our state system that would probabably outweigh the value of its cost to state taxpayers.
Of course we want people who are able to work, to get a job and be a productive citizen. We just should not tie it to receiving health care services.
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7/12

Carol
The proposed Medicaid work requirement will probably end up costing the state more in bureaucratic management (money we do not have) than it would save by denying health care to the most vulnerable people in our state. It is a heartless and poorly thought-out proposal that needs to be laid to rest.
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7/12

Jamie
It's hard enough to make it in the world we live in now. Please dont make it any harder by cutting anything else.
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7/12

Christina
Please stop punishing poor sick people of America!
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7/12

Roger
Protect sooner care, a lot of people with kids,and disabled need this medical coverage. Cut legislatures salaries instead
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7/12

marilyn
The way this is written it is subject to massive judgmental punitive action. Please, reconsider and stop this horrible measure! We do not need to cripple the most vulnerable with red tape .. Funny how we are considering placing regulations for care on humans yet, it was worth a dog fight to get the EPA to back down.. Please take care of human beings.. they are an investment too. Stop this awful measure now!
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7/12

Jodie
The state’s new SoonerCare proposal will continue to dismantle the medical care needed for Oklahoma families and it should be withdrawn. Systems begin with families and are the primary system help shape and build that larger systems we all operate within, such as educational/ other youth services, medical/ hospital, behavioral health/ drug and alcohol services, state and local governments including Child Welfare and Dept. of Human Services. It is our duty as citizens to work as a system to help provide and ensure everyone has access to proper and affordable medical care. What hurts on hurts us all and the systems either get stronger with healthy persons or weaker with improper care. Let's work together to make our state of Oklahoma and it's future a stronger state!
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7/12

Darlene
Sooner Care must be protected for the thousands of people in Oklahoma who have no other hope for coverage.
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7/12

Dale
SoonerCare is not a jobs program. SoonerCare should help people and not punish people.
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7/12

Brandy
Oklahoma’s Medicaid policy already has very low income guidelines to follow for adults to receive healthcare. Anyone making less than $300-$400 a month and cooperates with child support are the ONLY adults getting Medicaid unless they are disabled or elderly. Your new idea to institute work requirements would make all of the adults covered currently lose their coverage. Unfortunately, in Oklahoma we don’t cover very many non-disabled adults anyway. You need to start treating people the way you want to be treated. Healthcare shouldn’t be an entitlement that you use to penalize people.
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7/12

Kelda
I run a small organic farm and because my daughter receives Sooner Care and because my income is constantly fluctuating and organic foods drastically undervalued in Oklahoma, I receive sooner care as well. My boyfriend and I work long hours, both at the farm as well as off, having 6 income streams between the two of us, as well as long hours volunteering in the community running the farmers market and serving on the city council. This last weekend, as we were watching the neighbors fireworks, I was holding my daughter in my lap when I was hit in the eye by a firework. I’m curious how lack of health insurance coverage would help me recover faster so I can get back to working, or how my daughter would be better cared for by a mother who had trouble finding medical care in the very quick timeframe necessary for me to regain my sight. I also understand that there’s been very little work done on the reporting forms and that OHCA is unsure how to fund the time needed for this extra reporting. My reporting, because of self employment and numerous changeable income streams, already takes extra time to explain and get the forms right. I’m happy to add in my volunteer hours but worry that the whole premise is expensive and unnecessary. Oklahoma has one of the highest uninsured rates in the country. My uncle died this past winter basically due to lack of preventive primary care. The state policy on healthcare is inhumane and growing more inhumane if this new change is put into effect.
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7/12

Diane
Daycare is more per month than a lot of mothers earn. Most cannot afford a car but you don’t want to raise minimum wage. This is a propaganda
and heartless move to deny poor and sick people health care.
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7/12

Robert
Respectfully, please reject the deeply flawed proposal to deeply cut coverage for Oklahoma Parents who do not report enough working hours every week.
Please go back to work and produce something of value and passes the smell test.
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7/12

Stephanie
Do not set minimum work hours standards for parents of medicaid recipients.
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7/12

Ruth
Cutting SoonerCare will only ultimately hurt the children of Oklahoma that now have coverage.
Please reconsider this proposal.
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7/12

Kevin
Protect sooner care!
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7/12

Mary
It’s already tragic enough for people suffering difficult mental or physical illnesses without torturing them further by taking away their health care
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7/12

Amanda
I understand that there are people who abuse the system. However I seriously doubt it is what the powers that be say it is. They are just spewing propaganda because I have not seen any evidence that it is as widespread and as much of an epidemic outside of some random numbers with no specific citation of the source of that data. I demand that the public be provided LEGITIMATE data that either confirms that claim that has lead us where we are now, or refutes it. This is not just something to give a quick fix - we are talking about who knows how many people could be affected. People who do actually need these services. We are trying to make Oklahoma better, and we need your cooperation. Do not jump the gun on something like this, please. We need to know exactly how many will be affected and if they deserve that or not. Oklahoma has been the bottom of the nation for a long time and we are working our way up. You must not do this.
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7/12

Tara
This change is unconscionably tricky and impossible to apply fairly. Do better. Too many Oklahomans are relying on you for this.
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7/12

Leah
It is beyond heartless to kick people off of healthcare just to cater to oil and gas donors. Knock it off.
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7/12

Julia
I was cut from Medicaid due to misinformation about the financial status that was reported. I lost the paid premium for medicare & copay for medical service. Social Security held out 3 months back premium for medicare, I don't understand how I survived that month, but by the grace of God. I do believe the cuts the
POLITICIANS are asking is punishing the low income people more than is necessary. Why don't you all live under the rules & regulations you put on the general public, I don't believe any one of you would make it!!
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7/12

Lisa
Governor Mary Fallin,
Stop playing games with people’s lives!!!
It is your job and duty to protect those who live in your state. Start doing your job before you leave office. We have taken notice and we will not hire your cronies any longer!!!
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7/12

Karen
Please protect the families and caretakers coverage. Please keep Soonercare the way it should be, taking care of our state's citizens. Not hurting citizens.
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7/12

Margie
I became a single parent when my husband died while my children were in junior high school. My daughter is a single parent trying to make ends meet. I don't know how I or she would have survived without the assistance of family. There are however many single parents that do not have the kind of support we have had. To force single parents to work once children reach school age is totally unrealistic. Too often part time schedules are at the discretion of the employer and the hours that children are in school are often not the hours employers most need. Part time work puts greater stress and financial burdens on single parents or even families living at the poverty level. This work requirement need to be withdrawn.
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7/12

Donna
Governor - I totally understand the philosophy behind making ‘able-bodied’ people work. However, how about the thousands who have mental health issues but that are not diagnosable? Or those without skills and who live in remote small towns? Or those who are both unskilled & have physical issues that keep them from jobs but those issues are not ‘bad enough’ to make them not ‘able-bodied’? I know many families like this and if you do this, they will now be unemployed, without insurance, once again flooding our hospitals as non-paying customers. This will put a burden on the hospitals, possibly closing some of our few remaining hospitals. Please do not require the work mandate for the poor to have insurance! Thank you so much.
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7/12

Gretchen
I have a child with Prader-Willi Syndrome who is on a higher functioning level than many of those who have this syndrome. Many of our parents in OK are single parents trying to raise these fragile children and work. Care is 24/7 unless the child is in school. The work requirement for those on SoonerCare is unreasonable and a punishment! I know that there may be a cheater here or there but on the whole people want to work and be able to care for their families. And what about the elderly? Do we leave them alone in their homes to fall and then die? The end result of this new rule will just trickle down in other costs to the state due to no health care coverage. Please reconsider this destructive bill. I don't see that questions have been answered regarding administrative cost either and how to train parents in the new paperwork system. Please leave well enough alone.
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7/12

Tiffany
Please protect sooner care
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7/12

Dayla
Leave healthcare for the elderly, disabled and or poor alone. Stop just stop. Benefits should be better. Stop making everything so hard for us.
WHAT IS WRONG WITH YOU PEOPLE?
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7/12

Debbie
Protect Soonercare for 1,000 of people.
Everyone should have easy access to healthcare without any job requirements. Not a single individual needs to fall through the cracks.
The cost of this proposed program far outweighs any minuscule savings.
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7/12

Sean
Don't do this. We should focus on the implementation of Medicinal Cannabis! And how insurance companies are going to cover this medicine! Smoking a naturally occuring flower should not be banned. Insurance companies may even start saving money of cannabis is used for treatments!
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7/12

Brett
I was very disappointed to hear about this proposal.
I understand the desire to spend money wisely, making sure that waste is taken away so the money is used to maximum effect.
In my opinion this proposal does not attack wasteful spending, it just attacks people already straining under heavy medical costs.
There are people who abuse this system. They are not the majority. Most people in this state on soonercare are kids. The next highest group are elderly and disabled people.
You will find some abusers of the system with this proposal, and you will save the money they were trying to scam you out of.
You will drastically alter many more legitimate families that depend on soonercare for survival.
I love seeing taxes taken out of my check, knowing that because of that some kid can get glasses or a kidney transplant.
Please, look elsewhere for savings. Everyone I talk to agree on taxes for 3 things. Kids, roads, and safety are never something to compromise in search of efficiency.
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7/12

Deborah
I am writing to ask that you act cautiously when enacting the work requirements. I see SoonerCare as a vital safety net for vulnerable citizens. I do not see the massive abuses this supposedly seeks to alleviate. As a teacher I see the need for this program more than ever in my 30 years. I know that my neediest students' parents are working but probably lack the sophistication or technical skills or access to reliable and reportable information to report adequately. I know that their hours and schedules are highly variable. I also know from first hand experience in my own family that families with disabled members are unable to work and stay home as caregivers because they cannot afford much more costly, both to them and taxpayers, out of home or in home care. THIS IS AN ATTACK ON THE WEAKEST OF OUR STATE. PLEASE WITHDRAW THIS PROPOSAL.
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7/12

Brenda
Please don"t penalize people who are doing their best to get by. Who will get hurt is the children. It"s not their fault.
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7/12

Lee
Thank you for taking comments on the work requirement for Medicaid. I appreciate the opportunity to share my thoughts. I live in Cleveland, Oklahoma in Pawnee County. I have worked at a local counseling agency, and I currently work at a local hospital. From my experience in my own community, I have two main concerns: How will the lack of job opportunities be addressed, and how will the lack of reliable transportation be addressed in expecting low-income residents to meet the work requirement?
I know that Oklahoma has recognized and addressed the issue of transportation for low-income families needing medical services by providing a transportation through Sooner Ride. Will a similar option be available for those needing rides to work?
I also know that one of our main challenges as a community is fostering economic development and job growth. We need more industry and more jobs in our rural community. What will the work requirement do to insure that jobs are available,and, furthermore, to insure that Medicaid recipients have the training and ability to apply and get the jobs? I've read that one option might be volunteering. Who would coordinate volunteer programs? Would new programs be created in communities in order to meet that requirement if existing programs do not have the resources to staff and oversee volunteers?
While I appreciate the idea of putting people to work, I wonder if those who are pushing the requirement have lived in rural Oklahoma without transportation, without the money to invest in work clothing, without a computer to apply online, and, finally, without enough job opportunities to go around.
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7/12

David
Please protect SoonerCare for Oklahomans. The restrictions being considered would take away necessary care and would add administrative costs. If Oklahoma truly supports “family values”, these work requirements will NOT be enacted.
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7/12

JJ
Once again, Oklahoma is heading in the wrong direction. The SoonerCare work requirement unjustly affects those with unstable or inconsistent job schedules, and jeopardizes kids whose parents or caregivers could lose medical coverage.
Instead of punishing the poor and sick, we should be accepting the federal Medicaid expansion to get 200,000 more Oklahomans covered and relieve the strain on our rural hospitals.
Oklahoma has some of the friendliest people in the world, yet our legislature routinely levies reckless, harmful, and mean-spirited laws like this. Not only do these old-fashioned ideas harm our state’s reputation, they also harm real Oklahomans, including our neighbors and friends who live with very real and sometimes private struggles.
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7/12

Sherri
People that qualify for Sooner Care often have jobs that are seasonal, or have fluctuating hours. The pay is often not high enough to pay for childcare. The work requirements will keep people from accessing health care because of so many hurdles this population faces. Please protect Sooner Care for Oklahomans.
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7/12

Terri
You are on the verge of hurting thousands of people with this proposal. Please be compassionate and reconsider.
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7/12

Jeri
Please reconsider your changes to Sooner Care. After 36 years as a Social Worker/Supervisor in DHS, I was able to see first hand how critical this program is to Okla.
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7/12

Karen
Please look seriously at the needs for the under privileged fonancially and medically. Our least capable need our support and help the most. As a stroke survivor with two special needs grandchildren I do not know what we will do if services and finances are cut. One grandchild have working parents who can't make enough to pay for all the srrvices they require. Please look for ways to protect the soonercare program.
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7/12

Marilyn
Please think of low income people. If they work an earn more money, they may not qualify for Sooner Care. Mothers and caregivers of elders can’t work. What can people do to have healthcare? Work? $7.50/hr does not stretch very far. Please make regulations as fairly and carefully as you can
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7/12

Edmee
Protect Sooner Care for Oklahomans
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7/12

Cheryl
I am writing this to voice my protest on the proposed work requirements on Medicaid recipients. The new requirements are placing soonercare recipients in a catch-22 so that if they work the required hours they will no longer meet soonercare requirements. If they can not due to working irregular hours or attempting to provide childcare while working or caring for an elderly parent, they will also be pushed off soonercare. Either way these new requirements do little more than cause several thousand soonercare recipients and children to lose their insurance. This, in turn, places a terrible burden on struggling families as well as hospitals who can not care for more uninsured which in turn affects the economy in Oklahoma. This is designed to kick people off Soonercare and is wrong! We already know States doing best economically accepted Medicaid expansion. This is the opposite and will benefit no one. It is also ethically wrong to place vulnerable families in an un tenable situation and place thousands of children at risk. It is certainly not the Oklahoma standard that Oklahoma prides itself on. Instead it is punitive! I ask that you consider this! This will have a negative impact on our State.
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7/12

Sarah
I am 42-years-old and have Melanoma that has spread to my brain. I, also, have a 15-year-old son and a 4-year-old daughter. Recently, 1 of 4 tumors in my brain started hemorrhaging and I ended up in ICU and then physical therapy. I had lost complete us of my right side.
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7/12

Kristi
I believe this is shortsighted - so very many people fighting health issues (mental, chronic, etc.) that undermine their ability to work - will the disability system be improved in order to accommodate those that need to prove their inability to work? Disability attorneys are expensive, too.
My second issue is with the jobs themselves. Is there consideration for whether the family will even break even after child care and/or loss of any other benefits?
I'm not against the idea, just want a holistic plan.
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7/12

Cathy
There is no evidence that taking away coverage from a person who is unable to work enough will either increase work or improve health. Instead it actually harms both. This proposal isn't good for struggling families in Oklahoma. We are already a non-expansion state. We should pass a Jobs program by fully funding the Workforce Innovation and Opportunity Act. 85% of working-age SoonerCare members are already or were recently working. SoonerCare is a healthcare program, not a Jobs program. The state doesn't need to create more barriers to health than it already has by not expanding Medicaid in the state. Lots of people already don't qualify because of this. Why are we trying to hurt the people who need it the most, and CAN'T work due to chronic conditions, or are caring for children or aging parents? Please reconsider this proposal. Thank you.
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7/12

Katherine George
As a general rule, the work requirement is ridiculous. There are people who, because of their health, could not participate. There are people who, because of their financial situation, could not put their kids in daycare to be able to leave their home to work or volunteer. You simply cannot make this universally applicable!
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7/12

Bob Hughes
At a time when the state is poised to potentially elect a governor who states that he will start the process to EXPAND medicaid in Oklahoma on his first day in office I believe the current state administration is moving backwards with the apparent presumption that poor people are lazy and don't deserve healthcare unless they work X amount of hours weekly, etc. Instead of trying to deny healthcare to 100,000+ Oklahoma citizens the state healthcare program should have been expanded. Healthcare should not be denied because of work status!
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7/12

Ms.Davis
This is so wrong I am not able to work right now due to an injury. If the governor an her staff would stop stealing money from the state then they would not have to take from the people who really need it. I have been struggling since Mary Fallin has been in office. Why kick people when they are down even more.
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7/12

Keri
I love this! To many take advantage of our system. My husband and I work and still don't make enough to pay for insurance. You should have to work for it. I've known to many who live in free housing free insurance, phones and wifi and do nothing and don't plan on it. Its draining tax payers money. Of course there are exceptions but I've never met one yet.
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7/12

Anonymous
This is the biggest joke Oklahoma has made yet as if the foster systems aren't overflowing enough, start killing off low income kids parents and you will create monsters out to destroy. This is stupid to punish the poor for being poor.
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7/13

Anonymous
I think this a GREAT idea! I work in a pharmacy & There are SO many people on soonercare or have children on soonercare. I feel like I see more soonercare than I do private insurance. And that seems crazy to me! I think too many people abuse the system and it’s easy for them to do so. I think implementing this would be very beneficial for not only tax payers, who pay for these people, but also in the long run, good for the people on soonercare whom this would be affecting.
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7/13

anonymous
If you want to save money START by removing the people who are working, can insure their children through the work insurance but prefer Soonercare as they do not have to pay for that insurance. I don't believe it is fair when you are employed, can afford the health insurance on your children but can get soonercare instead and just pay insurance on you and your spouse. What is wrong with that picture as many do NOT HAVE INSURANCE THROUGH THEIR JOBS!
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7/13

Anonymous
i Was diagnosed with bipolar I have high anxiety they told me I could’ve drawn unemployment but I chose not to I have a set schedule because changing my schedule sets me into panic I pretty much do the same thing every day it is hard to function at times but I manage I do have a restriction on my work to keep me on a predictable schedule I see a psychiatrist every six months to make sure I am doing alright I am losing my job in 2 weeks due to a shut down I hope I can adjust to the change but only time will tell I don’t have kids if I did I could see it adding to my anxiety I think the best thing to work on is the cost of are medical expenses I think it is ridiculous at the cost of medicine and hospital bills I know I would want to live if I had cancer but I would hate to go through the treatments and leave any burdens on my husband I hope you reach a good decision that won’t hinder anybody that does need it
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7/13

Anonymous
It is always the most vulnerable who suffer. Our governor has no clue what life is like for the poor, the oppressed, the sick. When you have everything handed to you and you want for nothing, it's easy to judge the less fortunate, call them lazy. Say to themselves" why don't poor people just get a job?" Well, you can't force anyone to give you a chance at working, now can you? I suppose there are plenty of service jobs in which we poor can subjugate ourselves and defer our human dignity to the wealthy in an effort to scrape together enough change to buy a dollar store bar of soap, so we don't offend the delicate sensibilities of people who actually matter and deserve to live. Really, people in power are in power because they are sociopaths who have no problem hurting others for personal profit or to stay in power. This is the reason for the new law, an attempt at killing off undesirables, just like the Nazis did.
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7/13

Grady
I have tried many things to get my daughter to work, do anything, but she is unable to do it. I even had her work as a volunteer at a hospital giving out reading material to patients but she could not handle even that. She cannot drive so I am concerned on how she will get to where she needs to "work". I think you should really take a look at the effect this will have on people's lives before such a change is enforced. thanks.
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7/13

Lee
In my comment about Medicaid in healthcare settings what I want to convey is the question of whether or not the OHCA could partner with existing Medicaid recipients in reducing ER spending for example.
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7/13

Mary
There are already vetting processes for SoonerCare, to prevent abuses. The people who are eligible really need it. We're already having health care crises in Oklahoma. Please don't add more.
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7/13

Elizabeth
You have got to protect the most vulnerable of us. This proposal will not just hurt Oklahoma, it will destroy lives. Healthcare should be a right in the first place.
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7/13

Amy
My sister has COPD, heart failure, and diabetes amongst other issues and lives in Oklahoma. She NEEDS to know that her insurance is going to be there or she will DIE.
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7/13

Starla
People need healthcare please reconsider the proposed changes or the outcome will be deadly for our most vulnerable citizens
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7/13

Celeste
Please do
Not pass this into law! Think of all the businesses that are affected by the economy and cut shifts...often there Is no way for a family to choose or be guaranteed 20 hours...& they need this coverage MOST!
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7/13

Sara
Those who qualify for SoonerCare should receive it; a work requirement is a bad idea because people, like my husband and best friend, who have chronic illnesses cannot work consistently. They would love to. They would give anything to. But they cannot. Who would hire someone who can't commit to always showing up because their flares are unpredictable, they have at least one doctor appointment a week that is often inflexible, and they can't concentrate on certain required medications? Please reconsider a work requirement. It's not only illogical, it's inhumane.
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7/13

Jaimie
I worked in healthcare in okla for 35 years and have witnessed the inequity of services received by patients who have no healcare insurance and those who do. Making a work requirement for Oklahomans who must care for the elderly and disabled children will mean no care for them. Oklahoma should have opted to expand Medicaid not restrict it. Please do not punish those already struggling to survive
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7/13

Amanda
As an early childhood educator in a Title I School, I have had first hand experience of seeing how Soonercare has benefited many of my students. This is a vital program for so many families. Every child deserves the right to be healthy. Please don’t take that right away or even make it more difficult.
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7/13

Sammye
The work restriction will only create increased medical debt, because the only resort will be emergency rooms. Please do the right thing for the citizens of Oklahoma
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7/13

Dawn
I am whole-heartedly against these new work requirements. These rules will lead to bad outcomes for families. Please reject these changes.
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7/13

Eden
Healthy people work.
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7/13

Marilyn
Consequences of gutting healthcare amongst the most vulnerable are known. Overflowing emergency rooms, nursing homes overflowing with patients, but this one is especially egregious.. We promise moms who choose to carry a pregnancy and deliver a baby , they will have enough support.. and this.. Stop punishing people with things that hurt them, and work on things that help lift. Accept the government's money offered with medicare too.. this false pride is hurting people who desperately need help. Our healthcare in Okla. is evidenced in so many ways.. Please don't make this awful decision.
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7/13

Billie
Taking health care from our most most vulnerable is unconscionable. Take care of those who cannot take care of themselves by removing unrealistic harmful barriers to Medicaid.
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7/13

Jenna
The conversation around Medicaid right now should be how to expand it, not reduce it. It is a safety net for thousands of people who have no other option and should not be taken away. Spend a day in someone’s life who is on it and see what it’s like. They aren’t freeloading, they are trying to survive.
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7/13

Ashley
My 7 or old daughter is epileptic and ADD SoonerCare has helped out alot with her medication for epilepsy Oxcarbazapine 5mL its expensive. How do you expect single parents whose struggling to be able to pay for that type of medication? We low incomes families need SoonerCare and all 3 of my kids have been on this since they were in my stomach. Instead of taking away the insurance that helps us that are struggling, work towards making more jobs available and better pay instead of making us suffer. Im a single mom of 3 and I need this more than anything don't take it away and make our children suffer.
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7/13

Tara
I do not support a work requirement. In many communities there is a shortage of daycare providers, especially during non-business hours.
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7/13

Hayley
Being able to access a doctor or get prescription medication is so important. A person that is unhealthy or struggling with a condition or chronic illness, will affect a person's abililty to work and take care of family. Why would the Oklahoma legislature want to contribute to hinder a persons ability to that? This proposal will also cost all taxpayers more for administration costs. This is purely to degrade and dehumanize poor people that need help the most. As Oklahomans and Americans having access and affordable healthcare should not be denied but be treated as a necessity not a privilege.
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7/13

Sarah
We do very little in this state to take care of our own. Soonercare is one of those few things. Please consider the children and elderly who will be negatively effected by this.
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7/13

Jamie
This is a horrible policy change that will disenfranchise many people who desperately need help and can't afford the sky-high costs of decent medical coverage. Stop trying to punish the poor - it's indecent.
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7/13

Sacra
SoonerCare proposal will harm Oklahoma families and should be withdrawn! This proposal is deeply flawed - go back to the drawing board!!!!!!
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7/13

Suzanne
Please protect our most vulnerable friends and neighbors!
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7/13

Howard
Fully support a work requirement for those that are truly able to work
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7/13

Alisha
SoonerCare is important coverage for many families in our state. There are many children and families who would be unable to afford care without this vital program. Working Oklahoman's, as well as the elderly and disabled would not be able to afford adequate care without SoonerCare. Please save this vital program as is. I DO NOT support this waiver proposal.
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7/13

J. David
My four year old grand-daughter’s father is incarcerated in OK for a petty drug possession charge and we rely on Sooner Care for her Insurance coverage. Please protect our most vulnerable citizens.
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7/13

Steve
Thousands of Oklahoma families are able to see a doctor or fill a prescription because of the state’s Medicaid program, SoonerCare. Oklahoma is asking the federal government for permission to cut SoonerCare coverage for Oklahoma parents who don’t report working enough hours every week. This proposal is deeply flawed and should be withdrawn.
This proposal creates a Catch-22 for parents: if they work the hours needed to stay on SoonerCare, they’ll earn too much to qualify for SoonerCare. Without other health coverage options, many of these parents will join the ranks of the uninsured, without access to primary care, care for chronic conditions, treatment for mental illness, and more. This isn’t just bad for parents: it’s bad for their children.
Building a new system to monitor SoonerCare members’ work activities will grow administrative costs. Working families risk losing their coverage if they don’t fill out the right paperwork. However, this proposal gives almost no detail on how the state will manage that risk or what it would cost. These are important factors especially for parents with disabilities and chronic illnesses, who will lose coverage if they can’t navigate this bureaucracy successfully.
Some Oklahoma parents will lose their health coverage as a result of this proposal if it’s approved by the federal government. However, the proposal provides no estimates of how many. The purpose of SoonerCare is to provide access to health coverage for low-income Oklahoma families, but this proposal does not appear to consider the effect on the parents who will lose coverage under this proposal. Oklahoma families deserve to know how this proposal will impact them
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7/13

Stillman
We know this will take healthcare away from our most vulnerable Sooners. Please stop this. It's bad policy, bad economics, and unethical.
Treat your neighbor as you wish to be treated.
Remember that hardship is one personal disaster away.
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7/13

Margo
Work requirements will hurt Oklahoma adults, children and healthcare providers. These should be withdrawn.
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7/13

Theresa
It is very important that we, the people of Oklahoma, support the most vulnerable. We need to protect Soonercare for our most vulnerable people.
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7/13

Harriette
As a Pediatrician who has worked for years with Medicaid recipients, I URGE YOU NOT TO ADOPT THE PROPOSED WORK REQUIREMENTS FOR MEDICAID RECIPIENTS.
Most of these families have at least one member who works. However the work is tenuous at best, off and on due to the needs of the employer, not the worker’s desire to work. Or the work is seasonal, or the worker becomes ill and misses a few days and then even loses the job.
Additionally, families move frequently and the paperwork for the work requirements may not be able to keep up with the moves. The sheer amount of paperwork to report part-time and intermittent work, multiple small jobs, etc. would be a challenge for a well-educated, sophisticated person.
Oklahoma already has an efficient way to vet and track Medicaid recipients, one that I’m told has been a model for other states. It will be a bureaucratic burden on already underfunded and stressed state Medicaid and Health departments. This makes no financial or administrative sense.
I URGE YOU TO REJECT THE WORK REQUIREMENTS FOR MEDICAID RECIPIENTS IN OKLAHOMA.
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7/13


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