State Comment Letter on Nebraska “Heritage Health Adult Expansion” 1115 Waiver

Families USA submitted this letter in response to Nebraska’s request for comments on its proposed application for a section 1115 waiver to create a two-tiered benefit package and add reporting requirements related to work and other activities. To receive the “Prime” benefits package, which includes dental, vision, and over-the-counter medication benefits, non-exempt enrollees must comply with the burdensome reporting requirements. Enrollees who do not meet these requirements will receive the “Basic” benefits package, which does not include dental, vision, and over-the-counter medication benefits. Families USA supports Nebraska’s decision to cover dental, vision, and over-the-counter medication benefits, but these vital benefits should not be contingent on burdensome reporting requirements or other provisions that limit access to coverage.

Over a year ago, Nebraskans voted to expand the state’s Medicaid program, but that expansion still has not been implemented. Instead of seeking approval of this legally questionable 1115 waiver that creates barriers to coverage for eligible beneficiaries, the state should fully expand Medicaid as soon as possible, regardless of whether or when this waiver is approved. Read the rest of our comment letter here.