1. United States
2. Utah
3. Letter

Medicaid was created to provide crucial healthcare coverage for our nation's most vulnerable populations, including low-income children, seniors, and individuals with disabilities. However, the program has strayed from its original intent due to the Affordable Care Act's expansion to able-bodied, childless adults. This expansion has overwhelmed the system, shifting resources away from those who truly need it most. Nearly 700,000 people with disabilities are languishing on waitlists for years, unable to access vital home and community-based services through Medicaid. This is unacceptable. Those with disabilities must navigate arduous asset limitations while expansion enrollees face no such barriers. To restore Medicaid's integrity, we urge ending the enhanced federal matching rate that incentivizes states to prioritize able-bodied adults over the traditional enrollee population. Reallocate funding formulas to boost home and community-based services, eliminating unconscionable waitlists. Implement the Think Differently Database Act for full transparency on disability services. And audit state programs to root out fraudulent enrollment siphoning resources from the truly needy. Medicaid's heart lies in caring for our most vulnerable. It's time to refocus the program as intended - prioritizing those with disabilities, low-income children and seniors over able-bodied adults. Restoring this intent upholds our moral obligation to Americans facing the greatest challenges. The health and wellbeing of our society's most vulnerable hangs in the balance.