Comments on Pending Utah Per Capita Cap 1115 Demonstration

Families USA submitted the attached comments on Utah’s request to receive an enhanced 90-10 federal match for its partial expansion of Medicaid for adults up to 100 percent of the federal poverty level (FPL) and to set a “per capita cap” that limits the amount of federal funding available to the state depending on the number of enrollees in the waiver.

Multiple elements of Utah’s proposal are both legally problematic and poor policy choices for the state. We support state decisions to accept federal funds to expand Medicaid coverage; however, to receive those added funds, states must comply with the requirements of the Medicaid program and Medicaid law. Much of Utah’s request fails to meet that test. The elements of the waiver request that fail to meet federal requirements are discussed in greater detail in our comments.

Read our full comments.