Families USA submitted this letter in response to CMS’s request for comments on Tennessee’s proposal to amend its section 1115 waiver to dramatically restructure its Medicaid program under a block grant arrangement. A change of this magnitude necessitates a clear and detailed description to allow the public a chance to meaningfully provide comment. Unfortunately, this proposal does not meet this standard. Tennessee’s proposal is unreasonably vague, preventing us from providing meaningful comment on key components of this proposal. As such, these comments will– at a high level – focus on the provisions that are legally problematic and poor policy choices. Read the rest of our comment here.