Peters, Stabenow, Kildee Support Michigan’s Medicaid Waiver Extension Request for Flint

DETROIT, MI – U.S. Senators Gary Peters (MI) and Debbie Stabenow (MI) and U.S. Representative Dan Kildee (MI-05) today requested that the Centers for Medicare and Medicaid Services (CMS) extend a waiver expanding Medicaid support for Flint. In response to the Flint Water Crisis, CMS in 2016 approved a five-year Medicaid waiver that expanded Medicaid eligibility and coverage for residents up to 21 and pregnant women who have been exposed to lead. The lawmakers wrote to CMS Administrator Seema Verma supporting the State of Michigan’s request for a ten-year waiver extension.

“We are writing in strong support of the state of Michigan’s request to renew the Flint, Michigan Section 1115 Medicaid Demonstration for a ten-year period,” wrote the lawmakers. “A sustained Medicaid waiver is critical to responding to the long-term health effects of Flint residents who were exposed to lead in their drinking water through no fault of their own.”

In their letter, the lawmakers note that evaluations of the waiver have shown it to have had a positive effect and to be a cost-effective way of expanding health care access and mitigating the impacts of lead exposure. The lawmakers previously supported the swift approval of the five-year extension in 2016.

Lead exposure has serious long-term health implications that require an equally serious long-term solution,” the lawmakers continued. “A ten-year waiver extension is crucial to ensuring Flint residents continue to maintain reliable access to high-quality health services to mitigate the life-long effects of lead poisoning.”

The full letter can be found below, or by clicking here:

Administrator Verma:

We are writing in strong support of the state of Michigan’s request to renew the Flint, Michigan Section 1115 Medicaid Demonstration for a ten-year period. A sustained Medicaid waiver is critical to responding to the long-term health effects of Flint residents who were exposed to lead in their drinking water through no fault of their own.

Six years ago, the state of Michigan made the misguided and harmful decision to switch the city of Flint, Michigan’s water source to save money, setting off a public health crisis that exposed 100,000 people to high levels of dangerous lead in their drinking water. Today, Flint is still recovering. Six years later, Flint residents line up many times each week to receive water distributions, waiting hours for cases of bottled water. While significant progress has been made, the infrastructure improvements to replace Flint’s lead pipes is ongoing. And the negative impact of the crisis on our most vulnerable populations, including Flint’s children, is becoming more apparent: one in five school children in the Flint Community Schools now has special education needs as a result of lead exposure—a 56 percent increase as compared to the year before the water crisis started.

The U.S. Centers for Disease Control and Prevention (CDC) states that there is no safe level of lead. Lead poisoning has severe implications for childhood development. Lead exposure can lead to behavioral, endocrine, and cardiovascular conditions, as well as learning difficulties and neurodevelopmental deficits. The consequences of lead exposure are serious and long-lasting, especially for children.

In 2016, the Centers for Medicare and Medicaid Services (CMS) approved Michigan’s application for a five-year Medicaid demonstration program in response to the man-made public health emergency that came as a result of the Flint water crisis.

The Flint waiver permits the state to expand Medicaid coverage to low-income children and pregnant women served by the Flint water system during a state-specified time period. Those who are eligible, can receive all state Medicaid plan benefits that are exempt from cost sharing and premiums including, for children, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT). In addition, the waiver allows for targeted case management to assist children and pregnant women with gaining access to needed medical, educational, social, and other services. The Medicaid expansion also permits federal funds to be used to identify potential sources of lead exposure in the home for individuals who are not currently showing elevated blood lead levels. Ongoing access to comprehensive health care and coordination with other services to minimize and prevent long-term adverse health and developmental effects is critical for the well-being of individuals whose health has been impacted by the Flint water supply. 

The Medicaid expansion has served as an important tool in Michigan’s responses to the Flint’s health care needs resulting from this public health catastrophe. An interim evaluation of the Flint 1115 demonstration waiver by Michigan State University indicates that it has been a successful, cost-effective strategy to improve the quality and accessibility of health care for children and families in Flint. It is our belief that investing in the health of pregnant women and young children produces returns in their future lives, productivity and contribution back to society, and is a valuable investment of state and federal Medicaid dollars.

In our response to the Flint water crisis, our focus has always been those who are most at risk of harm from lead exposure – children. A ten-year extension of Flint’s Medicaid expansion will help to ensure the youngest children, who face the greatest harm from lead exposure, can continue to access care. Long-term consistent care is crucial to helping these children grow up to be healthy, successful, and productive members of our society.

Lead exposure has serious long-term health implications that require an equally serious long-term solution. A ten-year waiver extension is crucial to ensuring Flint residents continue to maintain reliable access to high-quality health services to mitigate the life-long effects of lead poisoning. We ask for your full and fair consideration of his request and appreciate your continued engagement with the State of Michigan officials as you evaluate its 1115 waiver extension application.

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