Help us protect Medicaid

Constituent Letter – Missouri (Federal)

Dear [Senator Hawley / Senator Schmitt],

As your constituent and a proud Missourian, I am writing to express my strong opposition to any cuts to Medicaid (MO HealthNet) funding.
Medicaid supports thousands of families across our state who rely on it for basic, lifesaving care. It is critical that we protect and preserve this
program.

In Missouri, 1.2 million people, 20% of all residents, depend on MO HealthNet to access the healthcare they need. That includes 36% of
Missouri’s children, 36% of working age adults with disabilities, and 65% of Missouri’s nursing home residents, who rely on MO HealthNet for ongoing,
lifesaving care. For these groups, Medicaid is more than just coverage; it’s a lifeline. Along with these vulnerable groups, 13% of Missouri residents
enrolled in Medicaid are working-age adults, 71% of whom are employed, many in essential jobs that don’t offer health insurance.

If Medicaid funding is cut, Missouri’s entire healthcare system will be at risk. MO HealthNet helps keep hospitals open across the state, particularly
in rural areas where residents are more likely to be covered by Medicaid than those in urban areas. Without it, hospitals would face rising
uncompensated care costs, making it even tougher for rural hospitals and other healthcare providers to keep their doors open. Medicaid is also
critical for covering home and community-based services that help people with disabilities and older adults remain living independently in their own
homes.

On top of that, Medicaid delivers nearly $13 billion into Missouri each year, comprising 70% of the MO HealthNet budget and serving as a major
economic engine for our state. Depending on the plan adopted, Missouri could see as much as a quarter of its federal funding cut––more than $3.9
billion per year. Without that federal support, it would be nearly impossible for the state to meet its requirement to replace lost federal funding without
either raising taxes or slashing other essential public services. This could significantly reduce funding for education, public safety, and other essential
services.

I am deeply concerned about the proposals to cut Medicaid funding in the name of fiscal responsibility. While I understand the importance of budget
cuts and support the effort in concept, I do not believe balancing the budget should come at the expense of seniors, children, people with disabilities,
and working families.

I urge you to:
● Reject any cuts or caps to Medicaid.
● Preserve full coverage and access to care for all Missouri residents.
● Support community-based care and the workforce that delivers it.
● Recognize Medicaid as both a public health necessity and an economic engine for Missouri.

While Medicaid has become highly politicized, I do not see this as a partisan issue, and neither do my neighbors, family, and friends. Medicaid
(MOHealthNet) It is a critical part of Missouri’s healthcare system. Cutting it would not only harm those who rely on it but put a major strain on
providers, ultimately threatening the health of every Missourian.

Please stand with your constituents and protect Medicaid.

Constituent Letter – Oklahoma (Federal)

Dear [Senator Lankford / Senator Mullin],

As your constituent and a proud Oklahoman, I am writing to express my strong opposition to any cuts to Medicaid (SoonerCare) funding. Medicaid
supports thousands of families across our state who rely on it for basic, lifesaving care. It is critical that we protect and preserve this program.

In Oklahoma, more than 25% of all residents depend on SoonerCare to access the healthcare they need. That includes nearly half of all children in
the state, who rely on SoonerCare for doctor visits, medications, and preventive care. It also includes 35% of working age Oklahomans living with
disabilities and 69% of Nursing home residents who depend on SoonerCare to afford nursing home care. Nearly 16% of SoonerCare enrollees are non-
disabled, working-age adults, and 64% of them are employed, many in essential jobs that don’t offer private insurance. For these individuals and
families, Medicaid isn’t just coverage, it’s a lifeline.

If Medicaid funding is cut, Oklahoma’s entire healthcare system will be at risk. The state receives approximately $7 billion annually from Medicaid,
representing 68% of Oklahoma’s total federal funding. These funds help keep rural hospitals open, support medical jobs, and prevent higher
healthcare costs by providing access to primary and preventive care instead of relying on expensive emergency services. Losing even a fraction of that
funding would send shockwaves through our healthcare system, closing. clinics, reducing provider reimbursement, and forcing more Oklahomans
into medical debt and delayed or foregone care. When one part of the system fails, the burden is shifted elsewhere, and entire communities will
suffer.

I am deeply concerned about the proposals to cut Medicaid funding in the name of fiscal responsibility. While I understand the importance of budget
cuts and support the effort in concept, I do not believe balancing the budget should come at the expense of our states most vulnerable.

I urge you to:
● Reject any cuts or caps to Medicaid.
● Preserve full coverage and access to care for all Oklahomans.
● Support community-based care and the workforce that delivers it.
● Recognize Medicaid as both a public health necessity and an economic
anchor for Oklahoma.

While Medicaid has become highly politicized, I do not see this as a partisan issue, and neither do my neighbors, family, and friends. SoonerCare is a
critical part of Oklahoma’s healthcare system. Cutting it would not only harm those who rely on it, but put a major strain on providers, ultimately
threatening the health of every Oklahoman. Constituent Letter – Maine (Federal)

Dear Senator Collins,

As your constituent and a proud resident of Maine, I am writing to express my strong opposition to any cuts to Medicaid (MaineCare) funding.
Medicaid supports thousands of families across our state who rely on it for basic, lifesaving care. It is critical that we protect and preserve this
program.

In Maine, about 29% of all residents depend on Medicaid to access the healthcare they need. That includes 35% of children, 65% of nursing home
residents, and 47% of working age Mainers with disabilities. For these populations, MaineCare is not just coverage, it’s a lifeline. 72% of the adults
enrolled are working, many in essential jobs that don’t offer health insurance.

If Medicaid funding is cut, Maine’s healthcare infrastructure will be at risk.  Rural clinics, hospitals, and nursing facilities across the state depend on
MaineCare funding to stay open. Cuts would increase uncompensated care costs and put additional strain on providers already operating on tight
margins. In fact, Medicaid expansion helped reduce uncompensated care costs by $126 million between 2020 and 2021. Reducing access would
reverse that progress and leave many residents with nowhere to turn.

On top of that, Medicaid is the largest source of federal funding for Maine, accounting for $3.2 billion of all federal dollars received by the state and
covering roughly two-thirds of MaineCare’s total cost. Without federal support, it would be nearly impossible for the state to sustain MaineCare
without slashing essential public services like public safety, transportation, housing, and education. If these Medicaid cuts move forward, what will
happen to those programs?

I am deeply concerned about the proposals to cut Medicaid funding in the name of fiscal responsibility. While I understand the importance of budget
cuts and support the effort in concept, I do not believe balancing the budget should come at the expense of our states most vulnerable.

I urge you to:
● Reject any cuts or caps to Medicaid.
● Preserve full coverage and access to care for all Main residents.
● Support community-based care and the workforce that delivers it.
● Recognize Medicaid as both a public health necessity and an economic
engine for Maine.

While Medicaid has become highly politicized, I do not see this as a partisan issue, and neither do my neighbors, family, and friends. Medicaid
(MaineCare) is a critical part of Maine’s healthcare system. Cutting it would not only harm those who rely on it, but put a major strain on providers,
ultimately threatening the health of every Mainer.

Please stand with your constituents and protect Medicaid.

Constituent Letter – Alaska (Federal)

Dear Senator Murkowski,

As your constituent and a proud Alaskan, I am writing to express my strong opposition to any cuts to Medicaid (DenaliCare) funding. Medicaid supports thousands of families across our state who rely on it for basic, lifesaving care. It is critical that we protect and preserve this program.

In Alaska, 38% of all residents depend on Medicaid to access the healthcare they need—that’s 279,000 Alaskans. This includes 57% of Alaska’s children, 15% of seniors aged 65 and older, and 39% of working age Alaskans living with disabilities, 48% of adults ages 19-64 are covered by Medicaid, and 66% of those are working adults, many in essential jobs that don’t offer health insurance.

If Medicaid funding is cut, Alaska’s entire healthcare system will be at risk. DenaliCare helps keep hospitals open across the state, covering at least 20% of services at facilities like Alaska Regional Hospital, Mat-Su Regional Medical Center, and Providence Alaska Medical Center, and 56% at Norton Sound Regional Hospital. Without it, hospitals would face rising uncompensated care costs. At a time when the median amount of medical debt in collections in Alaska is $1,406, families cannot afford higher healthcare costs.

On top of that, Medicaid is also the largest source of federal funding for Alaska, accounting for 29% of all federal dollars received by the state. Cuts would ripple across the state budget, jeopardizing essential services like public safety, transportation, housing, and education. Cutting Medicaid funds would not only threaten the health of Alaskans but weaken the infrastructure that supports communities across the state.

I am deeply concerned about the proposals to cut Medicaid funding in the name of fiscal responsibility. While I understand the importance of budget cuts and support the effort in concept, I do not believe balancing the budget should come at the expense of seniors, children, people with disabilities, and working families.

I urge you to:
● Reject any cuts or caps to Medicaid.
● Preserve full coverage and access to care for all Alaskans.
● Support community-based care and the workforce that delivers it.
● Recognize Medicaid as both a public health necessity and an economic
engine for Alaska.

While Medicaid has become highly politicized, I do not see this as a partisan issue, and neither do my neighbors, family, and friends. DenaliCare is a critical part of Alaska’s healthcare system. Cutting it would not only harm those who rely on it, but put a major strain on providers and threaten the health of every Alaskan.

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