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The Honorable Thomas A. Scully

Administrator

Centers for Medicare and Medicaid Services

200 Independence Avenue SW

Washington, D.C. 20201

Dear Mr. Scully;

We appreciate your willingness to meet with Families USA, the Center on Budget and Policy Priorities and the National Health Law Program on Monday to discuss the Medicaid waiver process and its potential impact on current Medicaid beneficiaries. In preparation for that meeting, I would like to share with you some of the concerns we hope to raise at the meeting.