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NGA Requests More Flexibility for MOE Provision

January 31, 2011

The National Governors Association sent a letter to Congressional leaders on January 24, calling for more flexibility from maintenance-of-effort (MOE) provisions. The states urged Congress to take more fiscal responsibility on a federal level, so that states do not carry the burden of deficits and increased cut-backs alone.


Additionally, on Tuesday, Arizona officially became the first state to ask the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) for relief from a provision in the new health care law that prevents it from dialing back its current Medicaid eligibility requirements. Arizona Governor Jan Brewer requested a waiver from HHS for its state-run Arizona Health Care Cost Containment System (AHCCCS), which covers the poor and disabled.