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    "ocrText": "Christopher C. Jennings\n03/05/97 05:09:11 PM\nRecord Type:\nRecord\nTo:\nBruce R. Lindsey/WHO/EOP, Jennifer D. Dudley/WHO/EOP\nCC:\nBruce N. Reed/OPD/EOP\nSubject: Governor Huckabee's \"Arkids First\" program\nFollowing up Governor Huckabee's conversations with the President and you (Bruce L.) re\ntheir new \"Arkids First\" program, I talked both Ray Hanley the Arkansas' Medicaid Director (who I go\nway back with) and a couple of other Arkansan friends about the status of the proposal. I also had a\nconversation with Sally Richardson (HCFA's waiver overseer.)\nRay informs me that this initiative, which includes new State money and a request for a 1115 Medicaid\nwaiver to pay for a children's coverage expansion up to 200% of poverty, received an overwhelming 85-0\nvote of approval from the House Legislature just yesterday. The Senate is expected to soon give it a\nsimilarly positive endorsement.\nA preliminary submission of information for a Medicaid waiver request was forwarded to HCFA last week.\nThe proposal is, in many respects, more simple and less controversial than most of our 1115 waiver\nrequests. From my perspective, the primary outstanding question is whether it will meet our\nself-enforced budget neutrality requirements. It might be a stretch to do this, but I want to withold\njudgement until after I have received a preliminary report from HCFA. (They are supposed to get back to\nme by this Friday.)\nThe Governor surprised many people with this initiative. Earlier in the year, he was talking about\nsignificant Medicaid cuts to help pay for a tax cut. Now he is advocating more spending for a major\nexpansion of kids' coverage. If we can find a way to approve the waiver (and assuming the State goes\nahead and implements it), this is certainly noteworthy news worth exploring as an example of how\nRepublicans and Democrats, States and the Federal Government, can work together to expand\ninsurance coverage for children.\nAs to Governor Huckabee's idea to have the POTUS either (1) address the Arkansas legislature on this\nissue or (2) participate in the initation of the \"Arkids First\" program, the second makes more sense than\nthe former for two reasons: (1) The State Legislature is adjourning in a few weeks and there is no\nrealistic timeframe to do this and (2) It is not necessary to push or cajole the Legislature, since they are\nunanimously pushing this initiative. If everything goes ahead as scheduled, however, the first new kid\ncovered probably would not occur until September. (If we end up deciding we would like the POTUS\ninvolved sooner, I am sure, however, that we can find creative ways to develop an appropriate event.)\nI will continue to follow this issue closely. If you have any questions, you can reach me at 6-5560.\ncj"
}