“With the approval of the Medicaid waiver, the historic progress Kentucky has achieved in health care in recent years comes to a halt,” said Dustin Pugel, a policy analyst with the Kentucky Center for Economic Policy. “New barriers to getting covered and new ways of getting kicked off coverage will hurt working Kentuckians, health care providers and our economy. Rather than saving monies, the waiver creates new costs in expensive bureaucratic systems and reductions in the health of our workforce. These radical and counterproductive changes will result in nearly 100,000 Kentuckians losing coverage.”