Groups urge regulators to reject Utah Medicaid waiver request

"During an economic recession," the letter states, "the need for Medicaid grows and overall spending on Medicaid will grow… Thus, this benefit will be triggered at the time of greatest need for children."

The letter also objects to the proposal's request for providers to be able to impose co-payments as "client incentives" aimed at changing beneficiaries' behavior. And it urges Sebelius to reject a proposal to give providers the right to disenroll beneficiaries who fail to "keep a good relationship" with their doctor.