On Monday, April 17, officials in Wisconsin announced their intention to submit a waiver to the Centers for Medicare & Medicaid Services CMS seeking to overhaul the state’s Medicaid program. The summary document released by Gov. Scott Walker includes charging premiums for individuals with incomes as low as 20% of the federal poverty level – roughly $2,400 a year for an individual. The proposal would also limit Medicaid eligibility to 48 months, unless the enrollee is employed or in job training, and require drug testing as a condition of program eligibility. Details of the proposed reform can be found at https://www.dhs.wisconsin.gov/badgercareplus/waivers-cla.htm