Comment on CMS-2026-1916-0001
American Federation of State, County and Municipal Employees (AFSCME)OpposeUnion
Summary: The American Federation of State, County & Municipal Employees (AFSCME) opposes the proposed rule, arguing it imposes excessive fiscal pressure on state and local governments and harms safety-net healthcare providers. They request that CMS rescind the rule and instead narrowly implement the specific changes mandated by the One Big Beautiful Bill Act (OBBBA).
Attached.