The Commonwealth has a special opportunity to avail itself of federal funds set aside for the states under the Affordable Care Act. These funds become available if the state opts to raise the eligibility level to 138 percent of the federal poverty level. Taking advantage of this helps Kentucky in a variety of ways that more than compensate for the eventual (delayed) additional costs to the state's budget. We have written to the state's Medicaid commissioner urging that the Commonwealth seize this opportunity. The letter is available here.