This year, Congress and the Trump Administration will debate the size and scope of the federal government, including a review of the Medicaid program. The stakes for people with disabilities could not be higher.
We need your support in this effort to protect Medicaid and people with disabilities. Please share your Medicaid Story.

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* 1. Full Name:

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* 2. Name of individual on Medicaid (if different):

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* 3. Full Address:

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* 4. Phone:

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* 5. Email Address:

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* 6. Medicaid helps me to:

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* 7. If you would like, please share an image of yourself or the individual receiving Medicaid.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 8. With your permission, we will share your story and make sure the voices of Illinois families and individuals are heard.

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* 9. In addition, I give permission to use the above named individual's: