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the current ACA coverage gap. Presumptive Eligibility Comment Summary: Six commentors requested the state remove the waiver of presumptive eligibility. Another commentor requested confirmation that the waiver of presumptive eligibility would not impact other eligibility groups. State Response: SCDHHS confirms that this waiver would not impact the current operations of presumptive eligibility for individuals in other eligibility categories and would apply only to the individuals who are found eligible for this waiver. Presumptive eligibility is not consistent with the criteria of the waiver as individuals must prove compliance with community engagement activities before they can be found eligible for the demonstration waiver. Procedural Comment Comment Summary: One commentor noted that they believe the public hearings were deficient and kept individuals from an opportunity to provide input, requesting public hearings be re-opened. State Response: SCDHHS affirms the two public hearings, and the public notice process, were held in compliance with the standards established in 42 CFR section 431.408. During the public comment period, the state received 188 comments, demonstrating that individuals were made aware of the public notice and were able to provide meaningful comment during the public comment period. Program Operations Comment Summary: Six commentors provided suggestions for how to operationalize the program and monitoring practices. Some called for removal of the requirement to report on work activities, another suggested that the state allow grace periods for reporting and reduction in the consequences for non-compliance, another commentor suggested that the state provide a clear and detailed list of the required documentation. State Response: SCDHHS thanks individuals for their comments and notes that many of these operational decisions will be developed in consultation with CMS as the waiver application is under review. SCDHHS will document program operational components in the required protocol documents for CMS review post-approval. A clear and detailed list of required documentation will be included on the agency’s website and distributed through the communications and implementation plan described above. Supports Working Families Comment Summary: Thirty commentors noted a range of benefits that can come from providing low-income families access to health care coverage. Benefits noted include the ability to stay healthy 20