February 15, 2017

The Honorable Orrin Hatch

Chairman
U.S. Senate Committee on Finance
Washington, D.C. 20510

Dear Chairman Hatch:

We write to endorse without reservation the nomination by President Donald J. Trump of Ms. Seema Verma
for the position of Administrator of the Centers for Medicaid and Medicare Services. Ms. Verma has decades
of experience working with state health care and industry leaders to reform and improve services for the
most vulnerable in our communities.

There are few professionals in the nation who possess the respect, hands-on experience and relationships
with state leaders that will be critical as the Congress and Administration work to repeal and replace the
Affordable Care Act. Medicaid represents an enormous burden on state budgets combined with an
unprecedented opportunity to reform a federal entitlement program long in need of structural changes. Ms.
Verma is the ideal candidate to oversee the reform of Medicaid design and ensuring pending state waivers
are fast-tracked and with the underlying premise that Medicaid is a State-Federal partnership.

As a consultant working alongside states and industry leaders throughout the legislative process and
implementation of the Affordable Care Act, Ms. Verma has a unique understanding of the nexus between the
health insurance marketplace and the states and the impact of the ACA on coverage and cost.

President Trump and Vice President Pence have made an inspired choice for CMS Administrator in Ms.
Seema Verma. We look forward to working with Congress and the Administration to truly reform health
care delivery and insurance coverage in our great nation.

Sincerely,

Governor Eric Holcomb Governor Robert Bentley Governor Douglas A. Ducey

Indiana Alabama Arizona
Governor Asa Hutchinson Governor Nathan Deal Governor Edward J. Baza Calvo
Arkansas Georgia Guam

Governor Sam Brownback Governor Matt Bevin Governor Paul R. LePage

Kansas Kentucky Maine

Governor Rick Snyder Governor Phil Bryant Governor Eric R. Greitens

Michigan Mississippi Missouri

Governor Chris Christie Governor Doug Burgum Governor John R. Kasich

New Jersey North Dakota Ohio

Governor Mary Fallin Governor Dennis Daugaard Governor Bill Haslam

Oklahoma South Dakota Tennessee

Governor Greg Abbott Governor Gary R. Herbert Governor Scott Walker

Texas Utah Wisconsin