; (2) it is imperative that the maintenance of effort provisions are enforced to the strict standard intended by the Congress through September 30, 2027; (3) waiving the maintenance of effort provisions should not be permitted; (4) the maintenance of effort provisions ensure the continued success of the Medicaid program and Children’s Health Insurance Program and were intended to specifically protect vulnerable and disabled adults, children, and senior citizens, many of whom are also members of communities of color