Share your health care story
Let us know how you or your loved ones are impacted by our health policies. Do you have a pre-existing condition that you worry won't be covered under the Republican's health plan? Have you benefited from the Medicaid expansion? Has not having insurance caused you to suffer financially?

We will be sharing these stories with Senator McConnell and other elected officials.
Your name *
Email address *
Phone number
Zip Code
Your story *
We may want to get in touch with you to further document your story. May we give you a follow up call or send you an email? *
Never submit passwords through Google Forms.
This form was created inside of Kentuckians For The Commonwealth. Report Abuse