AAHD and the Lakeshore Foundation have responded to a Senator Bill Cassidy (LA) legislative discussion draft to improve integration of services for persons dually eligible for Medicare and Medicaid. AAHD and Lakeshore currently can not answer a question asked of us: how does this new Social Security Act title fit into the current Medicare and Medicaid framework, benefits, services, and supports? The legislation discussion draft does not address any Medicaid HCBS issues or current approaches. Our preliminary AAHD and Lakeshore Foundation submission merely identifies some of our collection, analysis, and public transparency of data ideas. Our intent is that Medicare and Medicaid programs serving persons dually eligible for Medicare and Medicaid use a comprehensive, inclusive, and consistent data approach, and not piecemeal and inconsistent approaches. Our previous submission to six U.S. Senators on the Senate Committee on Finance was posted on our public policy updates webpage January 17. Available here are the June 30 AAHD-Lakeshore submission and the May 18 Senator Cassidy legislation discussion draft.