“… insurance carriers are now using ‘an insincere interpretation of the CMS guideline to dis-enroll patients … erroneously claiming the guideline requires them to not accept the third-party payment and having enrollees sign a declaration saying the patient does not receive aid from charity assistance.”[/one_third] Given how ambiguous federal regulatory guidelines on health insurance can be, these commissioners often have broad discretion in which type of policies they allow. Preventing insurance companies from rejecting charitable assistance to patients for instance is something these commissioners could do. Darcy and Williams urged the commissioners to prioritize patients’ needs and to stop the purging of kidney patients from health insurance companies’ rolls. Low-income dialysis patients have received financial assistance from nonprofit organizations for decades to help them maintain their private insurance or Medigap coverage. Darcy noted that insurance carriers are now using “an insincere interpretation of the CMS guideline to dis-enroll patients … erroneously claiming the guideline requires them to not accept the third-party payment and having enrollees sign a declaration saying the patient does not receive aid from charity assistance,” according to Dialysis Patient Citizens. The Chronic Disease Coalition is hopeful that insurance commissioners will hear this message and protect patients. Refusing to do so will only allow discriminatory policies to spread, putting more and more lives at risk.