Secretary of Health and Human Services Kathleen Sebelius announces in a letter to congressional leaders that “despite our best analytical efforts, I do not see a viable path forward for CLASS implementation at this time.” The CLASS Act, a voluntary program created by the Affordable Care Act, “was designed to establish a voluntary, national insurance program for American workers to help pay for long-term services and supports they may need in the future," according to a report issued by HHS. The report refers to a memo released by the Centers for Medicare and Medicaid Services on April 22, 2010 written by the Centers for Medicare and Medicaid Services Actuary stating that “over the longer term, expenditures would exceed premium receipts, and there is a very serious risk that the program would become unsustainable as a result of adverse selection by participants.” The report concludes: “Accordingly, we conclude that there is substantial uncertainty about what would follow if solvency or legal problems prevented the CLASS program, once operational, from continuing to implement the plan. We cannot with any confidence predict that the CLASS program would be able to honor its commitments to individuals who had already enrolled or entered beneficiary status in the program, or avoid leaving them worse off, or that such individuals would be able to recoup their paid premiums.”