Kentucky becomes first USA state to impose Medicaid work provisions

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As quoted in the New York Times "Representative Frank Pallone Jr. of New Jersey, the senior Democrat on the House Energy and Commerce Committee, said that "the Trump administration's action today is cruel and a clear violation of both the Medicaid statute and longstanding congressional intent" for waivers, which he said were meant to 'allow states to expand access to Medicaid, not restrict it.'" And Brad Woodhouse of Protect Our Care, an advocacy group that supports the Affordable Care Act, called work requirements "the latest salvo of the Trump administration's war on health care".

Milliman, an Indianapolis-based actuarial firm hired by the state to evaluate its program, predicts just under 133,000 Hoosiers on the state's Medicaid expansion HIP 2.0 would be subject to the work requirement.

Medicaid's chief federal officer is Seema Verma; her home state of IN submitted plans for a work requirement past year, and the approval letter could come any day now.

The red tape associated with work requirements also adds a new burden on the agencies that administer Medicaid benefits, Musumeci noted. Many of those left either to go to school or take care of a relative or are too sick to work. It allowed states to provide coverage to anyone earning up to 138 percent of the federal poverty level (about $16,600 for an individual).


"Our policy guidance was in response to states that asked us for the flexibility they need to improve their programs and to help people in achieving greater well-being and self-sufficiency", she said. National evidence suggests that those who are unemployed and have significant health issues find the lack of coverage inhibits searching for or maintaining employment. The Trump administration also said states would have to make "reasonable modifications" for those battling opioid addiction and other substance-use disorders.

Maine Voters Chose Medicaid Expansion.

Because people got needed care, the report found that they were able to work more steadily. Instead he is sabotaging it by raising premiums for families who can't afford them and creating new barriers to coverage that will-by the Governor's own admission-force tens of thousands of Kentuckians to lose access to life-saving health care.

"There's never been a work requirement in Medicaid, it's only been in recent years that states have raised the possibility of having one", she said.


Studies have shown that access to Medicaid makes it easier for people to look for work and maintain employment. States should try to align their Medicaid work requirements with similar conditions applying in other programs, such as food stamps.

The majority of enrollees in Medicaid are children, pregnant women and elderly nursing home residents.

The announcement came in a 10-page memo with detailed directions about how states can reshape the federal-state health program for low-income people. "We don't have childless able-bodied working age adults in our system, so I don't know how that would transpose to us".

ME is one of ten states asking for a waiver from the Federal Department of Health and Human Services.


Health & Family Services Secretary Vickie Yates Glisson says the Kentucky HEALTH program will start in July, and that it is not a "one size fits all" solution. Federal officials are now encouraging states to consider work or community involvement requirements for able-bodied Medicaid recipients, a key part of the New Hampshire approach to the federally funded health insurance program for low-income households. It is also contrary to HHS's claim that "work requirements" promote work. But Rosenbaum notes the absurdity of arguing that keeping people from health care will make them more likely to be able to work.

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