The Trump organization on Thursday revealed direction enabling states out of the blue to force work necessities in Medicaid, a noteworthy move in the medical coverage program for poor people.
Seema Verma, head of the Centers for Medicare and Medicaid Services, said requiring work or community involvement can make a positive difference in people's lives and in their health. She told reporters in a call Thursday that it could lead to a decline in Medicaid enrollment.
Experts said the move is a dramatic shift in Medicaid.
The Centers for Medicare and Medicaid Services (CMS) have approved a 10-year extension for MS, furthering coverage of family planning services in the state. "We continue to want people to have healthcare coverage".
Republicans have been pushing for the change since the Affordable Care Act added millions of able-bodied adults to Medicaid.
The federal government reimburses a portion of the money spent by states to provide Medicaid coverage for those who are eligible.
"Work requirements don't help the unemployed or underemployed find work", Bolt notes, "it punishes them when they're down-which is exactly what the Trump administration wants to do". "They're trying to be responsive to states".
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The work requirements will likely have an impact on a broad number of adults.
In Kentucky, which expanded Medicaid, Republican state Sen.
North Carolina's Medicaid program services almost 2 million people. Thats because children who make up almost half of Medicaid enrollees are excluded. For instance, most Medicaid enrollees who can work, do.
Verma also had a major role in designing an unorthodox approach to Medicaid in IN, which had asked the Obama administration to approve a work requirement.
If the U.S. Department of Health and Human Services approves the waiver, ME would charge a $10 to $40 monthly premium, depending on income. The remaining 60% of non-SSI Medicaid adults who either work part-time or full-time; presumably would meet any work requirement policy. Today's announcement isn't about work: "it is about taking away health insurance from low-income people".
But work requirements have strong public backing.
According to the Kaiser Family Foundation, 36 percent of Medicaid beneficiaries said they weren't working because of illness or a disability, 30 percent said they stayed home to care for a family member and 15 percent were attending school. They must also allow elderly people, pregnant women, people with disabilities, and those "determined by the state to be medically frail" to be exempted from the requirement.
And states are also required to make such accommodations for people with addiction to opioids and other substances.
"California will not impose work requirements on Medi-Cal beneficiaries", said Jennifer Kent, director of the Department of Health Care Services, which administers Med-Cal.
The counterargument is that people could also simply become uninsured if they are forced off of Medicaid due to the new requirements.
Once CMS gives one state permission, "we would be looking very, very closely to the legal options", said Leonardo Cuello, health policy director at the National Health Law Program. In 2016, a federal judge stopped the state from requiring people to work who receive Supplemental Nutrition Assistance Program (SNAP) benefits because of a long-running federal lawsuit over the state's inability to process aid.