Under the new requirements, which will be phased in this July, able-bodied Medicaid recipients aged 19 to 64 will be required to work at least 20 hours per week.
Contrary to an administration letter, working itself does not help improve the health of poor people. "We see people moving off of Medicaid as a good outcome", she said. Doctors and advocates for the poor are threatening to sue to stop the requirement. They must either allow Bevin to strip health care from 95,000 people, or five times as many people will lose health coverage. There are several changes to the program, the bulk of which are directed at people in the Medicaid expansion population and "able-bodied" adults who make under 100 percent of the poverty limit. It's not clear how many people these exemptions would cover. "But the Trump administration, after months of promises, is now telling states how they can introduce a new requirement that certain Medicaid recipients also work in order to receive health coverage through the program-a move that experts say is a significant departure from the program's objective of providing a safety net to Americans in or near poverty".
Leonardo Cuello, the director of health policy at the National Health Law Program, believes many of these provisions are subject to court challenges because they violate Congress' original intent for Medicaid and do not meet the waiver law's requirement that they consist of a novel policy experiment. Her agency spelled out safeguards that states should put in place to get federal approval for their waivers.
The work requirement can be fulfilled through subsidized employment, on-the-job training, job search and job readiness assistance, vocational and skills training, "education directly related to employment", and/or school attendance that leads to a diploma or GED.
Kentucky isn't the only state that wants to impose these kinds of restrictions on Medicaid. They are: Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah and Wisconsin. And that could help insulate Republicans from any possible election-year blowback if the Medicaid policy proves unsuccessful in Kentucky, Cross said. Damon Thayer said work requirements could lessen the program's impact on the state budget.
Bevin ran on an anti-Obamacare platform and, like President Trump, immediately set about reversing his Democratic predecessor's health care agenda when he took office. Ron Wyden of OR, the top Democrat on the Senate committee that oversees Medicaid.
Kentucky got the green light from the federal government Friday to require people who get Medicaid to work.
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The Kaiser Family Foundation found that 78 percent of Medicaid beneficiaries nationally are now working and that work requirements may just add unnecessary barriers for individuals seeking Medicaid coverage and benefits. Almost 60 percent work either full time or part time, mainly for employers that don't offer health insurance.
In addition, Energy and Commerce Ranking Member Rep. California health care leaders dismissed the idea of imposing a work requirement on the state's Medicaid enrollees, saying it would never come to pass.
The administration said states must fully comply with federal disability and civil rights laws to accommodate disabled people and prevent those who are medically frail from being denied coverage. He said his group is concerned work requirements could affect how the health plans operate.
Trump administration officials, like their Kentucky counterparts, know this.
And people on Medicaid often deal with crises - they may move a lot, or change phone numbers, which makes it hard to keep track of paperwork. The administration says the impact will be closely evaluated.
ME showed the extent to which Americans value Medicaid - a program that has steadily grown in popularity, with over 60 percent of Americans saying it should continue unchanged - and are willing to vote for it. Nine other states have made similar requests.