Medicaid work requirement unlikely in Florida

Medicaid work requirement unlikely in Florida

Medicaid work requirement unlikely in Florida

HHS and the states proposing work requirements seem to assume that anyone who finds work will have access to employer-provided insurance and, thus, will no longer need Medicaid.

Wait, you say, that would be an outrageous burden to impose on the country club set, even those who do nothing more productive or job creating than occasionally tip their caddy?

Verma, who worked with Kentucky and IN on their work requirement waivers as a health consultant before joining the Trump administration, recused herself from the decision on those states' waiver requests. The federal government provides a little more than half of the program's overall cost, and state taxpayers the rest, according to data from the Kaiser Family Foundation.

The Trump administration has swiftly followed through on its promise Thursday to grant approval for states to impose work requirements on their Medicaid programs, giving Kentucky a green light Friday afternoon.

Yet states considering whether to enact the controversial strategy face major hurdles. Under the waiver, Kentucky Medicaid recipients will have to submit documentation proving that they comply with the Medicaid work rules. Officials in several other states have said they are interested in the idea.

New Hampshire is one of the states seeking to employ the new program.

CMS Deputy Administrator and Director for the Center for Medicaid and CHIP Services Brian Neale applauded Kentucky's efforts. It's not about personal responsibility - most already work.

"We are still working through all the operational details", she explained. It's a big change from the Obama administration, which rejected overtures from states that wanted to add a work requirement.

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"I think that's geared toward Obamacare expansion, not to our plan since we didn't expand", Corcoran said of imposing work requirements. About 70 percent of Americans say they support states imposing a work requirement on non-disabled adults, according to a Kaiser Family Foundation poll previous year. Medicaid expansion is exactly that type of policy.

"Instead", she continued, "it kicks people while they're down - taking away health care from unemployed or underemployed workers when they need it most". (Those figures also include some disabled enrollees). Many of those left either to go to school or take care of a relative or are too sick to work. "We know from studies that this kind of requirement doesn't work; it doesn't help people get jobs". Or, as he said on Friday, the waiver will give enrollees "the dignity associated with being able to earn the things they are receiving".

It is unclear how enrollees will prove they meet such criteria or if states will use the honor system.

However, some IL patient advocates say they hope the state doesn't submit a proposal to make having a job a condition of Medicaid eligibility, citing fears it would leave people without health insurance. "These Medicaid demonstrations can have a significant impact on beneficiaries, providers, states, and local governments", they wrote to GAO. Yarmuth called the move "dangerous and irresponsible", saying it will cause tens of thousands of Kentuckians to lose health coverage.

The elderly, disabled, children and pregnant women would be excluded from the requirements.

Congressional Democrats continued to react to the Medicaid policy change Friday. Bevin said he expects the program to be fully implemented at the beginning of next year.

The Department of Healthcare and Family Services, which runs Medicaid in IL, says it is looking at the rule change implications in the state.

While more than 74 million people are enrolled in Medicaid, only a small fraction would be affected by the work requirement. Those insurers said they remain concerned that as the work mandate unfolds, their jobs might become harder because of increased churn in enrollment and administrative work.

An estimated 36 percent to 48 percent of USA children are insured by Medicaid, and kids make up 53 percent of Medicaid enrollees. So are the more than 10 million people on Medicaid because they have a disability.

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