Medicaid Briefs: Who is Harmed by Work Requirements?New Centers for Medicare & Medicaid Services (CMS) guidance for the first time lets states take away people’s Medicaid coverage if they aren’t working or engaged in work-related activities for a required number of hours per month. Medicaid work requirements will cause many low-income adults to lose coverage. However, these rules have recently met significant legal opposition in multiple states. Equivalent activities include skills training, education, job searching, volunteering or caregiving. CMS issued guidance on how states should design their waiver proposals to increase the likelihood of approval. And I'll just say: they were brutal for the Trump administration. Medicaid work requirements will cause many low-income adults to lose coverage. Work requirements typically compel able-bodied adults to report every month that they have a job or are in other work-related activities for a specified number of hours in order to stay on Medicaid. States are allowed to experiment with their Medicaid plans using pilot programs or demonstration waivers. “In short, we have all seen this movie before,” wrote Boasberg. A date has not been set for the appeals judges’ decision. Before granting such waiver requests, HHS must find that the programs are “likely to assist in promoting the objectives” of Medicaid. A federal judge heard legal challenges to a Trump Administration policy that allows states to implement work requirements for Medicaid. While advocates argue the rules will increase employment among low-income people, critics point to a study with several findings that would undermine the efficacy of work requirements{President Donald Trump’s administration in early 2018 announced that work requirement waivers would be permitted by the federal government.
Before doing so, states must request approval from the Centers of Medicare and Medicaid Services (CMS), which is a part of the Department of Health and Human Services (HHS). That includes many people who are already working or are supposed to be exempt (due to a disability, serious illness, or substance use disorder), but who won’t be able to overcome the bureaucratic obstacles to prove that they meet the requirements or qualify for limited exemptions. Boasberg also took an unusual step in halting Arkansas’ work requirement, instead of putting a stay on the ruling, stating that any disruption “must be balanced against the harms that plaintiffs and persons like them will experience if the program remains in effect.” In July 2019, Boasberg also rejected New Hampshire’s waiver since HHS had not considered the possibility that the proposal might cause a significant number of recipients to lose coverage.
NEW YORK(Thomson Reuters Regulatory Intelligence) - As the number of Americans eligible for the Medicaid low-income health insurance program grows through expansion under the Affordable Care Act (ACA), some states are aiming to trim the rolls by requiring recipients to work or satisfy related criteria. The Trump administration in May appealed Boasberg’s March decisions on the Kentucky and Arkansas work requirements to a three-judge panel of the U.S. Court of Appeals for the D.C. circuit. One example of a Medicaid waiver involves work rules, which require able-bodied adults to work a minimum number of hours each month or participate in an equivalent activity as a condition for continued Medicaid eligibility.
MEDICAID WORK REQUIREMENTS . Medicaid work requirements are atop the administration’s health care agenda. Not only will these coverage losses worsen access to care and health outcomes, but taking away people’s health coverage will often make it harder for them to find or keep a job. The Obama administration previously rejected all such proposals. In November 2019, Governor-elect Andy Beshear vowed to rescind it after the Democrat takes office in early 2020{Although he only won by a slim 0.4% margin, Beshear’s victory could signal that tides are turning against the popularity of Medicaid work requirements. Circuit in the Medicaid work requirement cases.
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