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NH GOP leaders plan to add Medicaid work requirement
13 January 2018, 04:45 | Glen Norman
NH GOP leaders plan to add Medicaid work requirement
Bevin's proposal includes requiring numerous state's Medicaid enrollees to perform some kind of "community engagement" - work, volunteer service, job training or education.
The Trump administration announced Thursday it will allow states to require some Medicaid recipients to work.
The is the first of what are expected to be similar approvals for nine other states and a likely first step in pushing Medicaid policy into the courts. Kaiser polling past year found that 70 percent of the public support allowing states to impose work requirements on Medicaid recipients, even as most people in the US were against deep Medicaid cuts sought by congressional Republicans and the Trump administration. "They want the dignity associated with being able to earn and have engagement in the very things they're receiving", he said of Medicaid recipients.
Bevin has said the program had become financially unsustainable under Obamacare, although the federal government covers the majority of its cost.
New Hampshire is one of the states seeking to employ the new program.
Before coming to Washington a year ago, Verma was a health consultant who worked with IN and Kentucky to expand Medicaid under the ACA.
The Obama administration turned down several state requests to add a work requirement.
Maine Voters Chose Medicaid Expansion.
Those who are exempted include children and former foster care kids, pregnant women, senior citizens, people who are the primary caretakers for a child or a disabled adult, those who are deemed medically frail or diagnosed with an acute medical condition that would prevent them from working, and full-time students. "Adding a work requirement will only add additional bureaucracy and unnecessary administrative hurdles that will result in fewer people having health care". It also states explicitly that states can't get federal Medicaid money for services like childcare and transportation that people might need to get back to work.
While more than 74 million people are enrolled in Medicaid, only a small fraction would be affected by the work requirement.
The federal government has approved most of Governor Matt Bevin's proposed changes to the state's Medicaid program.
The new rule, to be rolled out in July, would mandate able-bodied Kentuckians on Medicaid to work or volunteer 20 hours per week.
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The administration said 10 states - mostly conservative ones - have applied for waivers involving work requirements or community involvement.
Many Medicaid recipients are already employed. 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.
Pregnant women and children won't have premiums, won't have a change in benefits and won't have to complete the community engagement requirement.
But Sara Rosenbaum, a law professor at the Milken Institute School of Public Health at George Washington University, said the letter doesn't actually bar states from kicking people with substance abuse problems off their insurance.
Jeff Myers, president and CEO of the Medicaid Health Plans of America, another trade group, noted that most people on Medicaid already work. They will need to "see all of details from states", he said.
Kaiser Health News (KHN) is a national health policy news service. That leaves plenty of chances to fall through the cracks of a work requirement. "Such programs may also, separately, be created to help individuals and families rise out of poverty and attain independence, also in furtherance of Medicaid program objectives".
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