Monday, 28 May, 2018

Trump administration decides states can require people to work for Medicaid

Trump administration allow work requirements in Medicaid States can require Medicaid recipients to work, Trump administration says
Marlene Weaver | 14 January, 2018, 13:22

Many people can have physical or mental health problems - such as arthritis or asthma - that don't meet the criteria for federal disability programs, but still interfere with their ability to work, Kaiser said. "We see people moving off of Medicaid as a good outcome", Seema Verma, the administrator of the Centers for Medicare and Medicaid Services, told reporters on today (Jan. 11). It will cause needless suffering and kill people - low-income people only.

Federal officials said they would support state efforts to require able-bodied adults to engage in work or other "community engagement activities" as a condition of eligibility for Medicaid.

Medicaid is the nation's largest public insurance program, providing health benefits to almost 74 million Americans, chiefly low-income adults.

Beneficiaries range from pregnant women and newborns to elderly nursing home residents. "Most folks who are on medicaid who can work, already work".

A Kaiser Foundation study shows 63 percent of the adult Medicaid recipients work. The office plans to take a close look at how their waiver can align with the new federal guidelines.

Many other states, such as California, are not expected to impose work requirements. The state predicts that a full 15 percent of its Medicaid beneficiaries will lose their coverage within five years of the waiver's implementation.

These individuals still struggle to work due to their health issues, but many will not be allowed an exemption under the new Medicaid requirements.

"The Trump administration is on wobbly legal ground in trying to limit Medicaid enrollment by imposing onerous work requirements", Perkins said in a statement.

They are: Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah and Wisconsin.

Thursday's policy change is the first to open the door to mandating work for recipients since Medicaid's introduction in 1965.

Although there are no current work requirements, many nondisabled adults on MassHealth do work.

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The Trump administration, along with many Republican leaders in Congress, has long supported such a move.

CMS said the shift is anchored in principles that "emphasize work to promote health and well-being". Ron Wyden of Oregon.

Analyses of work requirements have found that they actually do little to boost long-term employment, according to Pavetti.

The Centers for Medicare and Medicaid Services issued guidance to support state efforts in requiring work or community involvement in demonstration projects such as skills training, education, job search, volunteering and caregiving.

Thursday's administration guidance spells out safeguards that states should consider in seeking work requirements. About two-thirds of Medicaid beneficiaries are either seniors, disabled people or children.

-Taking into account hardships for people in areas with high unemployment, or for people caring for children or elderly relatives. For example, the guidance suggests that states could "count time spent in treatment toward [the work] requirement, or exempt a person going through inpatient or outpatient treatment from the requirement altogether".

Advocacy groups said most Medicaid recipients already have jobs, and those who do not may have difficulty accessing transportation to get to and from work or need to care for family members.

While Corcoran said the House won't move ahead with the idea this year, the Republican-led chamber considered it last year. The administration says the impact will be closely evaluated.

Republicans argue that Medicaid was created to serve the most vulnerable and has become bloated under Obamacare.

Still, critics fear a work requirement could have a chilling effect on people signing up for Medicaid or make it harder for people to get coverage.

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