March 18, 2018

Trump Administration Paves Way For States To Force Medicaid Recipients To Work

13 January 2018, 05:29 | Darnell Patrick

Trump administration opens door to allowing Medicaid work requirements

US moves to limit Medicare the publicly funded health insurance program for the poor and disabled have been the subject of protests like this one in July,2017 in New York City

"While we are still reviewing the details of this approval, we have yet to identify such an experiment, and the action appears created to achieve significant cuts in Medicaid enrollment rather than Medicaid's stated goal of furnishing medical assistance to low-income people", Perkins said. Anyway, it's one of those "damn straight" type ideas that politicians often say they believe, but never actually do because it's not that simple, or because there's too much resistance, or. well, or because they never really meant to do it in the first place.

Conservatives around the country, however, hailed the change to the federal-state program for low-income people. In addition to the work requirement, the waiver allows Kentucky to charge a premium for Medicaid and implement strict reporting requirements of income and work hours. Kentucky's new program will improve the health of its participants, strengthen Medicaid's long-term fiscal sustainability, and promote personal responsibility for health and well-being.

But Senate Health and Human Services Appropriations Chairwoman Anitere Flores, R-Miami, said the Senate has not discussed requiring those now enrolled in the program to work.

Many Medicaid recipients are already employed.

"We are still working through all the operational details", she explained.

Before the payment increases, Medicaid fees for primary care services for all age groups were typically 59 percent of the amount paid by Medicare, the US health program for the elderly, researchers note in Pediatrics.

"We believe that Medicaid expansion is an opportunity and that we have a great chance to make it happen this year".

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"Asking able-bodied adults to work is not a punishment".

According to the nonprofit Kaiser Family Foundation, the majority of Medicaid enrollees are still "traditional" Medicaid recipients, likely unable to work. Last summer, he submitted a plan to the federal government outlining a truncated version of both Medicaid and Medicaid expansion. But other times he admits the real reason for the waiver: to force people he sees as freeloaders to work for something he thinks they don't deserve. Additionally, retroactive eligibility for Medicaid will be waived "for certain populations". The guidance also includes caregiving as one of the activities. Many of those left either to go to school or take care of a relative or are too sick to work.

Several Republican lawmakers have supported work requirements as a condition for Medicaid coverage for able-bodied people, but such changes were not allowed until Thursday's memo. "It's making people healthier that enables them to work", he said. "Adding a work requirement will only add additional bureaucracy and unnecessary administrative hurdles that will result in fewer people having health care". The difference this time around is that the federal government will recognize it.

More than 285,000 Arkansans were enrolled in the Medicaid program as of January 1.

Democratic U.S. Rep. John Yarmuth called the changes "dangerous and irresponsible". Kevin de León, a Democrat and the leader of California's Senate, wouldn't comment on the proposal because he said it's a non-starter. During the Obama Administration, 32 states expanded their Medicaid programs to include low-income adults, making health insurance available to poor working people. 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. That's because children - who make up almost half of Medicaid enrollees - are excluded.

Federal and state officials and health policy experts said Medicaid beneficiaries could work at a variety of jobs - as cashiers, telemarketers, housekeepers, nursing and home health aides, child care providers, cooks and dishwashers, waiters and waitresses, retail sales clerks, landscapers, security guards and construction laborers, for example. If they don't, they'll have until a state-determined date to make up those hours.

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