Trump Administration Paves Way For Ohio's Medicaid Work Requirement


Medicaid is the largest government health insurance program.

The Trump administration has signaled that it will allow states to impose work requirements on working-age, non-disabled adults.

"It places their insurance coverage at existential risk, despite the fact that there is no evidence that suggests that work requirements produce major changes in employment or income, and despite the fact that the health risks that these kinds of requirements potentially create vastly outweigh whatever gains are going to be achieved", she said. "We owe them the opportunity and resources to connect with job skills, training and employment so they can rise out of poverty". Local patient advocates said they hope IL does not join the 10 states that already have submitted proposals to make having a job a condition of Medicaid eligibility, for fear it would leave tens of thousands of people without health insurance.

The Trump administration said people who work are actually healthier. So the legislature hired an independent vendor to do the job for them.

It's not immediately clear how many adults in Wisconsin would be included under the work requirements. Since many individuals receiving Medicaid struggle with poor health, the guidance recommends that states allow for modifications.

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.

The recently passed tax overhaul, for example, eliminated the ACA's individual mandate, requiring those without insurance from their employer or a government program to obtain it. If the price of expansion is backing a requirement most people already meet, "Oh, please don't throw me in that briar patch", Venable said.

Those states include Kentucky, Maine, New Hampshire, Arizona, Indiana and Utah.

Ironically, the first waiver request the Trump administration is likely to approve is from Kentucky, a state that has benefited enormously from Medicaid coverage for people facing opioid addiction.

A large majority of Medicaid recipients nationwide - nearly two-thirds - are children, elderly or disabled. However, the guidance released by CMS Thursday merely urges states to exempt these populations.

States can also require alternatives to work, including volunteering, caregiving, education, job training and even treatment for a substance abuse problem.

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"As a result, these state-specific comments fall far short of the type of public notice and comment that typically attaches to such a significant about face", Jane Perkins, NHeLP's legal director, writes. Some 31 states, plus the District of Columbia, broadened their Medicaid programs to include adults earning up to roughly $16,600 a year.

"They want to push people off medicaid and... give states... the option to tell people that you can't be on Medicaid because you're not working", Gerisch said.

Together, these data indicate that hundreds of thousands of able-bodied Nevadans receive Medicaid coverage without having to work.

According to the nonprofit Kaiser Family Foundation, the majority of Medicaid enrollees are still "traditional" Medicaid recipients, likely unable to work.

Vanita Gupta, president and CEO of The Leadership Conference on Civil and Human Rights, said, "Imposing a work requirement to be eligible for Medicaid not only fails to further the goal of providing healthcare, but also undermines the underlying objective". Later, a work requirement found its way into the Supplemental Nutrition Assistance Program, a revamp of what used to be called food stamps.

A survey Kaiser conducted a year ago said those who weren't working said it was because of an illness or disability, home or family responsibilities, pursuit of an education, retirement or inability to find a job. According to their analysis, more than one third of those not working cited an illness or disability as the main reason for not working.

The study also found many enrollees may have a physical or mental health issue that doesn't meet the criteria for federal disability programs, but still interferes with their ability to work.

Some 65% of men on Medicaid are working, while 56% of women are employed.

The stated objective of the new guidance is to encourage work, which the Trump administration argues is ultimately good for people's health.

There were almost 2.9 million Pennsylvanians enrolled in Medicaid in November, with 144,971 of those in the Lehigh Valley.

The National Association of Medicaid Directors, a nonpartisan group representing state officials, said in a statement there's no consensus on whether work requirements are the right approach. In North Carolina, that left hundreds of thousands of people in a coverage gap. The more likely scenario is that those who have jobs and can not document it will be left in poverty-wage jobs with no insurance, and those sick and disabled who can not document their disability will remain sick, jobless and uninsured. This disagreement with expansion lies at the heart of the decision to allow states to make Medicaid changes that the states themselves admit will reduce coverage. As a disability lawyer and disabled person myself, I know this policy change will be disastrous for my community in a number of important ways.