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Trump administration decides states can require people to work for Medicaid

Trump administration decides states can require people to work for Medicaid

The Trump administration will allow states for the first time to impose work requirements on Medicaid recipients.

ME had filed a request with the U.S. Centers for Medicare and Medicaid Services last spring to receive a waiver that would allow the state to set requirements for work, volunteering or other approved activities as a condition of receiving Medicaid.

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. The link between government help and work later was extended to anti-hunger efforts through the Supplemental Nutrition Assistance Program, as food stamps are now called. South Dakota's governor said in his State of the State address Tuesday that he would also look to require certain recipients to work.

The new policy is a response to numerous state test programs through Medicaid projects in which recipients participated in community engagement activities, including skills training, education, job search, volunteering and care giving.

"Republicans want to ignore the truth in order to push their partisan health care agenda, but the majority of adults covered by Medicaid who can work, do work - often two or three jobs in fields like the service industry that are less likely to offer insurance", Woodhouse said in a statement.

Cuello said the argument that work promotes health is "totally contorted".

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Unlike the 1996 rewrite of welfare law, which explicitly mentions work as a goal, Medicaid's law contains no such element, and critics contend rules that could deny people coverage contradict its objectives.

It found that almost half of them already work, and that 11 percent were unable to work.

"For the future of our country, we need all Americans to be active participants in their communities", she said in November. People who are elderly or disabled, and pregnant women and children, would be excluded.

Administrator Verma cited the Administration's firm commitment to combat our nation's opioid crisis and the letter outlines that CMS will require states to make reasonable modifications for individuals with opioid addiction and other substance use disorders.

Under Kentucky's waiver application, for instance, people on Medicaid would be required to report income changes within 10 days, noted Cara Stewart of the Kentucky Equal Justice Center. "It is not as though there are millions of people sitting around doing nothing and simply collecting benefits", said Lt. Governor Donna Lynne, a former healthcare executive. For low-wage workers, such as waitresses with fluctuating wages, "it boggles my mind", Stewart said. If you're "able-bodied", the logic goes, you shouldn't be able to access a free health care program if you don't have a job and help pay into the public system that subsidizes such coverage. IN rewrote its waiver request last summer, this time asking for federal permission to compel work activities.

"As an example in the TANF program, the cash assistance program, there is authorization to include work limits and work requirements, and there is no such requirement in the Medicaid law", said Berg. The revised website content signals a new, broader view of these demonstrations in which states can focus on evidence-based approaches that drive better health outcomes, and quality of life improvements, and support upward mobility and self-sufficiency.


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