NH GOP leaders plan to add Medicaid work requirement

Beth Harwell

By approving Governor Bevin's risky and irresponsible Medicaid waiver, the Trump administration has agreed to end health coverage for 95,000 Kentuckians. They must also establish a communications plan, as well as have an effective training and testing program in place to ensure ongoing improvement planning.

At least nine additional states, which are predominantly led by Republican governors, have also proposed similar changes to the federal health care program in their own states. Those generally include requirements for recipients to be working, be looking for work, volunteering or in school.

More than half - 52 percent - of the state's Medicaid enrollees are children younger than 20, and seniors 65 and older.

Yesterday's guidance from Verma and the CMS fulfilled that promise. But Solomon says it's specifically prohibited under Medicaid law. The program allows beneficiaries to be locked out of benefits if they fail to produce proof they are following the rules, but they can get back in the system once they meet requirements for 30 days. The goal is to help people move from public assistance into jobs that provide health insurance. Lawsuits are expected as individual states roll out work requirements.

She cited studies that show a correlation between good health and having a job.

Don't be fooled by all the bells and whistles in #Medicaid work guidance.

Anyone who loses their Medicaid benefits might be hard-pressed to find an affordable alternative. The recipients of the program who are unable to comply with the new regulations, he said, will remain unaffected. But Governor Bryant took this position during his State of the State address.

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The agency specifically calls out the opioid epidemic, saying that time spent in treatment can count towards the mandate and those in intensive recovery programs can be excused.

The Kentucky Medicaid changes generally mimic those of neighboring IN, which altered its program IN 2015 under then-Gov.

The Centers for Medicare and Medicaid Services announced the approval on Friday.

However, there are some exemptions to the work requirements that will be enforced starting in July and remain in effect for five years. "I want to publicly thank Cabinet for Health and Family Services Secretary Vickie Yates Brown Glisson, Education and Workforce Development Cabinet Secretary Hal Heiner, and the countless dedicated state employees who worked tirelessly to develop and secure approval for a program that will positively change Kentucky's health narrative for generations to come". People who are elderly or disabled, and pregnant women and children, would be excluded.

Instead, more than 480,000 enrolled, bringing the state's total Medicaid enrollment to almost 1.4 million, adding strain to an already severely constrained state budget. I think, you know, most states or all states knew that the Obama administration was not going to allow this. Consumer advocates and health policy experts fear that such a requirement could prove a big hurdle for many recipients, leaving them without the care they need.

But congressional Democrats said the Trump administration is moving in the wrong direction. Accordingly, Gov. Bevin has signed an executive order directing the Commissioner of Medicaid to take necessary actions to terminate Kentucky's Medicaid expansion in the event that a court decision prohibits one or more of the components of the Section 1115 waiver from being implemented. "What we are doing is providing targeted supports that will help qualified Apple Health clients to maintain housing and jobs-and ultimately self-sufficiency". The richer one is, their health is nearly guaranteed and so is their lifespan.

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