Abril 26, 2018

New Medicaid guidelines could require recipients to work for benefits

14 Enero 2018, 02:50 | Crisanna Felipe

States can require Medicaid recipients to work, Trump administration says

Trump administration allow work requirements in Medicaid

Ten states have requested waivers to require work in exchange for benefits, with some exceptions. Its justification: cutting insurance for low-income Americans who don't work will improve their health.

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.

"This is about helping people rise out of poverty", Verma said in a conference with reporters, according to NPR. They may simply become jobless and uninsured. Beyond the work requirement, Kentucky wants to have Medicaid recipients pay between $1 and $15 a month, disenroll people above the poverty line who fail to pay their premiums, and require people on the program to report job changes within 10 days.

President Donald Trump and the Republicans in Congress failed numerous times previous year to repeal and/or replace the ACA, commonly referred to as Obamacare.

The administration's new approach - one that no administration before it has taken - is to provide waivers to states that allow them to impose work requirements for Medicaid benefits.

Soon, the administration will likely approve "waiver" proposals, starting with Kentucky and IN and followed by other states, to end Medicaid coverage not only for people who aren't working, but also for those who didn't pay premiums - or renew their coverage - on time.

By letting states impose work requirements in Medicaid, the administration will hurt numerous very people Mr. Trump said that he wanted to help when he ran for president. "Each state is different", the letter says, and such activities "include, but are not limited to, community service, caregiving, education, job training, and substance use disorder treatment".

States will be required to offer reasonable modifications to individuals with disabilities and will be required to exempt individuals determined to be medically frail or who have an acute condition that a medical professional has determined will prevent them from complying with the requirements, CMS said. Many of them have jobs that don't provide health insurance. Those who have a job, are in school or care for young children will need to document to their state's Medicaid agency that they are in compliance - or risk losing their benefits. Two-thirds of Illinois' non-disabled and non-elderly Medicaid recipients hold a full-time or part-time job, and more than 80 percent are part of working families, according to the Kaiser Family Foundation's analysis of 2016 Census data. Many believe this healthcare program is a free ride for those who do not wish to work. "Most folks who are on medicaid who can work, already work".

"This is going to go to court the minute the first approval comes out", predicted Matt Salo, executive director of the National Association of Medicaid Directors, whose members reflect a spectrum of views about requiring work.

Sometimes, amazingly, I know, politicians do things just because they are heartless, soulless bastards who deserve to be eaten by Denebian slime-devils and then vomited into the fires of Mount Doom. 36% said they were ill or disabled, 9% said they were retired, and 30% said they were taking care of family or their home.

"With most beneficiaries working or with good reasons not to be, that impact will be small", Altman concluded.

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.

Almost 100,000 fewer Kentuckians are expected to have Medicaid under the plan.

In those states that receive a waiver for the work requirements, those now working will be required to provide documentation that they are working, and those who are not will be required to prove that they should be exempted.

Second, it would shore-up Nevada's labor force participation - which has been hovering around historic lows - as unemployed enrollees return to the labor market for the goal of maintaining their Medicaid coverage.

The change in policy will also exacerbate health inequalities that are already a massive national problem.

This nation created Medicaid to help these very people.

"Medicaid needs to be more flexible so that states can best address the needs of this population", she said in a statement.

LaDonna Pavetti, a vice president at the left-leaning Center on Budget and Policy Priorities, argues that none of the studies CMS' cites suggest that work requirements improve public health. This policy change is merely a bureaucratic obstacle to keep poor people from obtaining Medicaid.

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