Pa. lawmakers mull work requirements on Medicaid recipients after Trump administration approval

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She has long pushed for new requirements for Medicaid patients.

The Trump administration told US states on Thursday they can for the first time move toward imposing work or job training requirements on people as a condition for obtaining health insurance under the Medicaid government program for the poor.

The policy change would mark the first time the publicly funded program, which has insured the health needs of the poor and disabled since its creation in the 1960s, has been allowed to require work for benefits.

Lead author Renuka Tipirneni, M.D., M.Sc., a U-M assistant professor of internal medicine, is available to discuss the results and how they might inform the national and state-level discussion about requirements such as those laid out by CMS.

Lynne said Colorado has no plans for a work requirement, which would require new legislation and years of implementation, as well as potentially be a burden for employers.

The agency is encouraging states to align their Medicaid work requirements with those mandated by other federal safety net programs.

Currently, 64 percent of the 100,000 non-elderly, non-disabled adults who receive Medicaid in ME are employed, according to the Kaiser Family Foundation. 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. That could include job training, career planning or volunteer activities.

To date, CMS has received demonstration project proposals from 10 states that include employment and community engagement initiatives: Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah and Wisconsin.

The new policy guidance sent to states is meant to help them design demonstration projects that promote the objectives of the Medicaid program and are consistent with federal statutory requirements.

Noam N. Levey is a Los Angeles Times writer. Don't be fooled. It's the first of several expected steps to shrink and weaken the Affordable Care Act's Medicaid expansion that provided coverage for 11 million low-income adults, with incomes up to 138% of the federal poverty line.

The injury left her unable to work, and while she applies for disability, she is reliant on Medicaid for treatment and believes the proposed work requirements would directly affect her.

Once CMS gives one state permission, "we would be looking very, very closely to the legal options", said Leonardo Cuello, health policy director at the National Health Law Program.

Certain Medicaid recipients would be exempt from the rules, including those with disabilities, the elderly, children and pregnant women, the administration said.

Asked whether Gov. Kim Reynolds might pursue a work requirement, a spokesperson, Brenna Smith, said Thursday that "the governor is reviewing and considering the guidelines that just came out today".

Health insurance reforms initiated during Barack Obama's presidency raised the income cap for access to Medicaid, allowing millions of low-income earners to join the Medicaid rolls. Some 60% of non-disabled, working-age adults have jobs, while almost 80% live in families with at least one member in the labor force, according to a Kaiser Family Foundation analysis.

Verma has recused herself from ruling on those two states' requests but has imported the ideas behind them into the new federal policy.

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