The Poor Required to Work to get Medicaid

14 January, 2018, 00:35 | Author: Chad Mckenzie
  • Kentucky Gov. Matt Bevin left and President Trump during a prison reform roundtable on Thursday

"As you know, I have requested a workforce requirement for able-bodied adults from the Center of Medicaid and Medicare Services", said Governor Bryant. Several others are considering doing so as well.

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.

"One of the things that states have told us time and time again is that they want more flexibility to engage their working-age, able-bodied citizens on Medicaid", Verma told a conference of state Medicaid directors in November. Previous administrations had rejected attempts by states to impose work requirements on Medicaid recipients, saying they went against the law's intent.

CMS has asked that the state submit, within the next six months, a draft evaluation design and implementation timeline.

"It is not a matter of charity to extend health care to people who do not have access to health care". The requirement doesn't apply to those with disabilities, the pregnant, or the elderly.

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People deemed "medically frail", a broad term that encompasses people who are battling drug and alcohol addiction, will also be exempt. Among such enrollees, 90 percent were unemployed because they were ill or disabled, retired, taking care of their home or family, or attending school.

Consequently, residents of Kentucky who are on Medicaid and considered healthy enough to work, must now comply with certain requirements to receive the health care provided by the government program.

Kaiser Health News is an editorially independent program of the Henry J. Kaiser Family Foundation, a nonprofit, nonpartisan health policy research and communication organization not affiliated with Kaiser Permanente.

"The new [state programs] will penalize individuals by having them lose health coverage, rather than incentivize them, as a voluntary program with adequately funded supportive services necessary to overcome barriers, would", she said.

"I'm a little anxious that we are going to not be able to hold all of the people because so many people want to come and be a part of this", Bobo said.

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The Bluegrass State thus becomes the first state to act on the Trump administration's unprecedented change that could affect millions of low-income people receiving benefits. But that amount could be unaffordable without a regular income.

"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. If North Carolina lawmakers move forward to close the coverage gap with such a requirement appended on, it's essential that they consider factors such as the availability of jobs or even likelihood of being able to establish skills training programs in some of the more low-resource communities in the state.

Bevin said the Medicaid overhaul was "long overdue" because it had devolved into a system that provides the benefit to people for whom it was not intended.

The state, along with the rest of Appalachia, falls behind the rest of the U.S.in 33 out of 41 population health indicators, according to a recent study. Many governors, including Republican ones, have defended the Medicaid program as being critical to addressing the substance abuse crisis.

Kentucky also anticipates the most drastic drop in Medicaid enrollment out of the 10 states with pending work requirement waivers, according to by the Commonwealth Fund.

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