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Brainstorm Health: Medicaid Work Requirements, FDA and Social Media, Humana Leaves AHIP
12 January 2018, 12:31 | Terri Saunders
Health Highlights: Jan. 11, 2018
She has long pushed for new requirements for Medicaid patients.
About 75 percent of people on Medicaid in Colorado do work, and the remaining people are mostly disabled or caregivers for children or relatives who would have to jump through new hoops with a work requirement to get the care they need. States must propose such changes through waivers and receive federal approval.
"Most people have something to contribute to their community through either work or volunteering, and people who can contribute should do so", LePage said.
The Trump administration has unveiled a major policy shift that offers a path for states seeking to tie Medicaid eligibility to work requirements.
Centers for Medicare and Medicaid Services Administrator Seema Verma took to Twitter to defend the policy change, as well as telling reporters during a Thursday conference call, "This is about helping people rise out of poverty".
Medicaid is pretty different from even other government health care programs; its beneficiaries are the poorest people in America, kids, and people with disabilities-a coalition of Americans who often have the most hard health care needs in the country compared with the employer-sponsored private health market. Most who are not report reasons such as illness, caring for a family member or attending college.
"This policy move does not include a single penny to job training, does not add a penny to job placement, does not add a penny to job creation", Berg remarked. Yet the Centers for Medicare & Medicaid Services will likely soon allow Kentucky and IN to charge premiums to poor adults and cut off their coverage or charge them more to get care if they don't pay - and to cut them off if they're not working.
Ten states have already applied to impose work requirements on adults in the program, with Kentucky potentially ending up being the first state approved.
Medicaid, the joint federal-state program that provides low-priced health care, is the largest federal health program with over 70 million participants and has an annual federal budget of over $400 billion.
Trump Administration Clears Way To Require Work For Some Medicaid Enrollees
Ricker Hamilton, Maine's health and human services commissioner and a LePage appointee, concurred, contending that the Trump administration's move would give states needed "flexibility".
Noam N. Levey is a Los Angeles Times writer.
"Justifying work requirement that will cut people off #Medicaid by citing #Medicaid initiatives that provide support to people with disabilities so they can work is perverse".
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.
Until now, people have not been required to have a job in order to be eligible for Medicaid help. A study in December in JAMA Internal Medicine found that about half of the Medicaid recipients in MI were already working.
"For the future of our country, we need all Americans to be active participants in their communities", she said in November. 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 conditions would exclude individuals eligible for Medicaid due to disability, elderly beneficiaries, children and pregnant women.
Verma, and proponents of the requirements view it differently.
The new regulations' supporters argue that it's a common sense idea.
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