Brainstorm Health: Medicaid Work Requirements, FDA and Social Media, Humana Leaves AHIP

Health Highlights: Jan. 11, 2018

Ten states - Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah and Wisconsin - have submitted waivers that include work or community engagement requirements, according to the agency. "Federal Medicaid laws do not permit work requirements". Most of those who don't work cite illness, disability or family obligations as the reason. Almost eight in 10 recipients live in families with at least one member in employment, according to the study. "It is not as though there are millions of people sitting around doing nothing and simply collecting benefits", said Lt. Governor Donna Lynne, a former healthcare executive.

"Most people have something to contribute to their community through either work or volunteering, and people who can contribute should do so", LePage said. It is a means tested program managed at state level and jointly funded by state and federal government. The work requirements will likely be challenged in court.

The agency's guidance provides states with a lot of flexibility in designing their programs and highlights that many recipients may need additional considerations.

Verma also had a major role in designing an unorthodox approach to Medicaid in IN, which had asked the Obama administration to approve a work requirement.

"This action by the Trump administration goes after people who are just trying to get by", Democratic U.S. Senator Ron Wyden of OR said. "They may have low-wage jobs They may have jobs where their employer doesn't offer health insurance". To get around this, the 10-page letter argues that working promotes good health and repeatedly asserts that the change fits within the program's objectives.

The growth has prompted Baker and lawmakers to seek out a range of reforms to scale back costs, including in 2016, when the administration received a so-called 1115 federal waiver, worth $52.4 billion over five years, to reshape its program. "While high-quality health care is important for an individual's health and well-being, there are many other determinants of health".

Until now, people have not been required to have a job in order to be eligible for Medicaid help.

Verma also said that any drop in Medicaid rolls as a result of work requirements would stem from people no longer needing it.

CMS did not directly address Medicaid expansion, which has been adopted by 31 states and the District of Columbia. Pregnant women, children, the elderly and the disabled are exempted from the requirements. 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. Bullard said she has epilepsy and other medical conditions that make working long hours impossible.

Before she became the CMS administrator, Verma was a health-care consultant who specialized in helping states redesign their Medicaid programs.

Other groups criticizing the Trump administration's plans included Public Citizen, Families USA and the advocacy arm of the American Cancer Society.

All the policy will do, Berg said, is increase bureaucracy and paperwork, "supposedly from the small government people", because it will force working people to leave work, or those on a job search to stop searching and have to go to a government office to fill out a form to show they are working or searching for a job.

Related news: