Proposed Work Requirements in Medicaid

Proposed Work Requirements in Medicaid

"Kentucky is leading the nation in this reform in ways that are already replicated by well over a dozen states and growing", he said.

"We are still working through all the operational details", she explained.

While the Trump administration signaled willingness this week to allow work requirements for Medicaid beneficiaries, the Florida Legislature is unlikely to move ahead with such a mandate this year.

Conservatives say the work requirement can help lead people to employment and off the state-federal health program.

Kentucky was one of the 32 states that expanded Medicaid, the health insurance program traditionally covering children, the elderly and disabled, under the Affordable Care Act. That Medicaid expansion was sharply criticized by conservatives, and Republicans in Congress tried to add work requirements in their unsuccessful bid previous year to overturn the health law.

CMS said the new policy seeks to help improve the economic situation of Medicaid recipients.

Health & Family Services Secretary Vickie Yates Glisson says the Kentucky HEALTH program will start in July, and that it is not a "one size fits all" solution. "It is an unconscionable attack on our state's health, and I will continue to fight for every Kentuckian to get the health care they need and deserve". Officials in several other states have said they are interested in the idea. They said their goal is to bring health care to the 300,000 Virginians who would benefit from expansion of Medicare and Medicaid.

More than 4 in 10 adults with Medicaid coverage already work full time, and most others either go to school, take care of a relative or are too sick to work.

A study by the Kaiser Family Foundation found that about 60 percent of "able-bodied" Medicaid beneficiaries already work. Also off the hook are the more than 10 million enrollees who have a disability. It is a "community engagement" requirement that may be satisfied by work, volunteer work, education, career planning, job training, and other activities.

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He called the waiver the state's way "of giving people dignity".

Enrollees who will be exempt from this include full-time students, former foster care youth, pregnant women, people with an acute medical condition and primary caregivers.

"Overall, CMS believes that Kentucky HEALTH [Helping to Engage and Achieve Long Term Health] has been created to empower individuals to improve their health and well-being". It allowed states to provide coverage to anyone earning up to 138 percent of the federal poverty level (about $16,600 for an individual).

Before Verma joined CMS she was a private consultant and an architect of the Kentucky plan that was approved Friday. It is the nation's largest health insurance program. "We don't have childless able-bodied working age adults in our system, so I don't know how that would transpose to us".

Some Democratic-leaning states are not expected to make the change.

"Kentucky HEALTH is a comprehensive, transformative plan empowering individuals to improve their health and well-being while ensuring Medicaid's long term financial sustainability", Glisson said.

Kevin de León, a Democrat and the leader of California's Senate, wouldn't comment on the proposal because he said it's a non-starter.

Thousands of poor adults in Kentucky will have to find jobs and pay monthly premiums to retain their Medicaid coverage as a result of drastic changes to the state's health insurance program approved Friday by the Trump administration.

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