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Trump Administration Paves Way For Ohio's Medicaid Work Requirement

Trump Administration Paves Way For Ohio's Medicaid Work Requirement

The state estimates about one-fourth - or about 33,000 - of those referred to Gateway to Work will choose not to participate. Advocates for low-income people say they expect Kentucky's waiver to be approved shortly.

CMS also encourages states to consider a range of activities that could satisfy work and community engagement requirements.

Seema Verma, head of the federal centers for Medicare and Medicaid services, said work and community involvement can make a positive difference to people's health and lives. Bumping people out of the Medicaid program could end up driving up uninsured costs that fall on hospitals, health providers and the state, the organization says.

"To qualify for a waiver, a state must provide a convincing justification that its experiment would "further the objectives" of Medicaid", notes the Washington Post's Amy Goldstein.

Unlike the 1996 rewrite of welfare law, which explicitly mentions work as a goal, Medicaid's law contains no such element, and critics contend rules that could deny people coverage contradict its objectives.

Verma, who has said she doesn't think Medicaid should become a way of life for people who are not disabled, said the new guidance shows how the administration is trying to give states more flexibility in running Medicaid. Aligning requirements across these programs may streamline eligibility and reduce the burden on both states and beneficiaries and help beneficiaries succeed in meeting their work and community engagement responsibilities.

The shift under Trump could draw legal challenges from health care, rights or seniors' groups. It's a little like saying that rain causes clouds.

"This is creating an impediment to people who might've lost their job and in fact need help getting work, not an extra requirement that keeps them from getting the needed medical care that keeps them healthy", Wagner says. The remaining 27 percent were not working, but two-thirds of them had a chronic mental or physical health condition, and one quarter of them said this condition interfered with their ability to function on a daily basis. She told reporters in a call Thursday that it could lead to a decline in Medicaid enrollment. "We see people moving off of Medicaid as a good outcome", she said.

"The present assault on Medicaid is only the most recent salvo of the Trump Administration's 2018 war on social insurance", Brad Woodhouse, chief of the genius ObamaCare amass Protect Our Care, said in an announcement.

Republicans have been pushing for the change since the Affordable Care Act added millions of "able-bodied" adults to Medicaid.




Verma stressed that the administration is providing an option for states to require work, not making it mandatory across the country. A study in December in JAMA Internal Medicine found that about half of the Medicaid recipients in MI were already working. 36% said they were ill or disabled, 9% said they were retired, and 30% said they were taking care of family or their home. The requests prompted CMS to issue today's guidance about how to obtain federal approval for waivers imposing work requirements on "able-bodied" adults.

States can also require alternatives to work, including volunteering, caregiving, education, job training and even treatment for a substance abuse problem.

People with substance abuse disorders such as opioid addiction.

The report also states that people with a full-time job are less likely to suffer from depression. Many believe this healthcare program is a free ride for those who do not wish to work.

BREAKING: Trump administration is allowing states to terminate automatic, guaranteed Medicaid coverage for people with disabilities, the medically frail, and people who can't find jobs.

The work requirements will likely have an impact on a broad number of adults.

"Medicaid needs to be more flexible so that states can best address the needs of this population". For low-wage workers, such as waitresses with fluctuating wages, "it boggles my mind", Stewart said. Many Republican-governed states declined to take part in the expansion.

It's unclear which states will be the first to pursue a first-of-its-kind Medicaid work requirement waiver. "It will be interesting to see how states are going to make this work for people".

IN is among 10 states with requests pending.