Today, the Michigan legislature passed a bill that imposes new work and premium requirements on its huge Medicaid expansion population. Families USA and other organizations have written extensively about how work requirements don't belong in a health care program like Medicaid and how Michigan’s legislation is particularly poorly designed and punitive. But the version of the bill that just passed includes several other major problems.
Since the Trump Administration took office, several states have asked the Centers for Medicare and Medicaid Services (CMS) for approval to waive Medicaid requirements or add new ones through requests known as Medicaid Section 1115 waivers. View our timeline below of the different stages that occur before these requests get to CMS.
As of April 2018, 18 states were actively pursuing Medicaid waivers that would kick people off the program or impose punitive requirements. And the list continues to grow. Advocates for affordable, high-quality, and equitable health care can play a vital role in opposing these waivers. Share this toolkit on Twitter.
Many state legislatures are passing the midpoint for 2018 sessions, and trends are emerging in their efforts to tackle health care affordability and coverage. States are also reacting to federal activity around Medicaid and private market coverage including the repeal of the individual mandate. Below are some of the noteworthy state health legislative measures already moving this year.
Today, Families USA and 125 community, provider, labor, and patient organizations sent a letter urging Congress to take immediate action to address the post-hurricane health crises in Puerto Rico and the U.S. Virgin Islands and ensure that the nearly 4 million U.S. citizens living in those territories are able to obtain the health care they need. View letter.
Recently, the state of Wisconsin submitted an application to the federal government seeking Medicaid waiver authority to make drug testing a condition of eligibility for the state’s adult Medicaid program--BadgerCare. This request breaks dangerous new ground; drug testing has never been allowed as part of the application process in the Medicaid program. That’s because it is illegal, it will make it harder for everyone applying for Medicaid, and it will hurt rather than help those with substance use disorders.
Today, in a speech to the National Association of Medicaid Directors, CMS Administrator Seema Verma announced that the Trump Administration is approving Medicaid waivers that impose work requirements on adults. These requirements are a deplorable break with decades of Medicaid policy, a threat to the one in five Americans who depend on the Medicaid program, and an abuse of the Medicaid waiver authority. This decision is wrong both on legal and policy grounds.
More than $18,000 to spend on Medicaid for each person in Alaska; Nevada gets just over $4,000. Does that sound fair? Well, that’s the funding formula in the GOP health care repeal plan. States that spend a lot on Medicaid now get a lot later. States that spend less get stuck with less. And the formula doesn’t change. Ever.