On March 5, 2018, CMS approved Arkansas’ request to add a work requirement to its Medicaid program. Equally important, it did not approve the state’s request to roll back Medicaid eligibility to a partial Medicaid expansion. Both tell us a lot about what’s behind CMS’s approach to Medicaid waivers, and what states can expect to have, and not have, approved. View factsheet here.
CMS has approved work requirements (sometimes spun as “community engagement” requirements) in three states: Arkansas, Kentucky, and Indiana. Eight additional states have similar requests pending, and CMS appears likely to approve those requests, as well. Litigation challenging the authority of the executive branch to approve work requirements—rules that are contained nowhere in Medicaid law—have also begun.
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.
While it may seem that Congress has moved on from its reckless quest to repeal the Affordable Care Act and cut Medicaid, many lawmakers are not giving up.
It’s important that we remind members of Congress that we’re watching them and will mobilize to defend health care.
Listen to our webinar on on how state advocates can address Medicaid waiver proposals that include work requirements and other restrictions, as well as tools available for state advocates to address similar proposals.
On January 31, Families USA staff held a webinar about how state advocates can address Medicaid waiver proposals that include work requirements and other restrictions.
Our experts reviewed recent HHS approvals of work requirements for Medicaid and the tools available for state advocates to address similar proposals.
Medicaid Work Requirements Aren’t About Work, They’re About Taking Health Care Away From Low-Income Americans
There is overwhelming evidence that the Administration’s actions, working with several conservative governors, are about taking coverage away from people rather than about supporting employment.
The Center for Medicare and Medicaid Services’ approval of Kentucky’s Medicaid waiver on January 12, 2017, opens a new front in the Trump Administration’s campaign to roll back the gains in coverage and health care achieved under the Affordable Care Act and Medicaid.