On June 12, Families USA held a webinar that highlighted successful tactics and strategies that could be used in states seeking work requirements. Advocates in Colorado and Minnesota discuss how they successfully stopped work requirements from moving forward in their states. And in Arkansas, advocates discuss how they’re handling a new work requirement that went into effect on June 1, 2018. This webinar reviews successful tactics and strategies that can be used in states seeking Medicaid work requirements, and help advocates prepare for challenges in the year ahead.
Kentucky’s successful Medicaid expansion is in jeopardy. The Trump administration approved the state’s request to impose work requirements on people who get health coverage through Medicaid which would lead to people being kicked off the program.
Michigan lawmakers are debating a bill that jeopardizes the Medicaid coverage on which hundreds of thousands of low-income residents rely. While supporters claim the bill will protect people from losing coverage if they take care of family members who are sick or who have disabilities, a close read of the language suggests otherwise.
Today, Medicaid faces unique threats, and these threats are happening largely below the radar screen. So far, we have succeeded in averting multiple attempts to erode Medicaid as we know it through federal legislation, but efforts to undermine coverage continue through legally questionable regulatory actions and destructive Medicaid waivers. These Medicaid waivers have the potential to have a profound impact on children, families, and their oral health coverage.
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.
With this decision, CMS is making it clear that policies that make it harder for the lowest-income people in the program to get health care are inconsistent with the goals of Medicaid. The decision also defined some boundaries regarding what is and is not appropriate for approval through the Medicaid waiver process.
Missouri’s 1115 waiver program, named the Missouri Mental Health Crisis Prevention Program, was recently submitted to the Centers for Medicare and Medicaid Services (CMS) and is awaiting approval. The goal of Missouri’s waiver is admirable. Unfortunately, this special population waiver program spends more to provide less coverage for fewer people.
This is the first in a series of analyses that examines the impact of efforts by conservative states to use Section 1115 waivers to modify their Medicaid expansions. Our analysis uses data these states report to CMS. First up: How charging Medicaid patients premiums hurts their care and state budgets.
The off-year elections in Louisiana, Kentucky, and Virginia aren’t dominating the Twitterverse like the presidential primary debates.
But the outcomes will determine the momentum of the ACA in the region that has been most resistant to expansion.