This week, Tennessee released a proposal to block grant its Medicaid program based on legislation passed by state lawmakers this past spring. The proposal, entitled Amendment 42, is a radical restructuring of the state’s Medicaid program (TennCare) that will harm women, children, and elderly Tennesseans.
In 2018, Utah voters passed a ballot initiative to fully expand Medicaid. However, the Utah legislature overrode the initiative in 2019. The legislation limited Medicaid expansion as envisioned by the voters, but did provide a path to full expansion if a series of state proposals fail to receive CMS approval. In April 2019, “partially expanded” Medicaid based on the state legislature’s claim that the measure would save Utah money. However, this short analysis highlights that every month that Utah does not fully expand Medicaid, it costs the state $6.6 million.
Kansas Workers and Industries Stand to Benefit from Medicaid Expansion: Top Occupations of Kansans Who Would Receive Coverage Through Medicaid Expansion
Kansas is one of 13 states that have not expanded Medicaid. Over 150,000 nonelderly, low-income Kansans could benefit if the state expanded Medicaid coverage, most of whom are working adults in industries that are the foundation of the state’s economy. Families USA has published an analysis of the most common occupations of working adults who would benefit if Kansas expanded Medicaid.
Health and Health Care in 2019 Legislative Sessions: States Step Up on Public Options, Coverage, Drug Pricing, and More
The Utah Department of Medicaid released its much-anticipated proposal for a Section 1115 Medicaid waiver seeking a “per capita cap” – or a limit on federal spending – on major portions of its Medicaid program. If approved by the Trump administration, it would set a new precedent that could have catastrophic effects for state budgets and Medicaid programs in the future.
The Return of Churn: State Paperwork Barriers Caused More Than 1.5 Million Low-Income People to Lose Their Medicaid Coverage in 2018
In 2018, enrollment in Medicaid and the Children's Health Insurance Program decreased by about 1.6 million enrollees, 744,000 of which were children. There is strong evidence that a driving factor of the decline in enrollment is state policy decisions to engage in punitive annual (or even monthly) eligibility redetermination processes in which large percentages of Medicaid enrollees lose coverage.
The Administration’s proposed budget is in part a return to policies that Americans have overwhelmingly rejected. It proposes to gut core insurance protections, end the expansion of Medicaid to low income adults, and block grant the Medicaid program, cuts amounting to over a trillion dollars over ten years. But the budget also signals new and deeply concerning policy changes including mandatory new work documentation requirements in Medicaid, and increasing the cost of health insurance premiums for low income people in the non-group market.
On October 10, 2018, the Trump administration published a proposed rule in the Federal Register that would make it much harder for immigrants to obtain visas (including visas to study or work in the U.S.), extend their visas, or adjust their status to become lawful permanent residents.
NOTE (January 17, 2019): From August through December 2018, Arkansas disenrolled over 18,000 from Medicaid for failure to meet the work hours reporting requirement. Each individual disenrolled was locked out of Medicaid coverage from the point of disenrollment until January 2019, when they can reapply for coverage. At the point individuals re-enroll, the three month “clock” for reporting work hours begins again.