The Trump administration's Medicaid announcement isn't really about 'work'

2018-01-11 - Centers for Medicare & Medicaid Services - CMS.gov

Gov. Charlie Baker's top health official said it's unlikely the administration will seek a waiver to establish work requirements for Medicaid recipients after President Trump opened the door to the major policy shift this morning. Over 70 million Americans are now enrolled in Medicaid, which provides health insurance for low-income individuals who are otherwise unable to receive benefits.

Expansion was a key part of the Affordable Care Act, the idea being it would extend the federal- and state-financed program to the working poor - people who make too much money to qualify for Medicaid but don't get insurance through work or make enough money to qualify for federally subsidized insurance plans through the online exchanges set up under the ACA, often called "Obamacare".

Seema Verma, head of the Centers for Medicare and Medicaid Services, said requiring work or community involvement can make a positive difference in people's lives and in their health. 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.

Instead of requiring states to increase and strengthen coverage, C.M.S. will now allow them to use waivers to promote "upward mobility" or "responsible decision-making". Yet the Centers for Medicare & Medicaid Services will likely soon allow Kentucky and IN to charge premiums to poor adults and cut off their coverage or charge them more to get care if they don't pay - and to cut them off if they're not working.

While more than 74 million people are enrolled in Medicaid, only a small fraction would be affected by the work requirement.

MaryBeth Musumeci, an associate director for the Program on Medicaid and the Uninsured at the Washington-based Kaiser Family Foundation, a health policy think tank, said the red tape will be a barrier to health care.

On March 14, 2017, the Department of Health and Human Services and CMS issued a letter to the nation's governors affirming the federal government's partnership with states to improve the integrity and effectiveness of the Medicaid program for low-income people with Medicaid. As the Kaiser Family Foundation notes, very few state agencies now have the capacity to develop and provide work support programs on their own.

In its guidance to states, CMS said they should consider how some communities have high unemployment rates and whether enrollees need to care for young children and elderly families. In addition to traditional work and job training, engagement could include caring for a child or elderly parent, seeking treatment for drug addiction or going to school.

"Our arrangement direction was because of states that approached us for the adaptability they have to enhance their projects and to help individuals in accomplishing more noteworthy prosperity and independence", Verma said in an announcement. The main impact of the rules will be to subject poor people to stacks of paperwork that will drive some to drop coverage, the critics say.

"He wants Medicaid recipients to be healthy and to be able to work, but he does not believe that working should be a condition for receiving federal assistance", spokesman Sawyer Hackett said in an email. "They want to develop programs that will help them break the chains of poverty and live up to their fullest potential".

Verma, who worked with Kentucky and IN on their work requirement waivers as a health consultant before joining the Trump administration, recused herself from the decision on those states' waiver requests. Most who are not report reasons such as illness, caring for a family member or attending college.

The agency is encouraging states to align their Medicaid work requirements with those mandated by other federal safety net programs. "It would only apply to the ten or so states run by far-right Republicans who have asked to do this".

"A vast majority of them already work", he said. "That is what is best for the people of ME and the future of our state".

Related News:

  • UCF fans fund billboard challenging Alabama to a battle of national champions

    UCF fans fund billboard challenging Alabama to a battle of national champions

    Instead, the Crimson Tide under Nick Saban have shifted to playing marquee season-opening non-conference games at neutral sites. Next year, Alabama will play Louisville, Arkansas State, UL Lafayette and The Citadel in non-SEC competition.
    Honda Insight hybrid prototype revealed ahead of Detroit motor show

    Honda Insight hybrid prototype revealed ahead of Detroit motor show

    The new Insight will feature a 1.5-liter Atkinson-cycle engine paired with an electric motor and lithium-ion battery pack. The 2019 Insight will be manufactured at Honda's Greensburg, Indiana plant, alongside the Civic and CR-V.
    US Ambassador to Netherlands Dodges 'No-go Zones' Questions

    US Ambassador to Netherlands Dodges 'No-go Zones' Questions

    After repeatedly being questioned on the same, Hoekstra termed the remark, which made headlines in 2015, as " fake news". Wednesday's press conference was not Hoekstra's first awkward exchange with a Dutch reporter.
  • Microsoft rolls out end-to-end encryption for Skype Insider conversations

    Microsoft rolls out end-to-end encryption for Skype Insider conversations

    Starting today, Skype is testing out a new feature called Private Conversations that delivers end-to-end encryption to your chats. Up next, we'd like to improve the UX around the invite to join a private conversation and bring the experience to the UWP client.
    RB Leipzig will resist Liverpool's attempts to get Naby Keita in January

    RB Leipzig will resist Liverpool's attempts to get Naby Keita in January

    Mascherano is most likely to leave first however, with Chinese Super League club Hebei China Fortune closing in on a deal. I came here to push myself and Liverpool is a club that is looking to go and do good things. "It happened at Liverpool ".
    Facebook plans major changes to news feed

    Facebook plans major changes to news feed

    For example, live videos often lead to discussion among viewers on the platform, according to Facebook . Until this point, Facebook has been increasingly emphasizing video content in its News Feed.
  • Dark Souls PC rekindled with 4K remaster

    Dark Souls PC rekindled with 4K remaster

    As you can see, following on from the trailer , the game is due for release on the 25th May 2018 so it's not even long to wait. Dark Souls: Remastered is coming to Nintendo's popular console, the company announced today via surprise Nintendo Direct Mini.
    Chevron Blasts NYC's Pending Lawsuit as

    Chevron Blasts NYC's Pending Lawsuit as "Meritless"

    The suit names Exxon Mobil , BP and Conoco Phillips along with Chevron and Royal Dutch Shell . De Blasio's team hopes that the other funds will join, too.
    Will Fiorentina continue the fight?

    Will Fiorentina continue the fight?

    Another 16 goals brought Lorenzo Insigne, 13 goals went from Jose Callejon and 11 from Marek Hamšík. Forecasts Bookmakers consider Napoli as the main favorite - the coefficient for the victory of the hosts is 1.28.
  • Tax law implementation to cost IRS almost  $500 million

    Tax law implementation to cost IRS almost $500 million

    Treasury would achieve that, the lawmakers surmised in the letter, by pushing the IRS to change its formula for withholdings. Yahoo Finance ran the numbers and found a net drop in tax withheld in each of 11 income categories we examined.
    National Football League  officially looking into possible Rooney Rule violation by Raiders

    National Football League officially looking into possible Rooney Rule violation by Raiders

    Jon Gruden offered Rich Gannon the chance to coach quarterbacks with the Oakland Raiders , but the former player declined. On the field, Gruden will take over for Jack Del Rio after the latter was sacked following a 6-10 season.
    Walmart to Shutter 63 Sam's Club Stores

    Walmart to Shutter 63 Sam's Club Stores

    Employees showed up to work at several Texas locations only to find a note on the door that read, " Sam's Club is closed today". News Channel 8 is looking into the matter and we will have more information on WFLA.com as soon as it's available.


Most liked

Nintendo announces Hyrule Warriors: Definitive Edition for Nintendo Switch
Nintendo being Nintendo, the game still comes with two-player co-op, but players can utilize spit Joy-Cons to play together. Payday 2 will release in Europe and Australia on February 23rd, and in North America and South America on February 27th.

White House responds to ruling on young immigrants program
Roberts Jr. asked Sanders about the scramble to clarify Trump's position, and Sanders acted like nothing unusual had happened. The president, she said , has been following the topic and "wanted to put something out".

Wahlberg Earned 1500 Times More Than Williams For Doing The Same Work
Actors pay a team of agents, managers and lawyers an average of 10% of their salaries to advocate for them. Williams seems to have decided that, of these two ideas, the former was more important.

YouTube Removes Logan Paul From Preferred Program, Puts 'Thinning' Sequel on Hold
YouTube has revealed its "further consequences " previously hinted at in a series of tweets about embattled vlogger Logan Paul . The move to cut ties with the vlogger comes just days after the company actually issued its own statement on the incident.

Myanmar army admits Rohingya killings
The Defense Ministry said it will take action against the perpetrators involved in those killings and those in charge of security forces in the Rakhine State.

JPMorgan, Goldman to lead Dropbox in US IPO
Snapchat now is public and continues to lose money, Snap Inc.'s IPO was still a pretty big deal. The listing is created to test Dropbox's most recent valuation, which was set at $10 billion.

Super Mario Odyssey to get free Luigi's Balloon World downloadable content pack
In the " hide it " mode, you race against the 30-second timer to conceal balloons in the hardest to find places on the board. But for those still enjoying their adventures with Cappy in Super Mario Odyssey , there's a little something for you as well.

Here's your first look at Tom Hardy as Eddie Brock in 'Venom'
The Lethal Protector storyline saw Eddie Brock's Venom recast from a Spider-Man villain into an antihero. The final entry is the most curious because it's partially obscured by Brock's finger.

Circuit City Announces Relaunch 9 Years After Closing Stores
IBM Watson 's artificial intelligence commerce platform, which can learn customers' interests, will be used to support the site. Fortune reported that Circuit City's plans call for kiosks and store-within-a-store concepts and eventually its own showrooms.

Camila Cabello Opens Up About Keeping The Meaning Behind Her Songs Secret
And the girl who the shade was allegedly aimed at definitely agrees that it had less-than positive motives. Camila Cabello has spoken out about an infamous moment during Fifth Harmony's 2017 MTV VMA performance.

Hockey Canada announces 2018 men's Olympic roster
He competed for Canada at the Karjala and Spengler Cup tournaments, which were used as an evaluation for the Olympic roster. Like the US , which released its roster on January 1, Canada has drawn heavily on players who are playing for KHL teams.

Steps Intel Recommends To Sidestep Spectre And Meltdown
But do you really need a new battery? Google says Android devices are protected if they have the latest security updates. But Spectre will be harder to mitigate than Meltdown because the most effective fix is redesigned computing hardware.

Sacramento bookstores experience 'unprecedented' demand for Trump tell-all
Barnes & Noble in Racine also sold out Friday morning, and the local Target, Costco and Walmart stores had no copies to sell. Wolff also claimed Trump did not know the word "Brexit" when Wolff interviewed him weeks before the referendum in 2016.

Rising trend of casino apps
For those who are looking for a specific game, Cherry Rush also includes a description of what games can be found each site. It used to be that if someone wanted to play a casino game they had to find a land based venue.

Bets for upcoming Southampton vs Arsenal fight
Neither Arsene Wenger nor his players could afford themselves to lose another match if they still want to be in the top four. Arsenal is still keeping the dream to be qualified in Champions League after the victory over Manchester on Sunday.