Gov. Reynolds is 'reviewing' Trump administration guidance on Medicaid work requirements

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To date, CMS has received demonstration project proposals from 10 states that include employment and community engagement initiatives: Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah and Wisconsin. "Federal Medicaid laws do not permit work requirements".

"Medicaid was designed as a health care program, to provide vulnerable members of our society with access to care they badly need", said Dr. Jack Ende, president of the American College of Physicians.

A survey Kaiser conducted past year said those who weren't working said it was because of an illness or disability, home or family responsibilities, pursuit of an education, retirement or inability to find a job.

"I think we're building a country of some people who have gotten to the point they feel very comfortable living off of the government", Moul said. This disagreement with expansion lies at the heart of the decision to allow states to make Medicaid changes that the states themselves admit will reduce coverage.

Lead author Renuka Tipirneni, M.D., M.Sc., a U-M assistant professor of internal medicine, is available to discuss the results and how they might inform the national and state-level discussion about requirements such as those laid out by CMS.

Asked whether Gov. Kim Reynolds might pursue a work requirement, a spokesperson, Brenna Smith, said Thursday that "the governor is reviewing and considering the guidelines that just came out today".

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"Republicans want to ignore the truth in order to push their partisan health care agenda, but the majority of adults covered by Medicaid who can work, do work - often two or three jobs in fields like the service industry that are less likely to offer insurance", Woodhouse said in a statement. Many Medicaid enrollees may have physical or mental health problems - such as arthritis or asthma - that don't meet the criteria for federal disability programs, but still interfere with their ability to work, Kaiser said. "It is about taking away health insurance from low-income people". "It's making people healthier that enables them to work", he said.

"This new attack on Medicaid has nothing to do with program integrity, and everything to do with the recently revealed step-by-step Trump administration plot to wage war on our health care".

Democrats and health advocacy groups blasted the policy and said it would make it more hard for the most vulnerable Americans to have access to healthcare services.

"States will therefore be required to describe strategies to assist eligible individuals in meeting work and community engagement requirements and to link individuals to additional resources for job training, provided they do not use federal Medicaid funding to finance these services", CMS said. "While high-quality health care is important for an individual's health and well-being, there are many other determinants of health". Bullard said she has epilepsy and other medical conditions that make working long hours impossible. It is more common for Medicaid enrollees to hold jobs if they live in states that expanded Medicaid under Obamacare.

Certain Medicaid recipients would be exempt from the rules, including those with disabilities, the elderly, children and pregnant women, the administration said. In the end, that state included in its Medicaid expansion only an encouragement of voluntary efforts by beneficiaries to train for work or find jobs.

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