Kevin Lamarque | Reuters
President Donald Trump attends the Women in Healthcare panel hosted by Seema Verma (right), administrator of the Centers for Medicare & Medicaid Services, at the White House in Washington, DC, on March 22, 2017.
The Trump administration said on Thursday that will could allow states to test requiring some Medicaid recipients to work or participate in community activities such as volunteering or jobs training as a condition of eligibility for the government health insurance program for the poor.
The Centers for Medicare along with also Medicaid Services issued guidance producing that will easier for states to design along with also propose test programs that will implement such requirements. States must propose such alterations through waivers along with also receive federal approval.
Seema Verma, the agency’s administrator, said the policy guidance came in response to requests coming from at least 10 states that will have proposed requiring some Medicaid recipients to work or participate in activities that will may include skills training, education, job search, volunteering or caregiving. Those states include Kentucky, Maine, completely new Hampshire, Arizona, Indiana along with also Utah.
Certain Medicaid populations could be exempt coming from the rules, including those with disabilities, the elderly, children along with also pregnant women. Verma also said states could have to make “reasonable modifications” for those battling opioid addiction along with also some other substance use disorders.
“This kind of gives us a pathway to start approving waivers,” Verma said on a call with reporters on Wednesday. “This kind of can be about helping those individuals rise out of poverty.”
Under the 2010 Affordable Care Act, former Democratic President Barack Obama’s signature domestic policy achievement commonly known as Obamacare, 31 states expanded Medicaid to those producing up to 138 percent of the federal poverty level, adding millions of people to the rolls.
Republicans have repeatedly failed to repeal along with also replace Obamacare, a top campaign promise of President Donald Trump. Instead, the Trump administration has sought to weaken the program through executive orders along with also administrative rules.
The Obama administration opposed state efforts to implement work requirements in Medicaid because that will could result in fewer people having access to health insurance.
For instance, Kentucky last year proposed work requirements for able-bodied adults to get insurance along with also establishing completely new fees for all members based on income. A study found the proposal could reduce the number of residents on Medicaid by nearly 86,000 within 5 years, saving more than $330 million.
Republicans argue that will Medicaid was created to serve the most vulnerable along with also has become bloated under Obamacare. Verma along with also some other Republicans said implementing work along with also community engagement requirements could help improve health outcomes by connecting people with jobs along with also training.