Proponents, health officials and advocates for the poor argued the program would improve Kentucky's miserable health rankings while representing a bargain because the federal government paid all of the costs of the expansion for the first three years and 90 percent of the costs thereafter. More than 700,000 Mississippians receive Medicaid.
It's always been part of populist conservative thinking that welfare recipients should be made to work in exchange for their benefits.
Savings from the new program, according to the Bevin administration, is expected with initial figures of an estimated $2 billion dollars (federal and state) over the waiver demonstration period, allowing these funds to be focused on those most in need and other critical areas.
"This is in response to proposals we are receiving from states", said Seema Verma, who heads CMS. The requirement doesn't apply to those with disabilities, the pregnant, or the elderly.
For a federal entitlement, it was remarkably limited and targeted to discreet populations.
"The Trump administration has agreed to end health coverage for 95,000 Kentuckians", Yarmuth said. From 2011 to 2016, Medicaid spending on prescription treatments for opioid use disorder rose from $394.2 million to $929.9 million, according to a report from the, a left-leaning Washington, D.C., think tank.
Obamacare changed all that. But the expansion under President Barack Obama led to millions of non-disabled low income adults added to the program.
Throughout the entire half-century history of Medicaid, created to provide health care to low-income individuals, benefits have never been contingent upon applicants working.
Kentucky HEALTH is an innovative approach that will put Kentuckians on a path to better health, and is key to ensuring the long-term viability of the Medicaid program.More news: United States ambassador to Panama resigns, says he can't work under Trump anymore
It's these able-bodied adults, not the traditional Medicaid enrollees, that the Trump administration's policy on work requirements targets. Therefore, they should meet the state's new work requirements. Out of the 10 states that have proposed work requirements, two of them - Kansas and Wisconsin - have refused federal money to make more low-income people eligible for Medicaid.
"When we talk about the expanded Medicaid population, we're going to design a New Hampshire plan to deal with that population", he said. And there are lots of parameters they're putting out in terms of who should be exempted for a variety of reasons.
Such incentives are powerful-and in the long run, harmful to welfare beneficiaries.
By contrast, progressives consider work requirements insulting and demeaning. And the guidelines say they have to take that into account as well.
Opponents say the majority of those Medicaid recipients who are able to work are already doing so. The research shows that the impact of work requirements was actually very minimal and did not reduce poverty. While Carolina Cares is awaiting legislative action from the General Assembly, it should be noted that Carolina Cares has language to impose work requirements if it should be enacted. If recipients don't work, they will also lose eligibility status.
Some states pushed back.
"Asking able-bodied adults to work is not a punishment".
Such results shouldn't shock.
The waiver's prospects didn't look promising under the Democratic administration of Barack Obama but was viewed here as an nearly certainty once Republican Donald Trump was elected president. According to Robert Rector, the goal of having people work to get Medicaid is not meant to reduce poverty but is instead to ensure that those who benefit from public programs contribute to them.