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Medicaid Work Requirements Shift to New Terrain

Medicaid Work Requirements Shift to New Terrain News & Analysis The JAMA Forum Benjamin D. Sommers, MD, PhD; Heidi L. Allen, PhD, MSW tate policies requiring low-income adults to work to maintain Medicaid S coverage have been gaining traction and sparking debate. With encouragement from the Centers for Medicare & Medicaid Services (CMS), 20 states have proposed some form of “community engagement” re- quirements. These proposals typically in- volve mandating Medicaid beneficiaries to work a certain number of hours (usually 20 hours per week), engage in job training or community service, or obtain an exemp- tion (such as having children with disabili- ties or being family caregivers). Ten states have now approved work re- quirements, though many face legal chal- lenges.OnlyArkansasfullyimplementedthe policy before a federal judge issued an in- junction that halted the practice there and also barred implementation in Kentucky and cliff.” If a beneficiary obtains a new job to justify a policy that may cause large Medic- meet the requirements in most nonexpan- aid enrollment losses. New Hampshire, a decision that was upheld by a federal appeals court. Michigan’s policy sion states, the additional income may leave the person ineligible for Medicaid is also being challenged in federal court. Insights From Arkansas but still http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Medicaid Work Requirements Shift to New Terrain

Sommers, Benjamin D.; Allen, Heidi L.
JAMA , Volume 323 (15) – Apr 21, 2020
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Publisher
American Medical Association
Copyright
Copyright 2020 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2020.2687
Publisher site
See Article on Publisher Site

Abstract

News & Analysis The JAMA Forum Benjamin D. Sommers, MD, PhD; Heidi L. Allen, PhD, MSW tate policies requiring low-income adults to work to maintain Medicaid S coverage have been gaining traction and sparking debate. With encouragement from the Centers for Medicare & Medicaid Services (CMS), 20 states have proposed some form of “community engagement” re- quirements. These proposals typically in- volve mandating Medicaid beneficiaries to work a certain number of hours (usually 20 hours per week), engage in job training or community service, or obtain an exemp- tion (such as having children with disabili- ties or being family caregivers). Ten states have now approved work re- quirements, though many face legal chal- lenges.OnlyArkansasfullyimplementedthe policy before a federal judge issued an in- junction that halted the practice there and also barred implementation in Kentucky and cliff.” If a beneficiary obtains a new job to justify a policy that may cause large Medic- meet the requirements in most nonexpan- aid enrollment losses. New Hampshire, a decision that was upheld by a federal appeals court. Michigan’s policy sion states, the additional income may leave the person ineligible for Medicaid is also being challenged in federal court. Insights From Arkansas but still

Journal

JAMA – American Medical Association

Published: Apr 21, 2020

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