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medicaid work mandate will create uncertainty in some states


little rock, ark. — republicans this past week began to realize their long-held goal of requiring certain adults to work, get job training or perform community service in exchange for getting health coverage through medicaid.whether that's a commonsense approach or an added burden that will end up costing many americans their health insurance will now be debated in states across the country considering the landmark change to the nation's largest health insurance program.to medicaid recipients such as thomas j. penister of milwaukee, it's created uncertainty about their ability to have health coverage.he's been unemployed for the last four or five years and has received medicaid for the past two. he sees a behavioral health specialist to deal with anxiety and said medicaid has made a big di






states consider medicaid work requirement


little rock, ark. – republicans this past week began to realize their long-held goal of requiring certain adults to work, get job training or perform community service in exchange for getting health coverage through medicaid.whether that's a common-sense approach or an added burden that will end up costing many americans their health insurance will now be debated in states across the country considering the landmark change to the nation's largest health insurance program.to medicaid recipients such as thomas penister of milwaukee, it has created uncertainty about their ability to have health coverage.he has been unemployed for the last four or five years and has received medicaid for the past two. he sees a behavioral health specialist to deal with anxiety and said medicaid has made a big






smoking penalties, er fees, premiums on the poor: how states want to shrink medi


indiana hopes to make medicaid enrollees pay a fee if they smoke cigarettes. arizona wants to put a five-year limit on how long its poor residents can be enrolled in the program. and kentucky wants families earning as little as $5,100 to pay medicaid premiums - and to kick patients out of the program if their payments get 60 days behind.these proposals are part of a host of changes that mostly conservative states have unsuccessfully sought for years to overhaul medicaid, a federal insurance program for the poor and disabled.now, the trump administration is giving at least some of these initiatives the green light. on thursday, health officials issued new guidance to state medicaid directors, saying the administration would allow states to impose work requirements on certain medicaid recipi






trump is right to let states impose work requirements for medicaid


the trump administration announced thursday it will allow states to impose work requirements on abled-bodied adults to qualify for medicaid. this marks the first time the federal government has allowed any kind of work requirement for medicaid eligibility—and it’s about time.on the surface, work requirements for medicaid might seem cruel or punitive. after all, medicaid is supposed to provide health coverage to the poor and disabled, the most vulnerable among us. as a policy proposal, work requirements may seem almost tailor-made to make republicans look cold and heartless.but the reality is that medicaid, like most federal and state welfare programs, has gotten so out of control and strayed so far from its original purpose that imposing work requirements on able-bodied adults will actuall






medicaid recipients say they need health care to work


portland, maine — medicaid recipients are pushing back against maine's proposal to create the nation's toughest requirements for the health care program for low-income residents that states run.the health care proposal recently approved by u.s. house republicans would let states require certain medicaid enrollees to work.republican maine gov. paul lepage's administration wants to require most "able-bodied" adults to work, volunteer or take classes if they receive mainecare benefits. he also wants to require $20 co-pays for non-emergency emergency room visits and allow providers to charge for missed doctor's appointments.maine says such adjustments may decrease enrollment and generate $8 million annually.mainecare recipient judy bullard said at a wednesday hearing the program helps cover he






kentucky first to win federal ok to roll back medicaid expansion


the new rules allow states to include work requirements for some medicaid recipients.        






no work, no medicaid? illinois reviews new federal guidelines


illinois is reviewing new guidance from the trump administration that opens the door for states to impose work requirements on medicaid recipients, but there is no indication yet that it will follow the lead of neighboring states that are pursuing plans to tighten their rules.gov. bruce rauner’s office and the state’s department of healthcare and family services said the new policy and its implications are “under review,” but the republican administration has not signaled whether it supports medicaid work requirements. local patient advocates said they hope illinois does not join the 10 states that already have submitted proposals to make having a job a condition of medicaid eligibility, for fear it would leave tens of thousands of people without health insurance.meanwhile, wisconsin and i






how does medicaid work in colorado? here’s what you need to know. – the denver p


the republican’s new federal health care bill — the american health care act — would make substantial changes to medicaid.what is medicaid and how does it work in colorado? here are nine questions and answers to get you up to speed. 1. so, let’s start simple. what is medicaid?medicaid is the government’s health care program for low-income kids and adults. people on medicaid typically don’t have to pay for medical services, though there may be co-pays for some things. in general, you have to make tiny amounts of money to qualify for medicaid.2. what are the income limits to qualify for medicaid?up until the affordable care act — that is, obamacare — took effect, adults had to earn at or below the federal poverty line to be eligible for medicaid in colorado. for a single adult with no depend






states could force medicaid recipients to ‘work off’ their aid


according to rep. keith ellison (d-mn), an amendment was added to house speaker paul ryan’s (r-wi) replacement to the affordable care act that would permit states using federal mediciad funds to compel recipients to work off the aid they receive.writing on twitter, the minnestota democrat said the amendment was inserted into ryan’s american health care act — also known alternately as ryancare or trumpcare — as a sweetener for conservatives who think his proposal doesn’t go far enough in rolling back health care benefits.“an amendment designed to win conservative votes for republican aca repeal would allow states to make medicaid recipients work off the aid,” ellison wrote.according to vox, ellison is correct, noting the change is part of a “manager’s amendment,” that includes provisions th






trump administration to allow states to require some medicaid patients to work t


the trump administration cleared the way thursday for states to impose work requirements on many americans who depend on medicaid, the mammoth government health insurance program for the poor.the much-anticipated move would mark the first time in the program’s half-century history that the government will require people to work in exchange for health coverage. in states that decide to impose the new requirement, it is widely expected to shrink medicaid rolls.the new plan sets the stage for a potentially long and contentious legal battle over the shape and purpose of a health program that more than 70 million americans now depend on.the administration is outlining the work-requirement plan in a letter to state officials. the letter indicates the administration’s willingness to grant state r






medicaid may require work, payments from the poor, as indiana tried


indiana model for medicaid expansion may provide blueprint for 19 states without it.        






‘do they really need a wheelchair?’ fox doctor complains medicaid patients getti


one of fox news’ in-house doctors said on thursday that americans using medicaid have it too good because they’re going to get treatments without even paying deductibles.via media matters, dr. marc siegel appeared on fox & friends to talk about the gop’s proposed health care bill. as part of the segment, he said the goal should be to cut back medicaid services to the bare basics because, at the moment, many medicaid patients are getting too much care.“no disincentive for overuse,” siegel said of medicaid. “no co-pays. no deductibles. in states that have the medicaid expansion, emergency room visits are up by nine percent. now, hospitals like that because patients that used to be uninsured now have their medicaid card, but they’re flocking into the ers to get services they don’t often need.






major shift as trump opens way for medicaid work requirement


rewriting the rules on health care for the poor, the trump administration said thursday it will allow states to require "able-bodied" medicaid recipients to work, a hotly debated first in the program's half-century history.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 goal is to help people move from public assistance into jobs that provide health insurance. "we see people moving off of medicaid as a good outcome," she said.but advocates said work requirements will become one more hoop for low-income people to jump through, and many could be denied needed coverage because of technicalities and challenging new paperwork. lawsuits are expected as indiv






major shift as trump opens way for medicaid work requirement


rewriting the rules on health care for the poor, the trump administration said thursday it will allow states to require "able-bodied" medicaid recipients to work, a hotly debated first in the program's half-century history.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 goal is to help people move from public assistance into jobs that provide health insurance. "we see people moving off of medicaid as a good outcome," she said.but advocates said work requirements will become one more hoop for low-income people to jump through, and many could be denied needed coverage because of technicalities and challenging new paperwork. lawsuits are expected as indiv






anthem medicaid download


download download anthem medicaid helps you make healthy happen, wherever you go. this app is for anthem medicaid members in indiana. we're working to add other medicaid states soon. with the anthem medicaid mobile app, you can: find a doctor, hospital, pharmacy or specialist that serves your plan. you can search by city and state, specialty, and plan. always have your member id card with you [to view and email. check your symptoms with our symptom checker.






how local lawmakers voted | the seattle times


how area members of congress voted on major issues in the week ending may 5.washington — here’s how area members of congress voted on major issues in the week ending may 5: house republican health-care alternative: by a vote of 217 for and 213 against, the house on may 4 passed a republican bill (hr 1628) that would dismantle the affordable care act (aca) on terms that would allow states to waive most aca coverage requirements, including ones concerning pre-existing conditions, while adding 24 million uninsured americans by 2026; cutting taxes for well-off individuals and health-related companies by at least $600 billion over 10 years; gradually slashing medicaid outlays by 25 percent; ending medicaid’s status as an open-ended entitlement program; defunding planned parenthood and reducing






threatening to take away their care at gunpoint isn't the way to get medicaid re


according to the trump administration, having a job makes you healthier.most people — especially those who aren’t coal miners, air traffic controllers or professional football players — would agree with that. so it’s not unreasonable for the federal government to encourage states to try to get more of their able-bodied medicaid recipients into jobs. in fact, it’s something medicaid has been doing for some time with disabled americans.the question, though, is how to increase the number of medicaid recipients who are employed. on thursday, the administration invited states to experiment with a coercive approach: cutting off benefits to low-income residents who don’t find a job (or, possibly, a “community engagement” gig, such as a training program or volunteer work). such experiments may beg






major shift as trump opens way for medicaid work requirement


washington — in a major policy shift that could affect millions of low-income people, the trump administration said thursday it is offering a path for states that want to impose work requirements on medicaid recipients.seema verma, head of the centers for medicare and medicaid services, said work and community involvement can make a positive difference in people's lives and in their health. still, the plan probably will face strong political opposition and even legal challenges over concerns that some low-income beneficiaries will lose coverage.medicaid is a federal-state collaboration covering more than 70 million people, or about 1 in 5 americans, making it the largest government health insurance program. it was expanded under president barack obama, with an option allowing states to cov






kentucky becomes first state to require medicaid patients to work under new trum


the trump administration gave kentucky permission friday to impose work requirements on its medicaid recipients, making the state the first in the nation to implement the administration’s new policy of allowing states to make medicaid coverage contingent on work.the move — which came just a day after administration officials announced the new guidance — is widely expected to pave the way for several other states, almost all with with republican governments, to incorporate work mandates into their medicaid plans.and it is likely to make kentucky, once a trailblazer in implementing the affordable care act, into a legal battleground over the conservative efforts to reshape the half-century-old medicaid safety net program.kentucky will require working-age adults who are not disabled or acutely






arizona trying again to get medicaid work requirement


phoenix (ap) — arizona is trying again to get the federal government to approve a work requirement for some able-bodied adults on the state’s medicaid program.the proposed waiver from federal medicaid rules outlined thursday by republican gov. doug ducey’s health care policy adviser comes a year after the obama administration rejected work requirements. other key changes christina corieri outlined include limits on non-emergency medical transportation in urban areas, cuts to retroactive coverage and limiting access to some drugs. also included is a five-year lifetime limit on coverage for those who fail to meet the work requirements.the changes will be requested in a formal waiver request to the trump administration next month.the new administration has urged states to consider changes to






study: half of michigan medicaid expansion enrollees work


detroit (ap) — a new study finds roughly half of those enrolled in michigan’s medicaid program since its expansion have jobs and another quarter unemployed are likely to be in poor health.authors of the study released monday by the university of michigan institute for healthcare policy and innovation say the findings raise concerns about work requirements for medicaid enrollees. the trump administration urges states to consider changes to medicaid programs to encourage work and independence and some have asked for work requirements or other waivers.lead author renuka tipirneni asks if screening and tracking enrollees are worthwhile when a minority aren’t employed and are potentially able to work.the peer-reviewed study is based on surveys of about 4,000 people enrolled in michigan’s progra






medicaid work requirements are a throwback to rejected racial stereotypes


most people on medicaid already work, and mandating work for others does not help them escape poverty. in fact studies show it can make things worse.        






arkansas lawmakers vote to scale back hybrid medicaid plan


little rock, ark. — arkansas lawmakers voted wednesday to scale back the state's first-in-the-nation hybrid medicaid expansion that would move 60,000 people off the program and require some remaining participants to work.the changes are part of an effort in republican-leaning arkansas to take advantage of president donald trump's willingness to give states more flexibility in restricting coverage. arkansas is pursuing the changes despite gop efforts in washington to repeal the affordable care act, which enabled the state's program."just because there's uncertainty doesn't mean we shouldn't improve the program," said senate president jonathan dismang, a republican. "until congress makes changes, repeals the affordable care act and replaces it, we need to work underneath what we have and we'






graham-cassidy bill would cut funding to 34 states, report shows


the latest senate republican drive to dismantle the affordable care act would sharply reduce federal spending on health insurance and cause 34 states to lose such funding, according to an analysis that details the checkerboard of winners and losers the plan would create.the analysis by avalere health, a washington-based health-policy consulting firm, forecasts that the amount of federal money devoted to medicaid and private insurance subsidies would shrink by $215 billion between 2020, when the plan would begin, and 2026, the last year money is provided in the cassidy-graham bill.more than half of the overall cuts in the legislation - named for its primary sponsors, republican sens. bill cassidy, la., and lindsey graham, s.c., - would come from medicaid, the analysis shows.states with rela






should there be a work requirement for medicaid?


senate republicans' plan to repeal and replace obamacare has put medicaid in the spotlight, thanks to proposals including a move to let states impose work requirements on low-income recipients. medicaid "went way above the poverty line to many able-bodied americans," white house counselor kellyanne conway told abc news program "this week" on sunday. "if they are able-bodied and they want to work, then they'll have employer-sponsored benefits like you and i do."yet most medicaid recipients who can work already are working even without such a requirement, according to data from the henry j. kaiser family foundation, which notes that almost 8 of 10 adults in the federal health care program are in working families. working-age adults who are on medicaid, but not working or looking for work, te






should people on medicaid be required to work?


senate republicans' plan to repeal and replace obamacare has put medicaid in the spotlight, thanks to proposals including a move to let states impose work requirements on low-income recipients. medicaid "went way above the poverty line to many able-bodied americans," white house counselor kellyanne conway told abc news program "this week" on sunday. "if they are able-bodied and they want to work, then they'll have employer-sponsored benefits like you and i do."yet most medicaid recipients who can work already are working even without such a requirement, according to data from the henry j. kaiser family foundation, which notes that almost 8 of 10 adults in the federal health care program are in working families. working-age adults who are on medicaid, but not working or looking for work, te






graham-cassidy bill would cut funding to 34 states, report shows


the latest senate republican drive to dismantle the affordable care act would sharply reduce federal spending on health insurance and cause 34 states to lose such funding, according to an analysis that details the checkerboard of winners and losers the plan would create.the analysis by avalere health, a washington-based health-policy consulting firm, forecasts that the amount of federal money devoted to medicaid and private insurance subsidies would shrink by $215 billion between 2020, when the plan would begin, and 2026, the last year money is provided in the cassidy-graham bill. its primary sponsors are republican sens. bill cassidy, la., and lindsey graham, s.c.more than half of the overall cuts would come from medicaid, the analysis shows.states with relatively low medical costs, skimp






under trump, states may demand work for medicaid


washington (ap) — work requirements for medicaid could lead to major changes in the social safety net under president donald trump.it sounds like a simple question: should adults who are able to work be required to do so to get taxpayer provided health insurance?the federal-state medicaid program for low-income and disabled people covers more than 70 million u.s. residents — about 1 in 5 — including an increasing number of working-age adults. in a break from past federal policy, the health and human services department under secretary tom price has already notified governors it stands ready to approve state waivers for “meritorious” programs that encourage work.separately, an amendment to the still-stuck house gop health care bill would allow individual states to require work or training f






kellyanne conway won’t abandon deception that trumpcare won’t kill medicaid


kellyanne conway doubled down on her claim over the weekend that the senate version of the healthcare bill did not cut medicaid. during an appearance with “fox and friends,” conway swore it wasn’t “a lie.” “in fact, this is slowing the growth of medicaid and allowing governors more flexibility in their states to be able to give the dollars out as they — because they are closest to the people in need,” she told the panel. the republican healthcare plan replaces federal investments in medicaid and passes it onto the states and will ultimately, completely phase out the program as we know it today. still, republicans like conway and others are hoping they can claim the cuts aren’t there and americans will believe it. a new poll reveals only 38 percent are aware that the bill would cut it.“also






gop health-care plan: don’t gut medicaid


as a primary-care pediatrician, i greatly appreciated bob young’s summary, “gop health-care plan may cause big loss in low-income coverage” [march 12, nwsunday].there is little surprise their proposed plans include eliminating medicaid expansion and the individual mandate. however, the house bill also proposes radical decreases to medicaid funding.the proposed per capita medicaid state grants would result in millions fewer dollars for washington citizens. our state would have to make significant reductions in the number of poor children and disabled adults receiving coverage, to levels even lower than before obamacare. coupled with large-scale reductions in covered individuals, we would also see reductions in preventive services.medicaid is an american legislative success story. it came in






medicaid expansion could end early in illinois under senate obamacare replacemen


many low-income adults across the nation could lose medicaid expansion coverage under the senate's obamacare replacement bill — but in illinois those losses could come three years earlier because of a state law.about 650,000 illinois residents could lose their medicaid expansion coverage in 2021, if the senate bill becomes law and a state statute, meant to keep illinois' medicaid expenses in check, remains in place.the senate health care bill unveiled thursday would, over time, wind down the amount of federal dollars given to states to pay for medicaid expansion, a program that has provided coverage to low-income adults who didn't previously qualify.currently the federal government pays states for 95 percent of the costs of medicaid expansion. the senate bill would reduce those payments by






medicaid expansion could end early in illinois under senate obamacare replacemen


many low-income adults across the nation could lose medicaid expansion coverage under the senate's obamacare replacement bill — but in illinois those losses could come three years earlier because of a state law. about 650,000 illinois residents could lose their medicaid expansion coverage in 2021, if the senate bill becomes law and a state statute, meant to keep illinois' medicaid expenses in check, remains in place. the senate health care bill unveiled thursday would, over time, wind down the amount of federal dollars given to states to pay for medicaid expansion, a program that has provided coverage to low-income adults who didn't previously qualify.currently the federal government pays states for 95 percent of the costs of medicaid expansion. the senate bill would reduce those payments






trump says he’s open to negotiation on obamacare. here’s his chance


the republican study committee is backing two proposed changes to the obamacare repeal and replace bill now under consideration in the house, both of which concern medicaid. the first amendment would freeze medicaid enrollment under obamacare’s lavish funding rates at the end of this year, two years sooner than the gop repeal bill. the second amendment would impose work requirements on able-bodied, childless adults enrolled in medicaid (the obamacare expansion enrollees).for non-health policy wonks, those two provisions might not sound like much, but both of them strike at the heart of obamacare’s fundamentally flawed approach to health care, which seeks above all to expand state control of health care. if president trump is really open-minded about negotiating changes to the republicans’






gop failure in congress boosts medicaid effort in kansas


topeka, kan. (ap) — legislators and advocates in kansas pushing to expand the state’s health coverage for the poor to thousands of adults are buoyed by the failure of republicans in washington to repeal former president barack obama’s signature health care law.the gop-controlled kansas legislature already was more receptive this year to expanding the state’s medicaid program, thanks to elections last year that put more moderates and liberals in office. the state senate was debating a bill monday and could send it to conservative republican gov. sam brownback later this week.obama’s affordable care act encouraged states to increase the number of people eligible for medicaid by promising to pay most of the costs. some states where republicans hold power had been reluctant to do so, but 31 st






gop medicaid cuts would hit states fighting opioid epidemic


washington (ap) — the republican drive to roll back barack obama’s health care law is on a collision course with a national opioid epidemic that’s not letting up.medicaid cuts resulting from the gop legislation would hit hard in states deeply affected by the addiction crisis, according to state data and lawmakers in both parties.the house health care bill would phase out expanded medicaid, which allows states to provide federally backed insurance to low-income adults previously not eligible. many people in that demographic are in their 20s and 30s and dealing with opioid addiction.according to data compiled by the associated press, medicaid expansion accounted for 61 percent of total medicaid spending on substance abuse treatment in kentucky, 47 percent in west virginia, 56 percent in mich






gop failure in congress boosts medicaid effort in kansas


topeka, kan. — legislators and advocates in kansas pushing to expand the state's health coverage for the poor to thousands of adults are buoyed by the failure of republicans in washington to repeal former president barack obama's signature health care law.the gop-controlled kansas legislature already was more receptive this year to expanding the state's medicaid program, thanks to elections last year that put more moderates and liberals in office. the state senate gave an expansion bill first-round approval monday, 25-13, and planned to take a final vote tuesday to determine whether it goes to conservative republican gov. sam brownback.obama's affordable care act encouraged states to increase the number of people eligible for medicaid by promising to pay most of the costs. some states wher






paypal results climb on increased customers, transactions


a rise in the share of holiday shopping that happened over the internet and mobile phones helped push paypal holdings inc.’s fourth-quarter revenue up 17%, executives said thursday.the san jose., calif. payments giant, spun out of ebay inc. two years ago, said the total volume of payments it handled in the final three months of 2016 rose 22% from a year earlier to $99.35 billion. paypal also said it added more new accounts in the...