Kentucky first to win federal OK to roll back Medicaid expansion

But it makes suggestions for states as to what counts as work, including state work programs, job training, volunteering, or caring for a relative. Also off the hook are the more than 10 million enrollees who have a disability. Typically, waivers have allowed states to expand coverage to new populations or test out ways of delivering benefits to improve enrollees' health and save money.

Wait, you say, that would be an outrageous burden to impose on the country club set, even those who do nothing more productive or job creating than occasionally tip their caddy? The is the first of what are expected to be similar approvals for nine other states and a likely first step in pushing Medicaid policy into the courts.

HARPER: Many of those people would be exempt from a work requirement, and states could make some allowances for people battling addiction.

The state estimates about 30 percent of current recipients would have to comply. "Implementing co-pay and employment hurdles will increase administration costs and will inadvertently reduce access to health care for consumers in great need". "So the potential for work in our neighborhood without having to take a bus significant distance and time out of the neighborhood is going to be a challenge", she said.

The agency specifically calls out the opioid epidemic, saying that time spent in treatment can count towards the mandate and those in intensive recovery programs can be excused. Utah enacted a slim Medicaid expansion for chronically homeless people with substance abuse issues, and ME voters passed Medicaid expansion last fall - although its implementation is up in the air. Or, as he said on Friday, the waiver will give enrollees "the dignity associated with being able to earn the things they are receiving".

In addition to the large group of enrollees already working, the federal guidelines excluded children - who make up almost half of Medicaid enrollees. Kentucky's new program will improve the health of its participants, strengthen Medicaid's long-term fiscal sustainability, and promote personal responsibility for health and well-being.

"This is not an option we are considering", said Jennifer Kent, director of the state Department of Health Care Services, which administers Medi-Cal, the state's Medicaid program that covers about 13.5 million Californians.

The changes will not affect those covered by the traditional scope of Medicaid prior to the ACA: the elderly, disabled, medically frail, pregnant women or those caring for children or other family members.

"Make no mistake: People will die because of this", Rep. John Yarmuth, D-Ky., said in a statement.

Vice President Mike Pence meets with Maine Gov. Paul LePage to discuss health care and tax reform in the Eisenhower Executive Office Building on the White House Complex in September 2017.

Republican governors immediately praised the Trump administration's announcement. Glisson. "Kentucky HEALTH also provides the opportunity for multiple cabinets within state government to coordinate and strengthen efforts to improve the quality of life for Kentuckians".

The guidance release Thursday pointed to several studies that said unemployment is harmful to one's health and can prompt higher rates of hospital admission and death, as well as poorer general and mental health.

Additionally, there's not consensus the programs are effective at getting people into jobs, said Joan Alker of Georgetown University during a conversation in Lexington, Kentucky in November.

Kentucky Education and Workforce Cabinet Secretary Hal Heiner said the new program will also help the state's workforce issues by putting citizens in need on a path to better health and financial stability.

  • Leroy Wright