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New Analysis Illustrates Potential Impact of Medicaid Work
Requirements on Coverage if Implemented Nationally as Called for by House
Budget Committee and Senate Legislation
Majority of Those Losing Coverage
Would Be People Already Working or Exempt, Due To Administrative Challenges
As a number of states pursue Medicaid waivers to
require certain beneficiaries to work in order to receive benefits, the House
Budget Committee passed a budget resolution this month calling for the
enactment of Medicaid work requirements in all states, a goal also advanced
in proposed legislation in the Senate by Sen. John Kennedy of
Louisiana.
Although details are scant at this point, a new analysis from the Kaiser Family Foundation provides
illustrative scenarios of potential Medicaid coverage reductions if all
states had work requirements similar to those already approved by the Centers
for Medicare and Medicaid Services for Kentucky, Indiana, Arkansas and New
Hampshire, and sought by several other states. It finds that a majority
of people who would lose Medicaid coverage are likely to be working or able
to qualify for an exemption; they would lose coverage due to administrative
difficulty reporting their status. Between 1.4 million and 4 million adults
could lose Medicaid coverage nationally, the analysis finds.
The scenarios assume low and high disenrollment
rates tied to compliance with the work requirements and related problems with
reporting, based on disenrollment rates reported in existing studies of the
effect of Medicaid reporting requirements and state estimates of enrollment
under proposed waivers. Under all scenarios, most disenrollment could be
among individuals who would remain eligible for Medicaid, but would lose
coverage due to new administrative burdens or red tape.
Filling
the need for trusted information on national health issues, the
Kaiser Family Foundation is a nonprofit organization based in San Francisco,
California.
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Thursday, June 28, 2018
New Analysis Illustrates Potential Impact of Medicaid Work Requirements on Coverage
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