"This action by the Trump administration goes after people who are just trying to get by", Democratic U.S. Senator Ron Wyden of OR said.
The agency is encouraging states to align their Medicaid work requirements with those mandated by other federal safety net programs.
Nationwide, Medicaid covers 75 million low-income children, adults, elderly and disabled individuals - or about 1 in 5 Americans.
"The present assault on Medicaid is only the most recent salvo of the Trump Administration's 2018 war on social insurance", Brad Woodhouse, chief of the genius ObamaCare amass Protect Our Care, said in an announcement. Those deemed "medically frail" and pregnant women will be exempted, and states must prove they are not inappropriately denying coverage to those with disabilities.
"This is about helping people rise out of poverty", Verma said in press conference, according to NPR.
She said the new policy came about at the request of 10 different states including Kentucky, Maine, New Hampshire, Arizona, Indiana and Utah. OH has previously proposed a similar requirement, which was rejected by the Obama administration.
A study from the nonpartisan Kaiser Family Foundation found that a surprising number of working-age adults on Medicaid are already employed.
"Access to Medicaid makes it easier for people to look for work and obtain employment", Wikle said.
States will be required to describe strategies that assist individuals in looking for work and what the state will do to connect Medicaid enrollees to employment or community programs.
The requirements will likely be subject to court challenges.
Cuello said the argument that work promotes health is "totally contorted". The decision may mean some changes for the Ohio's Medicaid program.
"It's more that people [with Medicaid] get care, which helps them be healthy and makes them able to work".
The guidance is focused on able-bodied adults and "doesn't impact seniors, pregnant women, children, or those with disabilities", she said.
"It's not like Medicaid is providing some kind of alternative lifestyle that's attractive and keeps people out of the workforce", he said. And "it is illegal because it contravenes Medicaid's goal of providing medical assistance to low-income and vulnerable people".
Kentucky, which has some of the poorest counties in the country, has seen its Medicaid enrollment double in the past three years after the state expanded eligibility under the ACA. More than half of which are children.
The successive expansions have turned the program into the largest source of health insurance for Americans. A study found the proposal would reduce the number of residents on Medicaid by almost 86,000 within five years, saving more than $330 million.
"Don't be fooled by all the bells and whistles in #Medicaid work guidance", Vice President for Health Policy at the Center on Budget Judy Solomon wrote on Twitter. It said states should exempt certain populations, such as people with disabilities, and should consider issues like substance misuse and regionally high unemployment rates.
"There is perhaps no better example of the moral rot at the core of the Republican Party than imposing so-called "work requirements" on sick Medicaid recipients just weeks after passing a massive tax cut for rich heirs who literally did no work at all to inherit their wealth".