Medicaid covers more than 70 million people, or about one in five Americans. Many of them have jobs that don't provide health insurance.
The waiver's prospects didn't look promising under the Democratic administration of Barack Obama but was viewed here as an nearly certainty once Republican Donald Trump was elected president.
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. I think, you know, most states or all states knew that the Obama administration was not going to allow this.
The range of community engagement requirements can be quite broad, according to the CMS guidelines sent to states on Thursday. "Those days are over".
"This is in response to proposals we are receiving from states", said Seema Verma, who heads CMS.
"It doesn't make any sense", said Rims Barber with the Mississippi Human Services Coalition.
The state also has proposed moving about 60,000 people off Arkansas Works by limiting eligibility to people with incomes of up to the poverty level, instead of 138 percent of the poverty level. More than 500,000 people gained coverage under Medicaid expansion in Kentucky, which was considered a success story of the Affordable Care Act. It also states explicitly that states can't get federal Medicaid money for services like childcare and transportation that people might need to get back to work. About half of that number are either working or already in some sort of activity that qualifies, officials said.
Bevin brushed off the criticism in a news conference Friday, saying that the Medicaid overhaul is "dangerous to no one" and that Yarmuth for years has failed to take action to improve the health outcomes of Kentuckians.
HEALTH will show America how an overhaul of Medicaid can work, Bevin said. "For example, higher earnings are positively correlated with longer life span".
The goal of this new program is to offer each member the ability to customize a path based on individual needs that will lead to better health, engagement in their communities, improved employability, and success through long-term independence.
Throughout the entire half-century history of Medicaid, created to provide health care to low-income individuals, benefits have never been contingent upon applicants working. They could also work as volunteers at food pantries and other charitable organizations. If North Carolina lawmakers move forward to close the coverage gap with such a requirement appended on, it's essential that they consider factors such as the availability of jobs or even likelihood of being able to establish skills training programs in some of the more low-resource communities in the state.
However, North Carolina now has a pending Section 1115 Waiver proposal before federal officials that would transform Medicaid.
Medicaid has played a big role in combating the opioid epidemic, paying for a wide range of treatments and medications. "I applaud Governor Bevin for his work on this innovative program, and I hope it will serve as a model for other states as well".
Why can't the US provide both a cost-effective safety net for health care and opportunities for people to find meaningful work? And the rules say anyone who's medically frail or has an acute illness is exempt. Bevin believes the new work requirement will help change the statistic.
Calling the Trump administration's waivers "unprecedented", two senior congressional Democrats who work on Medicaid issues asked the nonpartisan Government Accountability Office to review the government's decision-making process.