Trump admin approves Wisconsin Medicaid work requirements
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https://thehill.com/policy/healthcare/medicaid/414136-trump-administration-approves-wisconsin-medicaid-work-requirements
Wisconsin on Wednesday became the latest state to get approval from the Trump administration to impose work requirements on Medicaid beneficiaries.
The approval of the state’s Medicaid waiver comes as Wisconsin’s Republican Gov. Scott Walker is facing a tight race for reelection against Democrat Tony Evers, who does not
support work requirements.
If elected, Evers could withdraw or change the waiver. Wisconsin did not expand Medicaid, and the approval marks the first time a non-expansion state has been given permission to
impose work requirements. Evers has said he supports expanding Medicaid in the state.
The waiver approval comes as the Trump administration faces a lawsuit in Arkansas over similar requirements, and despite assessments from the state that thousands of people
could lose Medicaid coverage. A federal judge already struck down work requirements in Kentucky, and sent them back to the administration for review.
Under the new rules, Medicaid recipients in the state will be required to work at least 80 hours a month to maintain eligibility. If they fail to do so for 48 aggregate months (any
amount of time not working that adds up to four years), they will lose coverage for six months.
The state was also granted permission to charge premiums on beneficiaries, and to lock people out of coverage if they fail to pay. Wisconsin can now charge monthly premiums of up
to $8, along with $8 co-payments for emergency room visits for problems that aren't considered emergencies. “Healthy behaviors” can reduce premiums.
In a statement, Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma sounded a defiant tone, and said the administration will continue letting states
impose work requirements. “We will not retreat from this position,” Verma said. “Community engagement requirements in Medicaid are not a blunt instrument. This is a thoughtful and
reasonable policy, and one that is rooted in compassion.”
Critics of work requirements say they are a way to punish poor people. Critics argue the requirements are only meant to kick people off Medicaid and save the state money. The
administration has repeatedly said work requirements are a way to bring people out of poverty, and Verma defended that position.
Walker did not get approval to drug test Medicaid beneficiaries, which was one of the most controversial aspects of the waiver request. Wisconsin is in the midst of a major opioid
epidemic, and Walker sought to make drug screening mandatory for eligibility. In a statement, Walker said the requirements will encourage more people to work.
What great timing, now this'll hurt Walker in the election.
Wisconsin, the first company state. The first Gilded Age had company towns, but we've scaled up.
Wisconsin and Kansas are the Koch states, experiments to see how far a state can be run into the ground. The Kochs want Social Security privatized, and want to repeal the amendment making Senators elected.
“Healthy behaviors” can reduce premiums.
Isn’t this EXACTLY the kind of shit they’ve been trying to claim the Democrats were going to do?
Republicans love small government except when they need big government to control what you do with your money and personal health.
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