What Medicaid Recipients And Other Low-Income Adults Think About Medicaid Work Requirements

August 30, 2017, Health Affairs Blog, Jessica Greene- To make the Affordable Care Act’s (ACA) Medicaid expansion more politically palatable, a number of conservative states have used 1115 Medicaid demonstration waivers to implement personal responsibility focused policies. These waivers have been used, for example, to charge Medicaid recipients premiums and to institute cost sharing above statutory limits. Under the Obama administration, four states applied for waivers to integrate work requirements into their Medicaid programs, arguing work requirements would help recipients move out of poverty and gain access to private coverage. The Obama administration denied these requests because they argued work requirements could “undermine access…and do not support the objectives of the Medicaid program.”

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