State Medicaid Programs – Kentucky, Kansas

Medicaid and Work Requirements

  • Work for it. What Trump’s tough new Medicaid rules mean., By Benjy Sarlin, February 20, 2018, NBC News: “Every day that Steve Olshewsky can convince himself to get out of bed and face the world is a small victory in his eyes. After a series of panic attacks forced him out of work in 2009, Olshewsky returned to his hometown to recover with family. He’s made great strides since then, thanks to medication and his work at Participation Station, a peer-run outpatient clinic for serious mental illness. There, he sits in on group sessions, teaches tai chi to members, and talks clients through rough days on the clinic phone line. But Olshewsky, who pays for his prescriptions through Medicaid, could soon have to prove he deserves to keep his coverage under a new set of restrictions on able-bodied Medicaid recipients. The Trump administration approved the rules in January through a waiver program that allows states to experiment with changes to Medicaid…”
  • Should Medicaid come with work requirements? Ohio says yes, By Kaitlin Schroeder, February 20, 2018, Dayton Daily News: “Ohio for the first time is seeking federal approval to create job requirements as a condition to qualify for Medicaid. Most Ohio residents enrolled through the expansion of Medicaid, the state-federal health insurance program for the poor, are already working or would be exempt because of things like their age, disability or care taking responsibilities…”

Budget Proposal and Safety Net Programs

  • Trump’s budget hits poor Americans the hardest, By Tracy Jan, Caitlin Dewey and Jeff Stein, February 12, 2018, Washington Post: “President Trump proposed a budget Monday that hits the poorest Americans the hardest, slashing billions of dollars in food stamps, health insurance and federal housing subsidies while pushing legislation to institute broad work requirements for families receiving housing vouchers, expanding on moves by some states to require recipients of Medicaid and food stamps to work…”
  • Trump wants to end states’ power to make food stamps more accessible during recessions, By J.B. Wogan, February 14, 2018, Governing: “The Trump administration, which often stresses the need for states to have more flexibility, wants to give them less when it comes to food stamps, formally known as the Supplemental Nutrition Assistance Program (SNAP)…”
  • New study lauds food stamps’ anti-poverty impact as Trump weighs alternative, By Steve Goldstein, February 15, 2018, MarketWatch: “As the Trump administration weighs slashing and dramatically reshaping the food-stamp program, a new study finds the program dramatically cuts the poverty rate. The Urban Institute released a study on what’s called the Supplemental Nutrition Assistance Program, which is better known as food stamps…”
  • Trump’s proposal to end heating assistance called dangerous for rural Minnesotans, seniors, By Maya Rao and Jim Spencer, February 14, 2018, Star Tribune: “In northwestern Minnesota, Corann Fladhammer has relied on $1,400 in federal assistance to heat her home as temperatures plunged in recent months. Without it, she said, it would be difficult for seniors like her to stay in their homes…”

Medicaid Work Requirements

  • Trump’s historic Medicaid shift goes beyond work requirements, By Michael Ollove, February 16, 2018, Stateline: “Requiring able-bodied adults to work for their Medicaid is just part of the Trump administration’s drive to remake the decades-old health insurance program for the poor. The administration signaled late last year that it welcomes state-based ideas to retool Medicaid and ‘help individuals live up to their highest potential.’ At least 10 states have requested waivers that would allow them to impose work requirements and other obligations…”
  • Bevin’s Medicaid changes actually mean Kentucky will pay more to provide health care, By Deborah Yetter, February 14, 2018, Louisville Courier Journal: “Within Gov. Matt Bevin’s complex plan to reshape the state Medicaid program to cut costs and hold people accountable is this fact that may surprise some Kentuckians: Under Bevin’s plan, it actually will cost Kentucky more to provide health coverage to people affected by the Medicaid changes than if the state did nothing…”

Medicaid Work Requirements

  • Medicaid bill would require ‘able-bodied’ Iowa adults to work or study, By Tony Leys, February 7, 2018, Des Moines Register: “In order to qualify for Medicaid health insurance, ‘able-bodied’ Iowans would have to work at a job or attend school or job training under a bill introduced recently in the Legislature. Under the bill, Iowa would join several other states in seeking federal permission to implement such work requirements on Medicaid, which is jointly financed and run by federal and state governments…”
  • Medicaid work requirement wouldn’t change much in Louisiana, February 7, 2018, New Orleans Times Picayune: “Even though requiring Medicaid recipients to work is one of the few areas in which Gov. John Bel Edwards and Republican legislators agree, experts say implementing the rules may not have much of an impact…”

Suburban Poverty and Access to Health Care

Upsurge of suburban poor discover health care’s nowhere land, By Elaine Korry, February 9, 2018, Washington Post: “The promise of cheaper housing brought Shari Castaneda to Palmdale, Calif., in northern Los Angeles County, about nine years ago. The single mom with five kids had been struggling to pay the bills. ‘I kept hearing that the rent was a lot cheaper out here, so I moved,’ she said. But when she developed health problems — losing her balance and falling — Castaneda found fewer care options in her new town. Unable to find local specialty care, she traveled nearly 65 miles to a public hospital in Los Angeles, where doctors discovered a tumor on her spine…”

State Medicaid Programs – Indiana, Kentucky

  • Indiana’s brand of Medicaid drops 25,000 people for failure to pay premiums, By Phil Galewitz, February 1, 2018, National Public Radio: “As the Trump administration moves to give states more flexibility in running Medicaid, advocates for the poor are keeping a close eye on Indiana to see whether such conservative ideas improve or harm care. Indiana in 2015 implemented some of the most radical changes seen to the state-federal program that covers nearly 1 in 4 low-income Americans — including charging some adults a monthly premium and locking out for six months some of those who don’t pay their premiums…”
  • Indiana wins federal permission to adopt Medicaid work requirements, By Amy Goldstein, February 2, 2018, Washington Post: “Indiana has become the second state to win permission from the Trump administration to require certain low-income residents on Medicaid to work, study or perform public service to qualify for the safety-net health insurance…”
  • Are Bevin’s new Medicaid rules ‘all about putting up roadblocks’ for poor people?, By John Cheves, February 2, 2018, Lexington Herald-Leader: “Ronnie Stewart spent years as a state social worker. Given his experience in government bureaucracy, Sewart said he understands why Gov. Matt Bevin is going to make many of Kentucky’s Medicaid recipients pay monthly premiums and regularly report their work and income status…”

Medicaid Transportation Services

No car, no care? Medicaid transport program faces cuts in some states, By Jonel Aleccia, January 27, 2018, National Public Radio: “Unable to walk or talk, barely able to see or hear, 5-year-old Maddie Holt of Everett, Wash., waits in her wheelchair for a ride to the hospital. The 27-pound girl is dressed in polka-dot pants and a flowered shirt for the trip, plus a red headband with a sparkly bow, two wispy blond ponytails poking out on top of her head. Her parents can’t drive her. They both have disabling vision problems; and, besides, they can’t afford a car. When Maddie was born in 2012 with the rare and usually fatal genetic condition called Zellweger syndrome, Meagan and Brandon Holt, then in their early 20s, were plunged into a world of overwhelming need — and profound poverty…”

Medicaid Work Requirements

  • Medicaid patients sue over Trump administration’s new work requirement policy, By Noam N. Levey, January 24, 2018, Los Angeles Times: “Kicking off what will likely be a long legal battle over the Trump administration’s push to reshape Medicaid, 15 low-income Kentucky residents sued the federal government Wednesday, challenging the recent move to allow states to impose work requirements on some Medicaid enrollees. The lawsuit — spearheaded by three public-interest legal groups — accuses the federal Department of Health and Human Services of violating the core purpose of the half-century-old government health plan for the poor by granting a request from Kentucky to impose the work mandate…”
  • Kentucky’s new idea for Medicaid access: Pass health literacy course, By Austin Frakt, January 22, 2018, New York Times: “If you’re on Medicaid in Kentucky and are kicked off the rolls for failing to meet the state’s new work requirements, Kentucky will be offering a novel way to reactivate your medical coverage: a health or financial literacy course you must pass…”
  • Work requirements may prompt more states to expand Medicaid, By Ricardo Alonso-Zaldivar (AP), January 23, 2018, Seattle Times: “In an ironic twist, the Trump administration’s embrace of work requirements for low-income people on Medicaid is prompting lawmakers in some conservative states to resurrect plans to expand health care for the poor. Trump’s move has been widely criticized as threatening the Affordable Care Act’s Medicaid expansion. But if states follow through, more Americans could get coverage…”
  • Missouri is looking at work requirements for Medicaid, By Sky Chadde, January 26, 2017, St. Louis Post-Dispatch: “Missouri appears headed toward requiring Medicaid recipients find jobs to receive their benefits. On Jan. 11, President Donald Trump’s administration announced it would allow states to implement work requirements for adults under the age of 65 on Medicaid who don’t have disabilities or who are pregnant. The next day, Kentucky was granted a waiver to its Medicaid program that allowed work requirements…”

Medicaid Work Requirements – Kentucky

The nation’s first Medicaid work rules loom, and many fear losing health coverage, By Amy Goldstein, January 19, 2018, Washington Post: “Gov. Matt Bevin is exultant as his administration sets out to transform Medicaid. Only a week ago, he won federal permission to pursue a goal that has animated his two years in office: making hundreds of thousands of poor Kentuckians hold jobs or engage in their communities in other ways to keep their health insurance. It is an approach never tried by any state, and it will also transform lives…”

Medicaid Work Requirements

  • Trump administration opens door to states imposing Medicaid work requirements, By Amy Goldstein, January 11, 2018, Washington Post: “The Trump administration issued guidance to states on Thursday that will allow them to compel people to work or prepare for jobs in order to receive Medicaid for the first time in the half-century history of this fundamental piece of the nation’s social safety net…”
  • Trump administration to allow states to require some Medicaid patients to work to be eligible, By Noam N. Levey, January 11, 2018, Los Angeles Times: “The Trump administration cleared the way Thursday for states to impose work requirements on many Americans who depend on Medicaid, the mammoth government health insurance program for the poor…”
  • Millions of Medicaid recipients already work, By Tami Luhby, January 10, 2018, CNN Money: “The Trump administration is about to start letting states require many Medicaid recipients to work for their benefits. But millions of Americans in the health care safety net program already have jobs…”
  • Work requirements may be just the beginning of Medicaid changes under Trump, By Mattie Quinn, January 12, 2018, Governing: “After months of speculation, the Centers for Medicare and Medicaid Services (CMS) opened the door on Thursday for states to require some low-income people to work in order to qualify for government-sponsored health insurance…”
  • How the Medicaid work requirement could backfire, By Aimee Picchi, January 12, 2018, CBS News: “For most working-age Americans, the health care system is largely tied to employers, with one big exception: Medicaid, the government insurance program for the poor, elderly and disabled…”
  • Kentucky is 1st to get OK for Medicaid work requirement, By Adam Beam (AP), January 12, 2018, Detroit News: “Kentucky became the first state to require many of its Medicaid recipients to work to receive coverage, part of an unprecedented change to the nation’s largest health insurance program under the Trump administration…”

Medicaid Expansion and Rural Hospitals

Hospitals in states that expanded Medicaid less likely to close, By John Daley, January 8, 2018, National Public Radio: “The expansion of Medicaid helps rural hospitals stay afloat in states like Colorado, which added 400,000 people to the health insurance program under the Affordable Care Act. Hospitals in states that expanded Medicaid were about 6 times less likely to close than hospitals in non-expansion states, according to a study by researchers at the University of Colorado Anschutz Medical Campus…”

Health Care and Social Services

Study: States get big Medicaid savings from social services, outreach to sickest patients, By Jayne O’Donnell, December 5, 2017, USA Today: “Some states have achieved dramatic savings in health care costs for their sickest Medicaid patients by providing intensive one-on-one assistance and social services that help the patients better address their multiple, overlapping ailments…”

Medicaid and Work Requirements

  • Trump administration plan to add Medicaid work requirement stirs fears, By Phil Kalewitz, November 15, 2017, Washington Post: “The Trump administration’s recent endorsement of work requirements in Medicaid and increased state flexibility is part of broader strategy to shrink the fast-growing program for the poor and advance conservative ideas that Republicans failed to get through Congress…”
  • Mississippi seeks OK for job training for some on Medicaid, Emily Wagster Pettus (AP), November 16, 2017, Clarion Ledger: “Mississippi is seeking federal permission to require job training for some able-bodied adults who receive Medicaid, and the Trump administration has signaled that is open to approving such plans…”

Medicaid and Retroactive Eligibility

  • Several states roll back ‘retroactive Medicaid,’ a buffer for the poor, By Michelle Andrews, November 14, 2017, National Public Radio: “If you’re poor, uninsured and have a bad car wreck or fall seriously ill, there’s a chance in most states to enroll for Medicaid after the fact. If you qualify for Medicaid, the program will pay your medical bills going back three months. This ‘retroactive eligibility’ provides financial protection as patients await approval of their Medicaid applications. It protects hospitals, too, from having to absorb the costs of caring for these patients. But a growing number of states are rescinding this benefit…”
  • Legislator: ‘We made a mistake’ on policy changing Medicaid benefits, By Brianne Pfannenstiel, November 14, 2017, Des Moines Register: “A bipartisan group of legislators expressed concern Tuesday over a new law that will reduce coverage for thousands of new Medicaid beneficiaries in Iowa…”

States and Medicaid Expansion

  • LePage says he’ll block voter-approved Medicaid expansion unless legislators fund it, By Scott Thistle, November 8, 2017, Portland Press Herald: “Just hours after a Medicaid expansion was endorsed by nearly 60 percent of Maine voters, Gov. Paul LePage and his Republican allies vowed to delay, if not derail, the citizen-initiated law that would provide health care to as many as 70,000 low-income residents of the state…”
  • Election results invigorate Medicaid expansion hopes, By Abby Goodnough and Margot Sanger-Katz, November 8, 2017, New York Times: “The election results in Maine and Virginia have energized supporters of expanding Medicaid under the Affordable Care Act in several holdout states. After months of battling Republican efforts to repeal the law, they now see political consensus shifting in their direction…”
  • Medicaid expansion takes a bite out of medical debt, By Alex Smith, November 10, 2017, National Public Radio: “As the administration and Republicans in Congress look to scale back Medicaid, many voters and state lawmakers across the country are moving to make it bigger. On Tuesday, Maine voters approved a ballot measure to expand Medicaid under the Affordable Care Act. Advocates are looking to follow suit with ballot measures in Utah, Missouri and Idaho in 2018…”

Medicaid and Work Requirements

States will be allowed to impose Medicaid work requirements, top federal official says, By Paige Winfield Cunningham, November 7, 2016, Washington Post: “The government will give states broader leeway in running their Medicaid programs and allow them to impose work requirements on enrollees, a top federal health official said Tuesday in outlining how the Trump administration plans to put its mark on the insurance program for low-income Americans…”

State Medicaid Programs – Iowa, Maine

  • Medicaid cuts to roughly 40,000 Iowans approved by the feds, By Clark Kauffman, October 31, 2017, Des Moines Register: “Over the protests of hospitals and medical providers, Iowa has received federal approval to reduce coverage for new Medicaid beneficiaries. An estimated 40,000 Iowans are expected to be affected by the change, which will reduce their coverage for medical care delivered in the days and weeks before they are officially declared eligible for Medicaid…”
  • Maine voters to decide if state will expand Medicaid, By Casey Leins, November 1, 2017, US News & World Report: “On Nov. 7, Maine voters will be the first in the nation to determine the fate of Medicaid expansion in their state. The issue has been a contentious one in Maine since the 2012 Supreme Court ruling granting states the power to decide whether to expand the program to more low-income Americans. Republican Gov. Paul LePage has vetoed the legislature’s five attempts to expand Medicaid, arguing that it is a measure of ‘pure welfare’ that would significantly impact taxpayers, according to The New York Times…”

Lead Poisoning in Children

  • Two-thirds of Medicaid-covered children not getting required tests for lead poisoning in Wisconsin, By David Wahlberg, October 26, 2017, Wisconsin State Journal: “Less than a third of Wisconsin children on Medicaid were tested for lead poisoning at ages 1 and 2 last year, despite a federal requirement that all such children get the testing, a new state report says. Children on Medicaid are three times as likely to have lead poisoning than other children, so many children who could face developmental problems from lead exposure are not being identified, a Madison pediatrician said…”
  • State gets OK to spend $15M to aid lead-poisoned children on Medicaid, By Lauren Cross, October 26, 2017, Northwest Indiana Times: “State health officials have been given the green light to spend up to $15 million over the next five years to bolster lead hazard testing and removal efforts in East Chicago, South Bend and other cities where low-income children are at risk for exposure. Much of the focus in East Chicago this past year has been on the U.S. Environmental Protection Agency’s investigation and cleanup of toxic soil left by past industry in the Calumet neighborhoods…”

Medicaid Enrollment

Report: Medicaid enrollments, costs begin to stabilize, By Christina A. Cassidy (AP), October 19, 2017, Washington Post: “States are seeing more stability in their Medicaid programs after experiencing a surge in enrollment and costs associated with the Affordable Care Act, suggesting that one of the major pillars of former President Barack Obama’s health overhaul may be nearing its peak. At the same time, they are experiencing a high level of uncertainty as Republicans in Congress continue to advocate for a major overhaul of a program that provides health insurance to tens of millions of lower-income and disabled Americans…”