Assistance Programs and Work Requirements

  • Trump executive order strengthens work requirements for neediest Americans, By Tracy Jan, April 10, 2018, Washington Post: “President Trump on Tuesday signed an executive order directing federal agencies to strengthen existing work requirements and introduce new ones for low-income Americans receiving Medicaid, food stamps, public housing benefits and welfare as part of a broad overhaul of government assistance programs…”
  • Wisconsin Gov. Scott Walker signs new limits on welfare programs into law, By Jason Stein, April 10, 2018, Milwaukee Journal Sentinel: “Wisconsin Gov. Scott Walker on Tuesday signed new limits on welfare programs into law, committing state and federal taxpayers to nearly $80 million in spending to draw more people into the labor force…”

Medicaid Work Requirements

  • Northern Ky. expected to be first area affected by new Medicaid work/training requirement, By Lisa Gillespie, April 6, 2018, Cincinnati Public Radio: “A top Kentucky official says northern Kentucky will likely be the first area where Medicaid enrollees will have to meet the state’s new ‘community engagement’ requirement, starting July 1. Kristi Putnam, program manager for the Medicaid changes in Kentucky, said the state sent out post-cards this week…”
  • Ohio’s plan to add work requirements for Medicaid gets push back, By Kaitlin Schroeder, April 5, 2018, Dayton Daily News: “Dozens of medical and social service lobbying groups are pushing back against Ohio Medicaid’s request to create work requirements for able-bodied adults covered through Medicaid expansion. The Trump administration opened the door for states to add the first-ever work requirements associated with the state-federal health insurance program for the poor. In response, the Republican-dominated legislature inserted language in last summer’s budget bill ordering the Kasich administration to apply…”
  • Several groups sign letter opposing HIP work requirement, By Jill Sheridan, March 28, 2018, Indiana Public Media: “A group of non-profits organizations sent a letter to Governor Eric Holcomb this week, urging him to reconsider a new Healthy Indiana Plan, HIP, rule.  More than 400,000 Hoosiers are currently enrolled in HIP which is Indiana’s Medicaid expansion program.  Last month the state became the second state to receive federal permission to add a work requirement…”

Assistance Programs and Work Requirements

  • Proposed work requirements could add uncertainties to Wisconsin’s Medicaid system, By Guy Boulton, March 28, 2018, Milwaukee Journal Sentinel: “Wisconsin is among the 10 states that want to impose work requirements on some healthy adults who get health insurance through their Medicaid programs. However, unlike Kentucky, Indiana and Arkansas, which have received federal approval for work requirements that they plan to implement immediately, Wisconsin’s requirement wouldn’t kick in until a healthy adult hasn’t worked for four straight years…”
  • Republicans’ new welfare reform focus: Low-income men, By Tami Luhby, March 28, 2018, CNN Money: “A generation ago, Republicans focused on reforming the nation’s safety net by requiring poor mothers to work. These days, the Trump administration and Republican leaders are once again looking to overhaul government assistance programs. But now they are zeroing in on a new group: low-income men.  Much of the focus this time centers on requiring able-bodied, working age recipients to get jobs or participate in other community activities if they want to receive Medicaid or food stamps — two of the largest public aid programs in the US with tens of millions of enrollees each…”
  • WV Gov. Justice quietly signs SNAP work requirement bill, By Jake Zuckerman, March 27, 2018, Charleston Gazette-Mail: “Gov. Jim Justice signed a bill into law Tuesday that will impose work requirements on certain adults receiving benefits through the Supplemental Nutrition Assistance Program…”

Welfare Reform

  • Would new limits on food stamps help or hurt children? Missouri lawmakers disagree, By Tessa Weinberg, March 14, 2018, Kansas City Star: “As Republican lawmakers push bills to tighten access to the state’s welfare programs, their critics worry one group of Missourians could be hurt the most: low-income children. A handful of bills would put greater restrictions on people receiving aid through federal welfare programs, including the Supplemental Nutrition Assistance Program, commonly known as SNAP, or food stamps…”
  • Missouri House supports bill adding welfare program restrictions, By Suman Naishadham, March 15, 2018, Columbia Missourian: “House members approved new restrictions and penalties for individuals who use two welfare programs on Thursday, despite impassioned arguments the move will create unfair financial hardships for those who rely on the funding…”
  • Trump’s vow on welfare faces an uncertain future, By Glenn Thrush, March 15, 2018, New York Times: “In his State of the Union speech two months ago, President Trump vowed to end welfare as he defined it, heralding a plan to force recipients off federal housing vouchers, food assistance and Medicaid if they were not willing to do ‘a hard day’s work.’ Days before the speech, as part of the plan, several federal departments took steps to impose the stricter work requirements on able-bodied adults receiving noncash aid. The move could result in the loss of subsistence benefits for as many as four million poor, single adults over the next few years, experts say. But Mr. Trump’s effort faces an uncertain future…”

Medicaid Work Requirements – Arkansas

Thousands of Arkansas Medicaid recipients must start working in June, By Tami Luhby, March 5, 2018, CNN Money: “Tens of thousands of low-income Arkansas residents will have to start working in June if they want to keep their Medicaid benefits. The state received approval from the Trump administration Monday to impose work requirements on certain non-elderly, non-disabled beneficiaries who don’t have dependent children at home. It joins Kentucky and Indiana in being granted such a waiver, but Arkansas plans to put the requirement into effect earlier than the other states…”

Welfare Reform – Wisconsin

Wisconsin’s unprecedented welfare reform could inspire conservative changes elsewhere, By J. B. Wogan, February 27, 2018, Governing: “Wisconsin Gov. Scott Walker is poised to sign a sweeping package of bills aimed at reducing welfare rolls by expanding work requirements and adding other restrictions. The proposals include several changes that no other state has tried and would require approval from the federal government…”

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…”

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…”

Welfare Reform – Wisconsin

Assembly Republicans pass full slate of Gov. Scott Walker’s welfare limits, By Jason Stein, February 15, 2018, Milwaukee Journal Sentinel: “The Wisconsin Assembly on Thursday approved Gov. Scott Walker’s proposed welfare limits and sought federal help to cover more of the nearly $90 million in costs from the proposals…”

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…”

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 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…”

States and Welfare Reform

  • Where the work-for-welfare movement is heading, By Jen Fifield, January 25, 2018, Stateline: “As President Donald Trump and Republican leaders in Congress set out to impose tougher restrictions on welfare, their conservative allies across the country are trying to help them accomplish their mission, state by state. Republican governors and state legislators are moving ahead with proposals that would make it harder for people to get and keep welfare benefits and restrict what benefits they get. Measures already have been floated in about a dozen states, and, policy analysts say, what happens in states in the coming year will serve as an indicator of what’s to come nationally…”
  • Report: Poor families struggling with Kansas welfare rules, By Madeline Fox, January 25, 2018, kcur.org: “Income that doesn’t come close to the poverty line. Persistent job insecurity. Shifting schedules and irregular hours. Cumbersome barriers to state assistance meant for the neediest Kansans. A new report from the left-leaning Center for Budget and Policy Priorities paints a stark picture of the Kansas welfare system. Analysts focused on two major changes to Kansas welfare eligibility rules enacted under Gov. Sam Brownback’s administration — work requirements and time limits…”
  • Gov. Charlie Baker’s budget would let welfare recipients keep more benefits while working, By Shira Schoenberg, January 25, 2018, MassLive: “A proposal in Gov. Charlie Baker’s budget aims to help welfare recipients return to work by continuing to pay them benefits even after they start a new job. ‘We’re going to make it possible for people who work to be able to continue to do so past the point that they would have been able to historically,’ Baker said Wednesday…”

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…”

Welfare Reform – Wisconsin, Maine

  • Scott Walker calls special session on bills making changes to welfare programs, By Molly Beck, January 18, 2018, Wisconsin State Journal: “Gov. Scott Walker called on lawmakers Thursday to take up a slate of bills that would make sweeping changes to the state’s welfare programs — including requiring parents to work in order to receive food stamps and requiring residents in subsidized housing to be screened for drug use…”
  • Wisconsin Gov. Scott Walker pushes welfare overhaul to include work requirement for parents on food stamps, By Jason Stein, January 18, 2018, Milwaukee Journal Sentinel: “With unemployment low and a tough election looming, Wisconsin Gov. Scott Walker called Thursday for a special legislative session to overhaul the state’s welfare programs. The GOP governor is pushing for a series of welfare bills, including requiring able-bodied parents of children on food stamps to work or get training to receive more than three months of benefits and increasing the existing work requirement for all able-bodied adults from 20 hours a week to 30…”
  • LePage says Trump administration again blocks ban on food stamps for junk food, By Eric Russell, January 19, 2018, Portland Press Herald: “For the second time in less than two years, the U.S. Department of Agriculture has denied a request by Maine Gov. Paul LePage to ban food stamp recipients from using their benefits to buy sugary drinks and candy. His spokeswoman, Julie Rabinowitz, said Friday that the administration would ‘revise our waiver request and resubmit it,’ but she did not offer a timeline…”

Welfare Reform – Kansas

Brownback cut welfare in Kansas. Is Congress about to follow?, By Jonathan Shorman, January 14, 2018, Wichita Eagle: “Welfare restrictions and work requirements have knocked tens of thousands of Kansans off assistance over the past few years. Many get kicked out for not working, but only a small percentage leave because they have a job, the latest federal data reveals. Republicans in Congress have said they want to tackle welfare reform. Some, including Rep. Ron Estes of Wichita, say Washington, D.C. should look to Kansas as an example, but it’s unclear whether program cuts in Kansas left recipients better off…”

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 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 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 – Pennsylvania, New York

  • Gov. Wolf to veto controversial Medicaid work requirement bill, By Kate Giammarise, October 5, 2017, Pittsburgh Post-Gazette: “Gov. Tom Wolf will veto a budget-related bill passed by the Republican-controlled state House and Senate that would have required the administration to include a work-search requirement in the Medicaid program and could have limited certain Medicaid benefits…”
  • Erie County’s white Medicaid recipients cost taxpayers the most money, By Sandra Tan, October 6, 2017, Buffalo News: “The Medicaid costs for Erie County residents enrolled in the government health care program are expected to soon crack $2 billion even though the number of local Medicaid recipients has leveled off after years of growth. White Medicaid recipients are the ones costing the program more, according to a Medicaid data report being released today…”