Trump administration doubles down on letting Kentucky impose Medicaid work requirements

The Trump administration has once again approved Kentucky's request to require certain Medicaid recipients t...

Posted: Nov 21, 2018 10:55 AM
Updated: Nov 21, 2018 10:55 AM

The Trump administration has once again approved Kentucky's request to require certain Medicaid recipients to get jobs or lose their benefits.

The state was set to begin implementing the mandate this summer, but was blocked by a US district court judge, who voided the federal government's earlier approval. Judge James Boasberg said the Department of Health and Human Services did not adequately consider whether the Kentucky HEALTH project would help the state provide medical benefits for its residents, a central objective of Medicaid. He kicked the matter back to the agency for further review.

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In reapproving the state's waiver on Tuesday, the agency said requiring recipients to work is in line with Medicaid''s objectives to improve beneficiaries' health and financial independence.

Starting April 1, Kentucky can require working age, non-disabled adult enrollees without dependents to work, volunteer, go to job training or participate in other activities for up to 80 hours a month to maintain their coverage. It also mandates that many recipients pay premiums and locks them out of the program for up to six months if they violate certain rules.

The state projected that the overhaul would reduce the Medicaid rolls by up to 95,000 people.

Republican Gov. Matt Bevin said the reapproval will ensure the state can provide benefits for traditional Medicaid beneficiaries and offer a path for improving the health of all participants.

"Kentucky HEALTH is essential to the long-term success of the state's Medicaid program," he said in a statement.

The closely watched legal battle could have national implications as the Trump administration permits more state requests to implement work requirements, a historic change in the 53-year-old safety net program.

So far, five states have received approvals, though only Arkansas has implemented its plan. Wisconsin, Indiana and New Hampshire are the other three.

Nearly 12,300 Arkansas residents have lost their benefits since the new requirements took effect on June 1. A coalition of consumer groups filed a similar lawsuit against the Trump administration in an effort to halt the mandate there.

The National Health Law Program, which is involved in the lawsuits in both Kentucky and Arkansas, said it plans to continue the litigation.

"The Trump team essentially has approved the same legally troubled waiver, again proving this administration is a wrecking ball when it comes to health care law," said Jeremy Leaming, a spokesman for the program.

Indiana Coronavirus Cases

Data is updated nightly.

Cases: 306538

Reported Deaths: 5435
CountyCasesDeaths
Marion41953849
Lake26872453
Allen17621295
Elkhart16905219
St. Joseph16524223
Hamilton12696167
Vanderburgh9552115
Tippecanoe844927
Porter813785
Johnson6231165
Vigo597979
Hendricks5944156
Monroe530349
Clark504077
Madison4858121
Delaware4820103
LaPorte457194
Kosciusko455739
Howard334975
Warrick319572
Floyd311477
Bartholomew308462
Wayne301367
Cass295831
Marshall293744
Grant262949
Noble249846
Hancock246551
Boone240254
Henry240237
Dubois234631
Dearborn215730
Jackson212633
Morgan204443
Gibson181725
Knox181419
Shelby178254
Clinton177821
Lawrence174047
DeKalb172829
Adams166422
Wabash158020
Miami157814
Daviess154643
Fayette147733
Steuben143513
Jasper142111
Harrison141824
LaGrange140129
Montgomery139027
Whitley133412
Ripley128114
Decatur124643
Huntington123510
Putnam123027
Randolph120719
Wells120428
White120321
Clay119822
Posey119616
Jefferson116216
Scott103219
Greene101353
Jay96413
Starke90621
Sullivan88916
Fulton83518
Jennings83214
Spencer8198
Perry81521
Fountain7738
Washington7417
Franklin68626
Carroll67913
Orange66628
Vermillion5993
Owen5987
Parke5606
Newton55312
Tipton55226
Rush5317
Blackford51912
Pike50318
Pulaski37710
Martin3515
Benton3362
Brown3353
Crawford2881
Union2671
Switzerland2555
Warren2382
Ohio2307
Unassigned0266

Ohio Coronavirus Cases

Data is updated nightly.

Cases: 371840

Reported Deaths: 6100
CountyCasesDeaths
Franklin50231667
Cuyahoga36047741
Hamilton29931372
Montgomery20065228
Butler14769146
Lucas14317414
Summit13388316
Stark8792197
Warren819175
Mahoning7276299
Lake682666
Lorain643499
Clermont577248
Delaware556436
Licking549276
Fairfield538464
Trumbull5305147
Greene522364
Clark511464
Allen465485
Marion465251
Wood4491107
Medina447756
Miami425867
Pickaway399348
Columbiana347297
Portage344872
Tuscarawas328658
Wayne318793
Richland316638
Mercer289945
Hancock241337
Ross240759
Muskingum240210
Auglaize231031
Putnam224749
Erie224266
Darke223559
Ashtabula223253
Geauga203351
Scioto195915
Union19118
Shelby190615
Lawrence189438
Athens18864
Seneca180018
Belmont164929
Madison158918
Sandusky154229
Preble152621
Huron152318
Defiance139522
Holmes139139
Logan127816
Knox126318
Fulton124525
Washington121927
Crawford121516
Ottawa121130
Clinton106714
Williams10579
Ashland105222
Highland101317
Jefferson10124
Henry100023
Brown9925
Champaign9475
Jackson93112
Hardin91019
Fayette90317
Van Wert8976
Morrow8882
Guernsey83914
Coshocton82613
Perry78712
Adams78313
Pike7451
Gallia73513
Wyandot71216
Paulding64611
Hocking62616
Noble60223
Carroll45710
Meigs39012
Monroe31821
Morgan2575
Vinton2195
Harrison2023
Unassigned00
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