Issue: Work Requirements

States Try A Gentler Approach To Getting Medicaid Enrollees To Work

The Trump administration has approved Medicaid work requirements in nine states, with requests from nine others pending. Arkansas is the only state to implement the requirements, and more than 18,000 enrollees there lost coverage from June 2018 to March 2019 — with little sign many found jobs. Since then, a federal judge struck down the work requirements in Arkansas, Kentucky and New Hampshire. A handful of states are offering alternatives to get more enrollees into jobs to lift them out of poverty and off Medicaid.

Learn More

How Medicaid Work Requirements Undermine Hospitals

A move in more than a dozen states to impose work requirements as a condition of Medicaid coverage could not only result in people losing health insurance, but could also impact hospitals’ revenue, increase uncompensated care costs and have a detrimental economic effect on local communities, according to a new Commonwealth Fund report. Rural hospitals could be especially hard hit, the report noted.

Learn More

How Medicaid Work Rules Are Failing

Before Arkansas began implementing its new Medicaid work requirement policy, it was predicted to lead to large coverage losses, including among beneficiaries who are eligible but get tripped up by red tape, and would not meaningfully increase employment. As of December 1, nearly 17,000 Arkansas Medicaid beneficiaries have lost coverage. Here’s why.

Learn More