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Kentucky becomes first state to receive approval for Medicaid wo

The Oregon Capitol

Stephen Miller, the Medicaid commissioner for Kentucky, which received authority Friday to implement a work requirement, said the new policy will "allow states the flexibility to pursue innovative approaches to improve the health and well-being of Medicaid beneficiaries".

Bevin's proposal includes requiring numerous state's Medicaid enrollees to perform some kind of "community engagement" - work, volunteer service, job training or education.

The bill also would have required Medicaid enrollees to pay monthly premiums to remain enrolled in the managed medical assistance program, which involves enrolling in managed-care plans. The is the first of what are expected to be similar approvals for nine other states and a likely first step in pushing Medicaid policy into the courts.

The red tape associated with work requirements also adds a new burden on the agencies that administer Medicaid benefits, Musumeci noted. Officials in several other states have said they are interested in the idea. The state must settle basic questions, including whether people would have to meet the new conditions at the time of enrollment, at the annual renewal of their Medicaid coverage or at another time.

He called the waiver the state's way "of giving people dignity".

The conditions would exclude individuals eligible for Medicaid due to disability, elderly beneficiaries, children and pregnant women.

Bevin said the waiver will be "transformational". Glisson. "Kentucky HEALTH also provides the opportunity for multiple cabinets within state government to coordinate and strengthen efforts to improve the quality of life for Kentuckians".

Before coming to Washington previous year, Verma was a health consultant who worked with IN and Kentucky to expand Medicaid under the ACA. "We don't have childless able-bodied working age adults in our system, so I don't know how that would transpose to us". Estimated spending on the program will be just under $27 billion this year, making it the fifth-largest program in the nation in terms of spending. If they don't, they'll have until a state-determined date to make up those hours. The announcement has sparked outrage among health care advocates. From 2011 to 2016, Medicaid spending on prescription treatments for opioid use disorder rose from $394.2 million to $929.9 million, according to a report from the, a left-leaning Washington, D.C., think tank.

A spokeswoman for senator Susan Collins says she's concerned this change could put people struggling with addiction or caregiver responsibilities in bad positions.

The Trump administration on Wednesday sent a letter to state Medicaid directors announcing a policy to authorize work requirements for states with what are known as "Medicaid 1115 waivers".

But work requirements have strong public backing. Under the proposal, people would have to average 20 hours a week of work or another qualifying activity - such as volunteering or getting an education - to get Medicaid. "Having the participation of a broad array of doctors including those in private practice is important so kids can get care when they need it and that they can have an ongoing relationship with a pediatrician". For those in low-wage sectors such as food service, retail or child care, the chances are high that their jobs don't offer health insurance. "Such programs may also, separately, be created to help individuals and families rise out of poverty and attain independence, also in furtherance of Medicaid program objectives".