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Governing
After years of having most of their healthcare requests denied by the Obama administration, conservative states seeking to add eligibility requirements to Medicaid have received a blessing. Much of the debate concerns the impact these requirements will have on the poor. Supporters of strict eligibility requirements believe government assistance programs should encourage people to work and escape poverty. Critics, meanwhile, focus on the people who will lose health insurance in the process and believe health care is key to getting and keeping jobs. But ideological differences aside, health policy experts warn that changing decades-old rules and systems won't be cheap.
"Our concern isn't whether it's good or bad. But we want them to know there are costs involved," says Jeff Myers, president and CEO of Medicaid Health Plans of America. "Our customer is the state. If this is what states want to do, then we need to make it valuable for them."
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The Hill
About 160 organizations are vocalizing their opposition to the administration's recent decision to let states implement Medicaid work requirements, arguing the policy is "directly at odds" with the country's efforts to fight the opioid crisis and improve re-entry from prisons. Last month, the Department of Health and Human Services (HHS) issued guidance for states on designing work requirements in Medicaid, which marked a major conservative shift for the health insurance program for low-income and poor Americans.
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Los Angeles Times
As states led by Republicans prepare to impose tough new conditions for Medicaid recipients with the Trump administration's blessing, a California legislator wants to ensure no such requirements would be enacted here. State Sen. Ed Hernandez has introduced a bill that would bar the state from asking the federal government's permission to impose work or volunteer requirements in order for low-income residents to be eligible for Medicaid, known in California as Medi-Cal.
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The Columbus Dispatch
About 1 in 20 low-income Ohioans who gained tax-funded health insurance through Ohio's Medicaid expansion will need to find a job or face the loss of coverage under proposed new work requirements. Most Medicaid enrollees, state officials say, already have a job or would not be required to work due to age, chronic conditions or other exemptions.
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The Pew Charitable Trusts
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.
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The Hill
Under fire from Democrats, Health and Human Services Secretary Alex Azar on Thursday said the department has not yet taken a position on whether it will allow states to put lifetime caps on how long people can be enrolled Medicaid. At least five states have asked the Department of Health and Human Services (HHS) to approve proposals that would put a cap on how long beneficiaries of Medicaid — the health insurance program for low-income and disabled Americans — can receive coverage.
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WTOP-FM
After years of opposition, Virginia House Republican leaders are backing Medicaid expansion for about 300,000 more low income Virginians. The Republican-led Senate Finance Committee did not include Medicaid expansion in its budget proposal though, setting up a showdown over the approximately $600 million in differences from the House Appropriations Committee's plan.
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The Associated Press via U.S. News & World Report
A Kansas Senate committee has endorsed a bill that would expand the state's Medicaid program to provide health coverage for 150,000 additional poor adults. The bill approved Monday by the Public Health and Welfare Committee would expand Medicaid as encouraged by the 2010 federal Affordable Care Act championed by President Barack Obama. The Medicaid program covers more than 370,000 poor, disabled and elderly Kansas residents.
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Concord Monitor
Senate Republicans are keeping their final proposal for New Hampshire's Medicaid expansion program close to the chest, but a placeholder bill released Thursday provided a glimpse into potential ways forward. Senate Bill 313, released online Thursday, would replace the state's existing New Hampshire Health Protection Program — which currently provides services to around 50,000 low-income residents — and create a new, five-year initiative carrying significant changes to structure and funding.
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A KLAS Leader in PHM and Clinical Data Integration, i2i partners with health plans, providing bi-directional connectivity to over 2,500 Provider Sites (20+ million lives). i2i has the largest share of CHCs connected to a clinical data integration platform providing transparency to Payer and Providers, bringing claims and EHRs together.
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The Hill
The top Democrat on the House Oversight and Government Reform Committee is calling for the White House to brief the panel on its efforts to implement recommendations from the president's opioid commission. Rep. Elijah Cummings (D-Maryland) wrote a letter to Oversight Chairman Trey Gowdy (R-South Carolina) on Friday urging him to request the briefing from presidential counselor Kellyanne Conway, who has helmed the White House's efforts to combat the opioid epidemic.
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