The Trump administration released guidelines Thursday morning for states seeking to impose work requirements on their Medicaid population—a move expected to reduce Medicaid enrollment by hundreds of thousands of people.
Under the new policy, states can require able-bodied adults to either work, volunteer, attend job training or prove they’re actively searching for a job to qualify for Medicaid. People with a disability, the elderly, children and pregnant women are exempt.
Seema Verma, the administrator of the Centers for Medicare and Medicaid Services (CMS), told reporters on a conference call Thursday morning that 10 states have already applied: Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah and Wisconsin. Some of these states had previously sought permission from the Obama administration to purge non-working adults from their Medicaid rolls, and were denied.
Though very few people are likely to be impacted, congressional Democrats and health care advocates say the work requirement violates the original purpose of Medicaid and traps people in a Catch 22—too sick to work, but unable to get care unless they are working.
Here are five things to know as the state waiver approvals start rolling out:
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