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U.S. gives states another 6 months before they have to remove people from Medicaid for not working

U.S. gives states another 6 months before they have to remove people from Medicaid for not working

Summary

The Trump administration said states may delay removing Medicaid enrollees who do not meet new work requirements until July 1, although the requirements are scheduled to take effect January 1. States must still determine whether affected applicants and enrollees meet the rules, which require work, volunteering, or school attendance.

Key Facts

  • The Centers for Medicare and Medicaid Services gave states until July 1 before they must deny or end coverage for failing to meet the work requirement.
  • States may still begin applying the requirement on January 1.
  • The policy generally requires at least 80 hours of work or volunteering per month, or school attendance at least half-time.
  • The requirement applies to people covered through Medicaid expansion, which 40 states adopted.
  • People over 64, people caring for children under 14, and people deemed medically frail are exempt.
  • CMS said states continue to face staffing, training, and technology challenges in preparing to implement the changes.
  • The federal government is encouraging states to use information from other government agencies to verify compliance.
  • A Boston federal court recently ruled that medically frail people should not be subject to the work requirement qualification rules.
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