On Tuesday morning, the Department of Health and Human Services (HHS) unveiled new criteria for evaluating pitches from states to tweak their Medicaid programs, a significant departure from the Obama administration’s approach to such requests.
Whereas in the past states had to prove that proposed changes would “increase and strengthen” health coverage of their low-income population, that requirement is gone, replaced with language that welcomes proposals for work requirements, drug tests and other hurdles that experts predict would reduce the Medicaid rolls by hundreds of thousands of people.
In a statement distributed to reporters Tuesday morning, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma called the goal of covering more people a “hollow victory of numbers,” and instead called for changes that “reduce federal regulatory burdens, increase efficiency, and promote transparency and accountability.”
The announcement also promises to fast-track approval of states’ proposed Medicaid changes (which HHS grants in the form of waivers from existing Medicaid requirements) and to scrap some of the requirements that states report back to the federal government whether the changes improve health outcomes for recipients.
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