Biden Admin Quietly Rolls Back Trump-Era Medicaid Work Requirements

Seema Verma, administrator of the Centers for Medicare and Medicaid Services, speaks during the daily briefing on the novel coronavirus, COVID-19, at the White House on March 18, 2020, in Washington, DC. (Photo by Br... Seema Verma, administrator of the Centers for Medicare and Medicaid Services, speaks during the daily briefing on the novel coronavirus, COVID-19, at the White House on March 18, 2020, in Washington, DC. (Photo by Brendan Smialowski / AFP) (Photo by BRENDAN SMIALOWSKI/AFP via Getty Images) MORE LESS
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The Biden administration quietly moved to roll back the controversial Trump-era policy of Medicaid work requirements.

According to the New York Times on Friday, health officials notified states with approved work requirements that the Biden administration will withdraw the approvals. Additionally, the Biden administration removed a Trump-era online guidance document encouraging states to implement new work requirement plans.

Although President Biden signed an executive order requesting a review of the Trump-era Medicaid work requirements in the first week of his presidency, Friday’s policy changes were made made without a public announcement.

Medicaid is a $600 billion federal-state program that covers about 70 million people. States had the option of expanding access to Medicaid to many low-income adults under the Obama-era Affordable Care Act.

During the Trump administration, Seema Verma headed up the policy priority of Medicaid work requirements — a move that Obama administration officials repeatedly rejected to states that requested waivers, stressing concerns over waivers potentially undermining access. The Medicaid agency under Verma’s leadership encouraged states to apply, and allowed states to require “able-bodied” adults drawing Medicaid benefits to work, volunteer or study.

The Trump-era Medicaid work requirements were barely adopted, however.

Arkansas was the only state to actually start the program, but was put on hold by a judge 10 months after its implementation. Other states planned to adopt the Medicaid work requirements, but hit roadblocks in courts. Nearly 20 states made efforts to implement the work requirements after the Trump administration’s invitation in 2018 to submit proposals.

The Associated Press reported that a statement from the Centers for Medicare and Medicaid Services highlighted the country’s wrecked economy and high unemployment amid the COVID-19 pandemic as a primary concern in Americans’ access to health care.

“In the midst of the greatest public health emergency in generations, now more than ever, people with Medicaid need access to care,” the CMS statement said, according to the AP. “This is not the time to experiment or test policies that risk a substantial loss of health coverage or benefits, especially for individuals and communities significantly impacted by COVID-19 and other health inequities.”

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Notable Replies

  1. Avatar for powwow powwow says:

    Thank god for sanity. I always thought this was a horrible republican policy, and am glad that Biden has rescinded it.

  2. Avatar for docd docd says:

    When you think of the pure, small minded meanness of a Medicaid work requirement, and the little bang that it would get for the buck of implementation and enforcement, you start to get an inkling of how evil these people are.

  3. If you have any idea just who is on Medicaid you realize just how stupid Trump’s ideologically driven requirements were. Good riddance.

  4. Avatar for jeffs jeffs says:

    Nice to have these good things start to appear in the news. Small or insignificant for some, but huge for the people being affected.

  5. “The Biden administration quietly moved to roll back the controversial Trump-era policy of Medicaid work requirements.”

    I read a variation of this headline all the damned time. Biden is “quietly” undoing some bullshit from the Trump reign. Why not trumpet the fact you’re cleaning up a mess? Is Biden afraid of alienating the cruel part of the electorate that was behind all Trump’s malevolence? Does he think Dems might need 5% of the voters that are asshole sadists to swing a couple races in the midterms? WTF?

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