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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsKentucky became the first state today to require Medicaid beneficiaries to work or lose care
Link to tweet
BREAKING: Kentucky became the first state today to require Medicaid beneficiaries to work or lose access to care. They are also requiring very poor people to pay premiums or lose coverage for extended periods. The plan is for a national model. Heres quick highlights.1/
Lets start here in reviewing the new program.
Theres a literacy provision.
If you dont work enough hours and lose coverage, you can get to see a doctor again if you can pass a state literacy course about health or money. 😕2/
There is also a 6 month lock out provision meaning you cant apply for coverage again for six months if you are removed for not registering annually or if you have a kid or get married and dont report it.
For certain populations. 3/
But the good news is you get to report this information using KYs already overloaded Medicaid call centers.
Cant see that being a problem. 4/
If you dont pay your new premiums, you lose coverage & then have a period where you cant enroll.
This will likely be what ends a lot of access. Many families cant afford school lunch as it is. Or have checking accounts. Or have access to state offices. I could go on... 5/
Sorry part timers. If your hours drop under 30/week, you lose coverage. Unless you add another 20 hours of job training, youre cut off. 5/
And the KY governor believes this will be a national model.
@StephArmour1 has full play by play of his press conference remarks.6/
KY Gov. Bevin says the Medicaid work requirements and other changes approved in state "will soon become the standard and the norm in the United States of America."
Theres rarely been a more apt reflection. Literacy tests, state monitoring, tied up bureaucracy, locking poor people out if they cant pay. /end
Iliyah
(25,111 posts)Grassy Knoll
(10,118 posts)standingtall
(2,785 posts)Not every poor person in Ky supported Trump or Bevin. Neither Trump or Bevin carried Louisville or Lexington Kentucky's 2 largest cities which have poor people on medicaid in them.
standingtall
(2,785 posts)this better not become the norm in the United States.
Ms. Toad
(34,075 posts)which expected Ky to be the first state today - since its application was written over the past few months to be intended to comply with the guidelines.
The experts expected the guidelines to hold up to court challenges. I don't believe these would. So I'm suspicious that about the accuracy of this report.
Here is something that sounds closer:
The rules apply to those between 19 and 64 years old. Certain groups are exempt, including former foster-care youth, pregnant women, primary caregivers of a dependent, full-time students, the disabled and the medically frail.
The Kentucky program also imposes a premium on most Medicaid recipients based on income. Some who miss a payment or fail to re-enroll will be locked out for six months.
Not supporting the plan - but it is important to be accurated. As crafted, the work requirement is actually only expected to impact about 3% of Medicaid recipients (based on my recollection from the NPR report). The NPR report didn't discuss (or discussed before or after I tuned in) premium payments or enrollment gaps. I am curious to see what those requirements are.
standingtall
(2,785 posts)it just will and no way it doesn't. There are realities that need to be dealt with. First off medically frail people not on SSI or SSDI will need their doctors to fill out an exemption form. Often times doctors don't like to fill out those forms to begin with or they charge for them or fill them out incorrectly. Those forms expire anyway. Now imagine people with chronic conditions without cures who are not on SSI or SSDI having to proof and reproof working is a hardship for them over and over again it will lead to lapses in coverage. And just where is a caregiver of a sick person suppose to go to get an exemption for themselves? Somehow I don't think a letter from the person the caregiver is taking care of will suffice as proof for a state agency. When Matt Bevin proposed this 2 years ago he floated making medicaid recipients pay a premium as well as taking dental and visual insurance away from smokers. So that's properly where the reports on premiums comes from.
Ms. Toad
(34,075 posts)A third of the 40% of "able bodied" individuals (i.e.not considered for assistance are disabled under the less rigorous standards ofthe ADA (which this program must meet). So we're down to 24% of the "able bodied population. I couldnt find recent numbers, but in 2013, 18% of Medicaid recipients were children or disabled. Now we're down to 19% of the "able-bodied" population, before you deduct the other exemptions (caring for a parent, caring for a disabled child, etc.) (The article I found today didn't have the level of detail of the report last night - so I'm having to backtrack through their work to estimate.
I'm not saying it is an easy process (I have a child who falls in this category, and the forms for accommodations at school are pretty much the same in concept, if not execution, to these exemption. I've written more than I care to admit for the doctor to sign). I'm not saying it is an appropriate process.
But it does impact far fewer that the "sky is falling" response suggests - and we need to be accurate or we lose the credibility we need to move Congress toward the programs people need to survive.
standingtall
(2,785 posts)possible to be entirely accurate, but I firmly believe the number of people affected by this will be alot higher that 3%.In any case people not on SSI-SSDI with health issues will need an exemption from their doctors. Just because someone has an impairment that meets the ADA does not mean a state agency will except that as proof. A doctor will actually have to fill out a form saying so and so cannot work. If only 3% were affected by this I doubt republicans would fool with it. From the article in the Hill Matt Bevin estimated this would effect 95,000 close to 1/3 of Kentucky's medicaid population. If they do this they will not stop there the next thing they will try is to kick a significant portion of people off the disability rolls.
Ms. Toad
(34,075 posts)So they believe that this will kick freeloaders off of Medicaid because they're only on Medicaid because it's a free ride. They think they are crafting it for the 90% or above who are just too lazy to get off of their bums (and if you force them to work, the state's obligation to pay for their medical care will vanish).
That's why it is important to use more neutral numbers and the actual waiver, instead of those of a self-serving Republican governor.
The problems you suggest are real - those ought to to be the focus (as well as numbers that can reasonably be supported by the data). We should not be using Republican propaganda, or broad generalizations when even the not-terribly-accurate sources the tweets were taken from qualify the impact (some, as to the lock-out provision, for example).
dchill
(38,505 posts)On the government dole and not producing anything of value to the people they're supposed to be representing. 80 hours a month of work-related activity would be a huge uptick for these drones.
IluvPitties
(3,181 posts)Yo_Mama_Been_Loggin
(108,034 posts)I'm sure Murray Energy wants cheap labor.
Cha
(297,317 posts)to work and older people on SS/SSI?
standingtall
(2,785 posts)SSDI or SSI obviously. People over 50 will probably be okay although they might have to pay a premium to keep their medicaid. Who will really get hurt by this is people under 50 with illnesses that make working a hardship who are not on SSDI or SSI.
Cha
(297,317 posts)people on SSI.
I would have thought the age limit would be up until 62 or 67 to make them work for their Medicaid.
"Who will really get hurt by this is people under 50 with illnesses that make working a hardship who are not on SSDI or SSI."
I know.. that really sucks. I hope they find some recourse because they can't work if they're sick and they can't get help if they don't have Medicaid.
standingtall
(2,785 posts)I was only guessing. Kentcky's age limit for snap benefits for work requirements is under 50. I was just guessing this would be along similar lines. Possible it could be older. The only reason their not messing with people on SSI is they know there is no way that would hold up in court. Hopefully this will not hold up in court either.
Cha
(297,317 posts)Ferrets are Cool
(21,107 posts)Cha
(297,317 posts)who keep voting them in.. Finally get a clue
roamer65
(36,745 posts)Do not move to Michigan to get Medicaid. You are not welcome here. Stay the fuck in KY.
standingtall
(2,785 posts)roamer65
(36,745 posts)Plus IL is extremely slow on Medicaid reimbursement due to its budget issues.
https://www.rawstory.com/2018/01/illinois-nursing-homes-sue-state-over-low-medicaid-rates/
WhiskeyGrinder
(22,357 posts)kacekwl
(7,017 posts)Fuck Mc Connell. Why your at it fuck all these slimy repukes who would know work unless they can do it on their knees.
dflprincess
(28,079 posts)Like those in nursing homes or hospice?