The latest bad news for Medicaid work requirement: They are a failure in policy terms (unless the policy goal is to throw people off Medicaid).
Ever since Arkansas implemented its first-in-the-nation work requirements for Medicaid in June 2018, the state has functioned as a laboratory for the concept of placing unnecessary obstacles in the way of low-income people seeking health coverage.
I just listened to the oral arguments from the D.C. Circuit in the Medicaid work requirement cases. And I'll just say: they were brutal for the Trump administration. Even Judge Sentelle, the lone Republican appointee on the panel, was skeptical that work reqs are defensible.This double-barreled failure shouldn’t be surprising, because the underlying motivation of work requirements for Medicaid enrollees is punitive.
The appellate judges appeared to find Boasberg’s reasoning compelling. They went as far as to call it a “very thorough and careful analysis” and asked Alisa Klein, the government’s lawyer, why it shouldn’t be treated as “eminently correct.” Klein observed in response that “social science evidence” had persuaded Congress to impose work requirements on recipients of food stamps and Temporary Assistance for Needy Families , commonly known as garden variety welfare.
The work requirements on Medicaid became part of the Trumpian toolbox in early January 2018, when Seema Verma, director of the Centers for Medicare and Medicaid Services at Health and Human Services, published guidelines endorsing those preconditions for receiving Medicaid.
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