The Trump administration has teed up a new attack on Medicaid. Columnist hiltzikm on the “Healthy Adult Opportunity” rules that would encourage states to cut benefits and narrow eligibility for residents:
,” Verma stated. “Most of us are healthy, working, and insured, so it seems unlikely to affect our lives directly .... Tragedy and bad luck can strike anyone, at any time. When it does people need something to fall back on.”, the program pays for roughly half of all births in the United States . It covers 62% of all nursing home residents, and is the largest single source of payment for mental health services.
That hasn’t stopped the Trump administration from relentlessly trying to gut Medicaid. Its approval of work requirement for the program in Arkansas and Kentucky was blocked by a federal judge in Washington, prompting other states that were seeking similar approvals Bagley called that “a particularly galling bit of double-speak,” since throwing enrollees out of Medicaid can hardly be judged “consistent” with a program aimed at signing people up for coverage.
States could also impose asset tests on applicants even though asset tests — judgments of whether assets such as an applicant’s home equity or car ownership should make him or her ineligible — are not part of Medicaid expansion rules. And they could eliminate retroactive eligibility, a provision that allows doctors or hospitals to enroll patients on the spot if they appear with a medical emergency and haven’t enrolled even though they’re eligible.
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