Skip to main content
University of Wisconsin–Madison
Poverty-related issues in the news, from the Institute for Research on Poverty

Tag: Medicaid

State Medicaid Programs – Oklahoma, Maine, Ohio

  • Oklahoma Medicaid approved for drug pricing experiment, By Ken Miller and Ricardo Alonso-Zaldivar (AP), July 13, 2018, ABC News: “The federal Centers for Medicare and Medicaid Services has approved Oklahoma’s Medicaid program for a first-in-the-nation drug pricing experiment that supporters say could save taxpayer dollars and provide patients with the most effective medications for their ailments. Under the ‘value-based purchasing’ program approved in late June, the state and a pharmaceutical company would agree to a set payment if its medication works as advertised, but only a fraction of that if the drug is not as effective as promised…”
  • Lawmakers await details on LePage’s plan for hospital tax to fund Medicaid expansion, By Kevin Miller, July 18, 2018, Portland Press Herald: “Maine’s highest court will hear arguments Wednesday over the LePage administration’s refusal to begin offering Medicaid coverage to tens of thousands of additional adults. Meanwhile, lawmakers and a representative for Maine’s hospitals say they have yet to see a formal plan from Gov. Paul LePage’s office detailing his 3-week-old proposal he made last month to pay for Medicaid expansion by increasing taxes on hospitals…”
  • Ohio Medicaid’s mental, addiction benefits achieve equality with physical care: state report, By Laura Hancock, July 18, 2018, Cleveland Plain Dealer: “Once Ohio Medicaid patients with mental health or addiction problems enter the health care system, they must be treated on par as those with physical ailments. That means no extra co-pays, prior authorizations or limits on hospitalization or counseling that wouldn’t be imposed on physical health care in Medicaid. The barriers that many patients in the mental health system know too well are supposed to have been recently eliminated. According to a recent report, the Ohio Department of Medicaid is now complying with a federal law that requires equality – technically called ‘parity’ in the health care world – between benefits for mental and physical health care…”

Safety Net Programs and Work Requirements

  • The Trump administration has a new argument for dismantling the social safety net: It worked., By Jeff Stein and Tracy Jan, July 14, 2018, Washington Post: “Republicans for years have proclaimed the federal government’s decades-old War on Poverty a failure. ‘Americans are no better off today than they were before the War on Poverty began in 1964,’ House Speaker Paul D. Ryan (R-Wis.) wrote in his 2016 plan to dramatically scale back the federal safety net. Now the Trump administration is pitching a new message on anti-poverty programs, saying efforts that Republicans had long condemned as ineffective have already worked. The White House in a report this week declared the War on Poverty ‘largely over and a success,’ arguing that few Americans are truly poor — only about 3 percent of the population — and that the booming economy is the best path upward for those who remain in poverty…”
  • 7,000 people fail to meet Arkansas Medicaid work requirement, By Andrew DeMillo, July 13, 2018, Associated Press: “More than 7,000 people on Arkansas’ Medicaid expansion didn’t meet a requirement that they report at least 80 hours of work in June and face the threat of losing their coverage if they fail to comply sometime before the end of this year, state officials said Friday…”

Safety Net Programs and Work Requirements

  • Mississippi Medicaid adds back beneficiary protections in work requirement proposal, By Anna Wolfe, July 6, 2018, Mississippi Clarion Ledger: “In an attempt to avoid pushback states have received on Medicaid work requirements, Mississippi reinstated beneficiary protections into its waiver proposal. A Medicaid waiver is a state request to the federal government to deviate from various program requirements. Mississippi is one of several states that has asked the Trump administration for permission to impose work requirements on low-income, able-bodied caretakers otherwise eligible for Medicaid…”
  • As Arkansas ushers in new Trump-era Medicaid rules, thousands fear losing benefits, Reuters, July 10, 2018, CNBC: “Gregory Tyrone Bryant left his last stable job at a meatpacking factory to fight a cocaine addiction eight years ago. When he returned to the workforce a year later, his options were limited: mostly temporary jobs without healthcare benefits. Since 2014, he’s relied on medical coverage offered under Arkansas’ expanded Medicaid program for low-income households…”
  • Food stamp work requirements would force states to provide job training. Many aren’t ready., By Teresa Wiltz, July 10, 2018, Stateline: “The House version of the food-stamp-to-work program Congress is considering this week would require recipients to enroll in job training programs if they can’t find work — but in many states, those programs won’t be fully available for at least another decade. This will have a big impact on the people who depend on food stamps, some 42 million in 2017. The average beneficiary receives about $125 a month, and a family of four must have an annual income of about $25,000 or less to qualify. Many are already working…”
  • Declaring war on poverty ‘largely over,’ White House urges work requirements for aid, By Jim Tankersley and Margot Sanger-Katz, July 12, 2018, New York Times: “President Trump’s Council of Economic Advisers declared on Thursday that America’s long-running war on poverty ‘is largely over and a success,’ as it made the case for imposing new work requirements on Americans who benefit from federal safety net programs. The report contends that millions of Americans have become overly reliant on government help — and less self-sufficient — and provided data intended to support the administration’s goal of tying public benefit programs more closely to work…”

Low-Income Women’s Health Program – Texas

Texas health program served more low-income women, but improvement since funding cuts is unclear, By Jackie Wang, April 27, 2018, Dallas News: “A new report shows more people enrolled in a health program for low-income women in 2017, but it doesn’t show if the numbers are an improvement over the years before funding was cut. According to a Texas Health and Human Services Commission report published Thursday, Healthy Texas Women increased its total number of clients served from 70,336 in 2016 to 122,406 in 2017. The Family Planning Program increased its clients from 38,404 in 2016 to 96,990 in 2017. Overall, Texas served 29 percent more women in one year…”

Medicaid Work Requirements – Ohio, Alaska

  • Ohio closer to work requirements for Medicaid: What’s really going on, By Kaitlin Schroeder, May 2, 2018, Dayton Daily News: “Ohio is a step closer to forcing some Medicaid recipients to get jobs if they receive the government assistance. The Ohio Department of Medicaid on Monday said it had officially submitted its request to create the work requirements for those covered through the expansion of Medicaid, the state-federal health insurance program that covers residents with low incomes or disabilities…”
  • State analysts say requiring Medicaid recipients to work won’t save money, By Andrew Kitchenman, May 2, 2018, Alaska Public Media: “An analysis by state officials finds that requiring people who receive Medicaid to work won’t save the state money. That’s because the state would have to pay people to help residents to find work, and to check that they’re complying with a requirement…”

Medicaid Work Requirements

How Medicaid work requirements could hurt older Americans, By Lisa Esposito, April 20, 2018, US News and World Report: “For some lower-income Americans, Medicaid is their lifeline to health care. That includes ‘older nonelderly’ adults from 50 to 64 – an age range when chronic health conditions and mobility issues are common. Other people use Medicaid benefits so they can serve as family caregivers. On Jan. 11, the Centers for Medicare & Medicaid Services announced that states can apply for waivers to implement work requirements for people who receive Medicaid benefits. Some older Americans will be affected…”

Assistance Programs and Work Requirements

  • Trump executive order strengthens work requirements for neediest Americans, By Tracy Jan, April 10, 2018, Washington Post: “President Trump on Tuesday signed an executive order directing federal agencies to strengthen existing work requirements and introduce new ones for low-income Americans receiving Medicaid, food stamps, public housing benefits and welfare as part of a broad overhaul of government assistance programs…”
  • Wisconsin Gov. Scott Walker signs new limits on welfare programs into law, By Jason Stein, April 10, 2018, Milwaukee Journal Sentinel: “Wisconsin Gov. Scott Walker on Tuesday signed new limits on welfare programs into law, committing state and federal taxpayers to nearly $80 million in spending to draw more people into the labor force…”

Medicaid Expansion – Louisiana, Montana

  • Medicaid expansion created 19,000 new jobs in Louisiana, according to study, By Maria Clark, April 10, 2018, New Orleans Times-Picayune: “Louisiana’s decision to expand Medicaid in 2016 led to a $1.85 billion direct economic impact, according to an economic impact report released Tuesday (April 11). The report called Medicaid Expansion and the Louisiana Economy was commissioned by the Louisiana Department of Health and prepared by Dr. Jim Richardson and the Public Administration Institute at Louisiana State University…”
  • Report: Medicaid expansion pays for itself; future economic impact seen as bright, By Holly K. Michels, April 10, 2018, Billings Gazette: “In the first two years after Montana expanded Medicaid, the savings to the state have eclipsed the costs. Though that could flip by 2020, increased activity in Montana’s economy because of the expansion will more than make up the difference. That’s according to a report commissioned by the Montana Healthcare Foundation and Headwaters Foundation…”

States and Medicaid Expansion

Republicans lead Medicaid expansion push in 2 holdout states, By Mattie Quinn, March 30, 2018, Governing: “After five years of failed attempts to expand Medicaid, Utah Gov. Gary Herbert signed a bill last week to do just that. It may come as a surprise that the bill was sponsored by a Republican. Republicans have historically opposed making more low-income people eligible for the government health insurance program. Under the Affordable Care Act (ACA), President Obama’s signature legislation, the federal government pays 90 to 100 percent of the costs for any state that expands. But Republican-led states have been slow to expand Medicaid, and nearly 20 of them still have not…”

Medicaid Work Requirements

  • Northern Ky. expected to be first area affected by new Medicaid work/training requirement, By Lisa Gillespie, April 6, 2018, Cincinnati Public Radio: “A top Kentucky official says northern Kentucky will likely be the first area where Medicaid enrollees will have to meet the state’s new ‘community engagement’ requirement, starting July 1. Kristi Putnam, program manager for the Medicaid changes in Kentucky, said the state sent out post-cards this week…”
  • Ohio’s plan to add work requirements for Medicaid gets push back, By Kaitlin Schroeder, April 5, 2018, Dayton Daily News: “Dozens of medical and social service lobbying groups are pushing back against Ohio Medicaid’s request to create work requirements for able-bodied adults covered through Medicaid expansion. The Trump administration opened the door for states to add the first-ever work requirements associated with the state-federal health insurance program for the poor. In response, the Republican-dominated legislature inserted language in last summer’s budget bill ordering the Kasich administration to apply…”
  • Several groups sign letter opposing HIP work requirement, By Jill Sheridan, March 28, 2018, Indiana Public Media: “A group of non-profits organizations sent a letter to Governor Eric Holcomb this week, urging him to reconsider a new Healthy Indiana Plan, HIP, rule.  More than 400,000 Hoosiers are currently enrolled in HIP which is Indiana’s Medicaid expansion program.  Last month the state became the second state to receive federal permission to add a work requirement…”

State Medicaid Programs

  • Medicaid is a lifeline for nearly half of this county’s residents, By Phil Galewitz, March 27, 2018, CNN Money: “On a crisp sunny day, Tyson Toledo, a precocious 5-year-old boy, hobbled into a private health clinic to have his infected foot examined. Pediatrician Gayle Harrison told his mother to continue to apply antibiotic ointment and reminded them to come back if the swelling and redness worsened. The appointment at Rehoboth McKinley Christian Health Care Services’ outpatient center in Gallup, New Mexico, comes at no charge for the Toledo family, who live 30 miles away on the Navajo Nation Reservation. That’s because Tyson is covered by Medicaid, the government health insurance program for the poor…”
  • California Medicaid expansion enrolled hundreds of thousands of ineligible people, federal report finds, By Chad Terhune, March 26, 2018, Los Angeles Times: “California signed up an estimated 450,000 people under Medicaid expansion who may not have been eligible for coverage, according to a report by the U.S. Health and Human Services Department’s chief watchdog…”
  • Utah governor signs Medicaid expansion bill. Now, Utah waits to see if the feds will approve it., By Luke Ramseth, March 28, 2018, Salt Lake Tribune: “Gov. Gary Herbert signed a measure Tuesday to give more than 70,000 needy Utahns access to government health coverage, ending years of failed attempts on Capitol Hill to expand Medicaid in the state. But whether House Bill 472 ever takes effect still remains uncertain. Under President Obama’s signature Affordable Care Act (ACA), the Utah law needs approval by the federal Centers for Medicare and Medicaid Services (CMS), which has sent mixed signals on whether it will fully sign off…”

Assistance Programs and Work Requirements

  • Proposed work requirements could add uncertainties to Wisconsin’s Medicaid system, By Guy Boulton, March 28, 2018, Milwaukee Journal Sentinel: “Wisconsin is among the 10 states that want to impose work requirements on some healthy adults who get health insurance through their Medicaid programs. However, unlike Kentucky, Indiana and Arkansas, which have received federal approval for work requirements that they plan to implement immediately, Wisconsin’s requirement wouldn’t kick in until a healthy adult hasn’t worked for four straight years…”
  • Republicans’ new welfare reform focus: Low-income men, By Tami Luhby, March 28, 2018, CNN Money: “A generation ago, Republicans focused on reforming the nation’s safety net by requiring poor mothers to work. These days, the Trump administration and Republican leaders are once again looking to overhaul government assistance programs. But now they are zeroing in on a new group: low-income men.  Much of the focus this time centers on requiring able-bodied, working age recipients to get jobs or participate in other community activities if they want to receive Medicaid or food stamps — two of the largest public aid programs in the US with tens of millions of enrollees each…”
  • WV Gov. Justice quietly signs SNAP work requirement bill, By Jake Zuckerman, March 27, 2018, Charleston Gazette-Mail: “Gov. Jim Justice signed a bill into law Tuesday that will impose work requirements on certain adults receiving benefits through the Supplemental Nutrition Assistance Program…”

State Medicaid Programs

  • Virginia Republicans divided on Medicaid expansion, By Megan Pauly, March 14, 2018, National Public Radio: “Virginia is among 18 states that have not expanded Medicaid under the Affordable Care Act. But this year, the state legislature is going into a special session to continue discussions about whether or not to include it in its budget. By the time the regular session adjourned Saturday, members of Virginia’s GOP-controlled House of Delegates and Senate could not reach agreement on whether or not to expand Medicaid…”
  • Proposed Medicaid work requirements could end up costing Minnesota, By Glenn Howatt, March 18, 2018, Star Tribune: “Republican legislators who are proposing work requirements for Minnesota’s Medicaid recipients say it would promote personal responsibility and save taxpayer dollars, but doctors and county officials who work in the system predict that people would lose needed health care in exchange for savings that are likely to disappoint…”
  • Mississippi Medicaid saves $4.6M in one year by identifying unnecessary, expensive scripts, By Anna Wolfe, March 22, 2018, Clarion Ledger: “By identifying unnecessary, expensive prescriptions covered by the state’s Medicaid program, Mississippi officials say they’ve saved nearly $5 million…”
  • Expanding Medicaid to cut Medicaid: Texas turns to Trump administration to fund family planning, By Phil Galewitz and Anna Gorman, March 22, 2018, St. Louis Post-Dispatch: “President Donald Trump’s administration is weighing whether to allow Texas to receive millions of federal Medicaid dollars for its family planning program, which bars abortion providers.  The Lone Star State eliminated its Medicaid-funded family planning program five years ago when state officials said they wanted to specifically exclude Planned Parenthood because the group provides abortions. Dozens of women’s health clinics closed as Texas established a wholly state-funded program that officials say today serves 220,000 women…”

States and Medicaid Expansion

Medicaid expansion’s troubled future, By Vann R. Newkirk II, March 13, 2018, The Atlantic: “In 2012, the Supreme Court’s decision in the NFIB v. Sebelius case sent shockwaves through the health-policy community, with Chief Justice John Roberts’s majority opinion causing much teeth-gnashing all around. Among many conservatives, the preservation of the Affordable Care Act’s individual mandate constituted ‘one of the worst Supreme Court decisions in American history.’ For supporters of the law, the decision to turn the ACA’s expansion of Medicaid into a state-optional program threatened to destabilize the entire project of expanding coverage to the poorest Americans…”

Medicaid and Dental Care – Wisconsin

  • For those on Medicaid, it can be a struggle to find dental care in the Twin Ports, By Brady Slater, March 3, 2018, Duluth News Tribune: “Zymrie Bekteshi is doing the best she can in the world. She’s a single mother raising a boy and girl, both under the age of 10. She sews for a local company serving the aviation industry. Her employer lets her work from home. ‘Work from home is good,’ she said. ‘I have nobody to help me, no family if kids get sick. So they give me a machine to work with in my home.’ Even with the job she’s held for 11 years, she described herself as ‘low-income.’ Not long ago, Bekteshi, of Duluth, experienced one of the risks concomitant with living near the poverty line: trouble finding a dentist for her kids…”
  • Wisconsin pilot program aims to increase access to dental care for low-income children, By Shamane Mills, February 26, 2018, Wisconsin Public Radio: “Dental care for low-income children has been a problem in Wisconsin for years. One reason is that parents can’t find dentists who will accept Medicaid, known in Wisconsin as BadgerCare. To help address this gap, the state is paying some dentists who take Medicaid patients more to see if it will improve access to care. The Enhanced Dental Reimbursement Pilot Program began in October 2016 and includes Brown, Marathon, Racine and Polk counties…”
  • Dentists ask for more funding for treating patients with Medicaid, By Shamane Mills, February 27, 2018, Wisconsin Public Radio: “Medicaid is one of the biggest cost drivers in the state budget, but dentists say they’re getting less than 1 percent of that money. They’re asking the state to pay them more for taking on patients who get insurance through Medicaid. In an attempt to address the gap in dental care for low-income children across Wisconsin, the state began a pilot program that does just that…”
  • Dentists: Slights in funding, respect at the root of Wisconsin’s dental care disparity, By Shamane Mills, February 27, 2018, Wisconsin Public Radio: “Dentists will tell you they deal with a lot of neglect. They often see patients who put off flossing or brushing, or let cavities sit unfilled. And like a tooth problem that gets ignored for too long, some Wisconsin dentists say state officials neglect their sector of care, slighting the industry with what they consider inadequate state funding which ultimately makes it harder for their patients to get treatment…”

Medicaid Work Requirements – Arkansas

Thousands of Arkansas Medicaid recipients must start working in June, By Tami Luhby, March 5, 2018, CNN Money: “Tens of thousands of low-income Arkansas residents will have to start working in June if they want to keep their Medicaid benefits. The state received approval from the Trump administration Monday to impose work requirements on certain non-elderly, non-disabled beneficiaries who don’t have dependent children at home. It joins Kentucky and Indiana in being granted such a waiver, but Arkansas plans to put the requirement into effect earlier than the other states…”

Medicaid Spending to School Districts

Medicaid’s little-known benefits for millions of US students, By Anna Gorman and Carmen Heredia Rodriguez, March 6, 2018, CNN: “Gerardo Alejandrez used to punch classmates, throw chairs and curse at his teachers, conduct that forced him to switch from school to school. ‘I had a lot of anger issues,’ the 16-year-old said recently. Then Gerardo entered a class at Oakland Technical High School for students who have mental health or behavior issues. In that classroom, the teacher gets support from Erich Roberts, a psychiatric social worker assigned to the group. Oakland Unified School District bills Medicaid, the nation’s insurance program for low-income residents, for Roberts’ services…”

State Medicaid Programs

  • All those Medicaid experiments? States often fail to evaluate the results, By Phil Galewitz, February 26, 2018, Governing: “With federal spending on Medicaid experiments soaring in recent years, a congressional watchdog said state and federal governments fail to adequately evaluate if the efforts improve care and save money…”
  • Tens of thousands of Medicaid recipients don’t pay their premiums, By Phil Galewitz, February 28, 2018, CNN Money: “When Arkansas lawmakers debated whether to renew the state’s Medicaid expansion in 2016, many Republican lawmakers were swayed only if some of the 300,000 adults who gained coverage would have to start paying premiums. This ‘skin-in-the-game’ provision — endorsed by conservatives in Washington and in many statehouses — is designed to make Medicaid recipients value their government health insurance more and lead healthier lives…”

State Medicaid Programs – Kentucky, Kansas

Medicaid and Work Requirements

  • Work for it. What Trump’s tough new Medicaid rules mean., By Benjy Sarlin, February 20, 2018, NBC News: “Every day that Steve Olshewsky can convince himself to get out of bed and face the world is a small victory in his eyes. After a series of panic attacks forced him out of work in 2009, Olshewsky returned to his hometown to recover with family. He’s made great strides since then, thanks to medication and his work at Participation Station, a peer-run outpatient clinic for serious mental illness. There, he sits in on group sessions, teaches tai chi to members, and talks clients through rough days on the clinic phone line. But Olshewsky, who pays for his prescriptions through Medicaid, could soon have to prove he deserves to keep his coverage under a new set of restrictions on able-bodied Medicaid recipients. The Trump administration approved the rules in January through a waiver program that allows states to experiment with changes to Medicaid…”
  • Should Medicaid come with work requirements? Ohio says yes, By Kaitlin Schroeder, February 20, 2018, Dayton Daily News: “Ohio for the first time is seeking federal approval to create job requirements as a condition to qualify for Medicaid. Most Ohio residents enrolled through the expansion of Medicaid, the state-federal health insurance program for the poor, are already working or would be exempt because of things like their age, disability or care taking responsibilities…”