Posted by 15 July 2020
This week, the Trump Administration filed a brief with the Supreme Court urging it to support an Arkansas program requiring some able-bodied Medicaid recipients to work.
Under the Arkansas Works program, individuals newly eligible for Medicaid under the Affordable Care Act, or Obamacare, must meet certain work requirements. These include engaging in work or work-related activities for 80 hours a month. Only those in the Medicaid expansion population – able-bodied adults without children who are between 18 and 62 – face this requirement. There are also exceptions for people who are unable to work.
While the Department of Health and Human Services under President Barack Obama had not approved Arkansas’s work requirement (or similar requirements in other states), the Trump Administration did. However, federal judges have blocked many of these requirements from going into effect. The Trump Administration’s legal filing urges the Supreme Court to overturn these rulings.
The legal issues center on whether federal law permits states to add a work requirement to Medicaid recipients. Medicaid is funded in part by the federal government, but states opt into it and have some leeway to design their programs. The Trump Administration and states say that states have the authority to require work for some able-bodied recipients, but courts have ruled that Congress must amend the program to allow this.
Supporters of work requirements argue that they are helping Medicaid recipients by giving them an incentive to go to work, where they may be able to obtain private health insurance eventually. They also argue that childless, able-bodied adults -- the group covered by the work requirement -- should be working. Opponents, however, see these requirements as a way to limit participating in Medicaid, noting that 18,000 people lost eligibility once Arkansas put its requirement in place. They also contend that the work verification rules under Arkansas Works are too difficult for many to comply with.
Do you support requiring able-bodied Medicaid recipients to work or seek work?