“The court decision on Kentucky’s Medicaid waiver may be more sweeping than has been recognized … it shows how any state proposal to impose work requirements, or make other changes that reduce coverage, could be immediately vulnerable to legal challenges.”
Legislation to address the opioid epidemic is advancing in both the House and Senate.
- Vast majority of enrollees targeted by work requirements are already working or would qualify for an exemption
- Low-wage and part-time work may not be sufficient to overcome poverty
- Many non-working enrollees who could be exempt would need to navigate an exemption process
Use our interactive map to view states’ approved and pending waivers according to category:
- Medicaid expansion
- Work requirements
- Eligibility and enrollment restrictions
- Benefit restrictions, co-pays, healthy behaviors
- Behavioral health
- Managed Long Term Services and Supports
- Delivery system reform
Nationally, 2.2M poor uninsured adults are in the “coverage gap” that results from state decisions not to expand Medicaid.
See the latest information regarding states’ decisions about adopting the Medicaid expansion.
While Medicaid-specific provisions focus on increasing manufacturer rebates, other discussion in the Blueprint suggests concern over Medicaid rebates leading to higher prices system-wide.
Rising Medicaid spending on prescription drugs has prompted many states to look for new ways to control such costs. We look at current state initiatives aimed at addressing the issue.
A 1-page distillation of information and statistics about the opioid epidemic and Medicaid’s role in covering addiction treatment services.
Recently approved and proposed waivers and other proposed policies include new eligibility and enrollment requirements and restrictions that run counter to the ACA’s streamlined processes.