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What do different data sources tell us about Medicaid and work?

A central question in the ongoing debate about imposing work requirements in Medicaid is what current work patterns are among Medicaid adults and how many so-called “able bodied” adults are not already working. Answers to these questions rely on various data sources, and characteristics of the underlying data and analytic decisions may lead to different conclusions. This data note examines what different data sources and analytic decisions tell us about Medicaid and work.

What Are States Proposing for Work Requirements in Medicaid?

With the approval of Kentucky’s Medicaid expansion waiver, the Centers for Medicare and Medicaid Services (CMS) has for the first time granted a state permission to make Medicaid eligibility conditional on meeting a work requirement. Nine other states have waivers pending at CMS that would impose work requirements, including Arizona,…

Explaining Stewart v. Azar: Implications of the Court’s Decision on Kentucky’s Medicaid Waiver

This issue brief summarizes the DC federal district court’s June 29, 2018 decision in Stewart v. Azar, the lawsuit brought by Medicaid enrollees challenging the HHS Secretary’s approval of the Kentucky HEALTH Section 1115 waiver program, which includes a work requirement, premiums, coverage lockouts, and other provisions that the state estimated would lead 95,000 people to lose coverage.

Don’t Expect Medicaid Work Requirements to Make a Big Difference

Under the Trump Administration, some Republican governors may look to move their Medicaid programs in a more conservative direction. In his latest column for Axios, Drew Altman discusses the arguments about Medicaid “work requirements” and why few people are likely to be affected by them in practice.

The Relationship Between Work and Health: Findings from a Literature Review

A central question in the current debate over work requirements in Medicaid is whether such policies promote health and are therefore within the goals of the Medicaid program. This brief examines literature on the relationship between work and health and analyzes the implications of this research in the context of Medicaid work requirements.

Medicaid Work Requirements in Arkansas: Experience and Perspectives of Enrollees

This brief presents perspectives of enrollees and safety net providers about Arkansas’ new Section 1115 Medicaid waiver work and reporting requirements based on focus groups and interviews. The discussions examine enrollees’ awareness of the new requirements and ability to set up online accounts for monthly reporting; the effect of the new requirements on enrollees’ work and common barriers to work; enrollees’ experience with monthly reporting; impacts on particular populations, such as those with disabilities or who are homeless; and the anticipated effects of coverage losses resulting from the new requirements.

Understanding the Intersection of Medicaid and Work: What Does the Data Say?

Under the Trump Administration, CMS issued guidance for state Medicaid waiver proposals that would impose work requirements in Medicaid as a condition of eligibility, and several states have received approval for or are pursuing these waivers. This issue brief provides data on the work status of non-dual, non-SSI, nonelderly adults enrolled in Medicaid to understand the potential implications of work requirement proposals in Medicaid. It shows that the majority of adults in this group are already working, and those who are not report major impediments to their ability to work such as illness or caregiving responsibilities.