Utah may become the next state to seek Medicaid work requirements

Medicaid
Legislation in the state Senate sponsored by Sen. Allen Christensen, R-North Ogden, would create a cap on Medicaid enrollment and impose work requirements on Medicaid recipients. (Getty/designer491)

As Utah prepares to expand Medicaid, it may also be considering rules that make it harder for recipients to receive those benefits.

The Salt Lake Tribune reports that a cap would be put on Medicaid enrollment and work requirements imposed on recipients under legislation in the state Senate sponsored by Sen. Allen Christensen, R-North Ogden.

If passed, the measure would almost certainly delay the April launch of Medicaid expansion. Work requirements need approval at the federal level because it departs from the rules of the Affordable Care Act.

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2019 Drug Pricing and Reimbursement Stakeholder Summit

Given federal and state pricing requirements arising, press releases from industry leading pharma companies, and the new Drug Transparency Act, it is important to stay ahead of news headlines and anticipated requirements in order to hit company profit targets, maintain value to patients and promote strong, multi-beneficial relationships with manufacturers, providers, payers, and all other stakeholders within the pricing landscape. This conference will provide a platform to encourage a dialogue among such stakeholders in the pricing and reimbursement space so that they can receive a current state of the union regarding regulatory changes while providing actionable insights in anticipation of the future.

The Trump administration supports Medicaid work requirements, and the Centers for Medicare & Medicaid Services has approved several other states' requests for waivers to allow them to institute what they call “community engagement” that encourages the dignity of work and a road out of government dependence.

RELATED: Arkansas could lose up to $340M because of Medicaid work requirements

Most recently, the administration approved Medicaid work requirements in Wisconsin and has also approved waivers in New Hampshire, Indiana, Arkansas and Kentucky.

Critics have said the measures could force families into a doughnut hole where they qualify for neither Medicaid nor ACA subsidies in nonexpansion states. They have also pointed out that states can lose money by imposing the requirements. Both Arkansas and Kentucky are facing legal challenges to their waivers.

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