Nine states are planning to implement work requirements for their Medicaid enrollees, following Kentucky, which on Friday became the first place in the country to be approved to create such a program.
Arizona, Arkansas, Indiana, Kansas, Maine, New Hampshire, North Carolina, Utah, and Wisconsin have submitted their own proposals, though some will have to work with federal officials to make sure their requests fit the guidelines laid out Thursday by the Trump administration. States have varying requests, according to a Washington Examiner review of Medicaid waiver requests filed to the Centers for Medicare and Medicaid Services.
For instance, Indiana, which said it expects its waiver will be approved in the coming days, allows an English as a Second Language class to meet the education requirement. In Arkansas, taking a class for 20 hours a year on healthy living or health insurance would go toward the requirement.
Maine requires 20 hours of work or community involvement, while Kentucky and Indiana don’t have any requirements for the first three months of coverage and gradually require more work the longer someone is on Medicaid. Nearly all state proposals appeared to make exemptions for caregivers. Some states, such as Arkansas, would require monthly check-ins while others are less frequent. Kansas, Maine and Utah exempt parents of children under age 6, while North Carolina would exempt any adult with a dependent child.
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