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By Stephen Millies
Using the so-called debt limit as a club, congressional leaders are pushing for more attacks on the poor. Donât expect Joe Biden to fight back. Only the people can stop Congress from cutting food stamps and other needed social programs. The AFL-CIO needs to call a new Solidarity Day to fight these vicious cutbacks.
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The Michigan House is now considering a bill, which the Senate has passed, that would take coverage away from Medicaid beneficiaries who donât meet rigid work requirements.
âPeople with disabilities, serious illnesses, and substance use disorders may be disproportionately likely to lose benefits due to work requirements.â
It passed 26-11.
LANSING, MI - The Michigan Senate on Thursday passed legislation requiring able-bodied Michigan Medicaid recipients to work 29 hours per week to continue receiving health insurance.
Michigan expanded Medicaid in 2013 with the Healthy Michigan program, which now insures 683,769 people, according to the Michigan Department of Health and Human Services.
Senate Bill 897, sponsored by Sen. Mike Shirkey, R-Clark Lake, would require able-bodied Medicaid recipients to work 29 hours per week in order to continue receiving Medicaid. People would be exempt from the requirements if they met certain criteria, like being over 64, having a disability, being pregnant, or being a caretaker for a dependent with a disability or family member under the age of six.
"Study upon study supports the notion that one of the best things a person can do for their own health and in particular one of the best things a person can do for their family's health is to be productively engaged in work," Shirkey told the Senate in urging a yes vote on his bill.
It passed 26-11, with Senate Democrats and Republican Sen. Margaret O'Brien, R-Portage, voting against it.
The bill is made possible by new diction from the federal government, which until recently had prohibited states from instituting such requirements. Now, a handful of state have applied for waivers to implement work requirements and the bill would have Michigan join them.
The Senate Competitiveness Committee approved the bill Wednesday.
Democrats opposed the measure.
"Among the many issues of this bill is that it is fiscally irresponsible," said Sen. Steve Bieda, D-Warren, pointing to a Senate Fiscal Agency analysis that estimates it will cost $20-30 million per year to administer the work requirement.
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Whether you're for or against them, all work requirement programs will cause some coverage losses.
âThe DC District Court shot down the Kentucky waiver, including its work requirements, because the Health and Human Services secretary did not address the likelihood that it would cause people to lose their health coverage.â
Some states that havenât adopted the Affordable Care Actâs (ACA) expansion of Medicaid to cover more low-income adults are now seeking or considering Medicaid waivers that would take coverage away from poor parents if they do not meet work requirements. In all of these states, substantial numbers of parents likely couldnât meet the requirements, whether because of caregiving responsibilities coupled with a lack of affordable child care, because they work at unstable jobs that donât provide enough hours of work every month, because of an illness or disability, or for other reasons.
âIn many of these states, the proposals would also create a severe catch-22: even parents who did manage to comply with the work requirement would often lose coverage.â
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CMS has approved work requirements (sometimes spun as âcommunity engagementâ requirements) in three states: Arkansas, Kentucky, and Indiana. Eight additional states have similar requests pending, and CMS appears likely to approve those requests, as well. Litigation challenging the authority of the executive branch to approve work requirementsârules that are contained nowhere in Medicaid lawâhave also begun. View our 50-state map to see Medicaid waiver activity in the states.
âRegardless of the rhetoric surrounding them, state work requirement requests are really about cutting Medicaid.â
The Trump administration is claiming that work requirements will make people healthier.
"If the state officials and the administration want to improve health and well-being, they should offer real help with finding well-paying, safe, and accommodating work to all Medicaid enrollees, but on a voluntary basis.â
