Congress eyes work rules for millions covered by Medicaid

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More than a half million of the poorest Americans could be left without health insurance under legislation passed by House Republicans that would require people to work in exchange for health care coverage through Medicaid.

It’s one of dozens of provisions tucked into a GOP bill that would allow for an increase in the debt limit but curb government spending over the next decade. The bill is unlikely to become law, though. It is being used by House Republicans to draw Democrats to the negotiating table and avoid a debt default.Democrats have strongly opposed the Medicaid work requirement provision, saying it won’t incentivize people to get a job and will drive up the number of uninsured in the country.

The requirements would also be more equitable for those who are working to support their families, said House Majority Leader Steve Scalise, R-La. Work requirements can put Medicaid enrollees in a bind. While no one has been kicked off Medicaid over the last three years because of the pandemic, that changed in April when the federal government required states to review income eligibility for all enrollees to see who now makes too much money to qualify for the health care benefits.

Suddenly, instead of a $3 copay, she was billed $120 for a cancer screening ordered by her doctor. Meanwhile, their rent increased by 40% since the pandemic started, and the cost of food, utilities and other essential have gone up. The House GOP bill won’t pass a Democratic-controlled Senate or be signed into law by President Joe Biden in its current state.

 

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