On May 22, the U.S. House of Representatives passed a budget reconciliation bill that will require all states to adopt work requirements as a condition of Medicaid enrollment for low-income working-age people who gained coverage based on the Affordable Care Act Medicaid expansion.
Our earlier analysis estimates that up to 72% of working-age adult community health center Medicaid patients in expansion states—or 5.6 million people—are at risk of losing coverage, whether or not they work or qualify for an exemption. Our new data note summarizes the impact of those cuts at the state level and illustrates that while the impact of work requirements will vary by state, people in all expansion states will be affected, with serious implications for CHCs and the patients they serve.
The Senate is aiming to move quickly on final legislation. This analysis, which highlights the potential coverage losses to CHCs at the state level, underscores the disruptions to coverage, access and health center services that are likely to result from mandatory Medicaid work requirements.
New Scenario Planning Snapshots – State Level cuts
Our colleagues at Capital Link have designed new Scenario Planning Snapshots to equip CHCs with valuable analysis to support data-driven decision-making and strengthen strategic planning and risk management.
Find your state scenario snapshot here
View the National Scenario Planning Snapshot here
Notes from Washington
In a new blog, Jane Tavares and Marc Cohen of University of Massachusetts-Boston, together with GW's Sara Rosenbaum and Alison Barkoff, provide a critique of American Enterprise Institute analysis on how Medicaid recipients use their time. Read, The Fundamental Flaw in “How Workers Spend Their Time”
