The Trump administration today approved Utah's request for a scaled-back Medicaid expansion with a work requirement just days after a federal judge blocked similar rules from taking effect in Kentucky and Arkansas
approved Utah's request for a scaled-back Medicaid expansion with a work requirement just days after a federal judge blocked similar rules from taking effect in Kentucky and Arkansas.
The approval also lets Utah cap program enrollment if the state runs out of money and marks the first phase of a plan to replace a Medicaid expansion voters approved last November with a scaled-down program covering roughly 60,000 fewer people.The Utah plan will initially cost the state tens of millions of dollars more and was spearheaded by Republican leaders critical of Obamacare's Medicaid expansion. It will extend the program to adults with incomes below the federal poverty line.
Utah is still seeking Trump administration approval for two unprecedented ideas that HHS has so far declined to act on — obtaining the enhanced funding even when a state is covering fewer people than Obamacare envisions, and imposing per-person limits on the amount of federal funds the state receives. Utah for now is relying on existing Medicaid funding to cover individuals up to the federal poverty line.
Coverage under the administration waiver is slated to take effect on April 1 and the work requirement will take effect in January. Poor adults earning above the poverty line, who would otherwise be enrolled in Medicaid expansion, will remain eligible to receive generous Obamacare subsidies to purchase private coverage.
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