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.

About 84 million people are enrolled in Medicaid, and the Congressional Budget Office estimates 15 million would be subject to the requirement. The Health and Human Services Department, however, predicts millions more - about a third of enrollees altogether - would be required to work.Republicans say the move would help push Americans into jobs that eventually might put them in a position to move off of government aid.

“It’s not just people who are subject to the requirements that often get caught up in red tape,” she said. “It can often be people who are exempted.” People who picked up work, earned a small raise or switched jobs are finding that those new incomes could soon cost them coverage. “It just seems like the system is set up so that you don’t want to go back because you lose more than you gain,” Shaw said. “It makes me not want to go and get my mammogram and my colonoscopy. I don’t even want to go to these appointments because it’s going to cost so much money.”That largely depends on how many people who would be required to work opt not to or don’t fill out the proper paperwork to remain covered.

 

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