The Trump administration will allow states for the first time to impose work requirements on Medicaid recipients.
The Centers for Medicare & Medicaid Services released a guidance Thursday outlining what states need to do to mandate that certain Medicaid enrollees work to qualify for benefits. The agency is expected to start approving state waivers promoting "community engagement activities" in coming weeks.
The historic move would be a significant change in how the government health insurance program operates and would fulfill a longtime Republican goal. States, for instance, could require non-disabled, working age recipients to work, volunteer, go to school or enter a job training program. The guidance also includes caregiving as one of the activities.
"Medicaid needs to be more flexible so that states can best address the needs of this population. Our fundamental goal is to make a positive and lasting difference in the health and wellness of our beneficiaries, and today's announcement is a step in that direction," said Seema Verma, the agency's administrator.