Kentucky to add Medicaid work requirement; first state to follow Trump plan

Kentucky received the green light Friday to necessitate many of its Medicaid recipients to work in order to receive coverage.

The Bluegrass State thus becomes the first country to act on the Trump administration’s unprecedented change that could affect millions of low-income people receiving benefits.

Under the new regulation, adults age 19 to 64 required to complete 80 hours of “community engagement” per month to keep their care. That includes running a chore, going to school, taking a job-training course or volunteering.

“There is dignity associated with earning the value of something that you receive, ” Kentucky Gov. Matt Bevin said. “The vast majority of men and women, able-bodied men and women … they want the dignity links with being able to earn and have engagement.”

“There is dignity associated with earning the value of something that you receive. The vast majority of men and women, able-bodied men and women … they want the dignity links with being able to earn and have engagement.”

– Kentucky Gov. Matt Bevin

Kentuckians also will be required to pay up to $15 a month for their insurance, with basic dental and vision being eradicated entirely. However, those benefits can be earned back through a rewards program, such as getting an annual physical, completing a diabetes or weight management course or participating in an anti-smoking program.

The change was approved Friday by the Center for Medicare and Medicaid Services.

The Trump administration announced Thursday it would allow for states to impose work requirements for people receiving Medicaid.

Bevin, a Republican, said the decision stemmed from concern about public health. Despite the fact that more Kentuckians have insurance, they’re not becoming any healthier, he said.

The state, along with the rest of Appalachia, falls behind the rest of the U.S. in 33 out of 41 population health indicators, according to a recent survey. Bevin believes the new run requirement will assist change the statistic.

Bevin’s office also stated in its proposal to Washington that the move will save taxpayers more than $300 million over the next five years, and estimated that up to 95,000 people could lose their benefits since they are either didn’t comply with the new rule or they obtained jobs that pay too much fund and push them out of the low-income bracket.

However, there are some exemptions to the work requirements that will be enforced starting in July and remain in effect for five years. Pregnant girls, full-time students, former promote care youth, primary caregivers of children and the elderly and full-time students will not be affected.

People deemed “medically frail, ” a broad term that encompasses people who are battling medication and alcohol addiction, will also be exempt.

Critics of the new plan said the changes could lead to many low-income families being denied required coverage because of technicalities and challenging new paperwork.

Democratic U.S. Rep. John Yarmuth, who represents Louisville, calling it a “dangerous and irresponsible” decision that will lead to the “financial ruin” or thousands of families that reside in Kentucky.

Medicaid cover-ups more than 70 million people, or about one in five Americans. Currently, the largest government health insurance program does not required people to have a chore or be employed to receive the benefits.

Fox News’ Brooke Singman and the Associated Press contributed to this report .

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