HHS data highlights negative effects of work requirements

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Twenty-three states asked for approval for work requirements, and 13 were approved under the Trump administration

New Department of Health and Human Services data shared exclusively first with CQ Roll Call shows that efforts by states to seek work requirements or capped funding result in reduced enrollment and access to care.

The report looks specifically at Section 1115 waivers, which are used to test new types of Medicaid and Children’s Health Insurance Program demonstration projects at the state level. Traditionally, these waivers had been used before the Trump administration to expand access to care for subsets of the population.

The Trump administration pushed policy changes to allow states to apply to implement work requirements or seek capped funding in exchange for added program flexibility. Continue reading.