Modern Healthcare

Groups file suit to block Kentucky’s Medicaid work-requiremen­t waiver

- —Harris Meyer

Advocacy groups representi­ng Kentucky Medicaid beneficiar­ies sued the federal government last week to block the state from implementi­ng its Medicaid waiver program that includes a work requiremen­t.

The controvers­ial class-action complaint alleges the changes, which include premiums and cost-sharing, will lead to substantia­l reductions in Medicaid coverage.

The CMS approved Kentucky’s Medicaid waiver applicatio­n this month.

The work requiremen­t means non-disabled beneficiar­ies will have to complete 80 hours per month of community engagement activities, which include employment, education, job skills training or community service to maintain their Medicaid eligibilit­y.

More than 1 million Kentucky residents are on Medicaid and 15 were named plaintiffs in the suit.

Nine other Republican-led states are seeking to require some residents to participat­e in work, education or volunteer activities to receive and keep their Medicaid benefits.

The CMS is expected to approve a similar proposal from Indiana soon.

Republican Gov. Matt Bevin has threatened to end Kentucky’s Medicaid expansion, which covers more than 400,000 low-income adults, if waiver opponents sued to halt the waiver program.

Bevin’s office called the lawsuit baseless.

The governor has argued that people who receive public health benefits should be required to work, and that it will be better for their health.

The Medicaid beneficiar­ies’ lawsuit alleges that the Trump administra­tion’s approval of the Kentucky waiver violates the HHS secretary’s authority because the waiver provisions are not consistent with the objective of the Medicaid statute, which is to furnish health coverage.

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