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Gov. Sanders wants to implement work requirement for state Medicaid program

Gov. Sarah Huckabee Sanders said they'll ask the federal government to implement a work requirement for the Medicaid program.

LITTLE ROCK, Ark. — Arkansas Governor Sarah Huckabee Sanders announced Wednesday that the state will ask the federal government for a waiver so it can start a work requirement for the Medicaid program.

Sanders announced the submitted proposal will require people to work, go to school, or volunteer in order to be eligible for the Medicaid program, ARHOME.

She said there are roughly 300,000 people currently in the program and that this work requirement would "immediately address workforce challenges" in Arkansas.

"Arkansas is still too far behind in making sure that able-bodied citizens are working and we've got to get more people off the sidelines and in the game," the governor said at a press conference.

Sanders claimed enacting this would get people on a "clearer path from government dependency to financial independence."

In June 2018, Arkansas was the first state to enact work requirements for the program, which led to around 18,000 adults losing coverage. It required adults from 30 to 49 to work 20 hours a week, volunteer in "community engagement" events, or get an exemption.

Then in 2019 a federal judge ruled against the requirement along with a similar effort in Kentucky and most of the people who lost Medicaid coverage in Arkansas had it restored.

Researches at Harvard found that people who lost coverage faced increased financial insecurity and around half experienced "serious problems paying off medical debt."

Kristi Putnam, Arkansas's human services secretary, was a part of the effort in Kentucky to add a work requirement for its Medicaid program.

The governor said this requirement would be different than the 2018 work requirement because those who don't participate in the program would revert to "fee-for-service" coverage.

"When able-bodied adults don't work, volunteer, or go to school they aren't just a burden on the taxpayer, they're also being denied a chance to achieve independence from the welfare system," Sanders said. "With today's change we can break that vicious cycle."

The Democratic Party of Arkansas said Sanders' plan will "waste our state's time and money trying to undo" previous bipartisan efforts in Medicaid expansion.

"It will hurt Arkansans and fail in the courts," said Will Watson, Director of Strategy for the Democratic Party of Arkansas," which she knows but can't resist a headline."

Putnam said the state will post a draft Medicaid waiver amendment on April 23 for 30 days of public comments. Arkansas expects to submit the amendment on June 1.

The proposed amendment is expected to go into effect in January 2024.

We will update this article with more information as it becomes available.

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