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Mississippi Medicaid Work Requirement Waiver Contemplates Significant Coverage Losses for Very Poor

Posted: 14-Feb-2018

Mississippi Medicaid Work Requirement Waiver Contemplates Significant Coverage Losses for Very Poor Families

February 14, 2018, Georgetown University Health Policy Institute, Joan Alker- 

I recently pulled out my calculator to look into the budget neutrality assumptions underlying Mississippi's Section 1115 Medicaid waiver, and the results were disturbing. 

I unpacked this waiver in a previous blog. Kansas has a similar request pending1 and a handful of other non-Medicaid expansion states have suggested they may follow suit (including Alabama, South Carolina, and South Dakota). This waiver is currently up for public comment at the federal level and seeks to impose a work requirement on non-disabled adults on Medicaid in Mississippi - a non-expansion state. As a result, the work requirement targets only the poorest parents and caretaker relatives in the state who are living below 27% of the federal poverty line. 

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