Friday Five - June 2, 2017

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June 02, 2017
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It’s Friday and this week in our Friday Five series, MAXIMUS is sharing what’s behind the White House budget’s focus on work requirements; how state Medicaid programs are tilting more conservative; and, how the Senate’s hands-off strategy on the House’s American Health Care Act (AHCA) is playing out.

1. Why Work Requirement Became a Theme of the Trump Budget

The new White House budget proposal is built on a deep-rooted conservative belief: the government should help those who are willing to work, and cull from benefit rolls those who aren’t. For Office of Management and Budget (OMB) director Mick Mulvaney, the economy will take off for all Americans when each able-bodied citizen embraces the civic duty to hold down a job. The New York Times dissects how work requirements have been woven into the Trump administration’s budget.

2. One Poll Shows Just How Difficult It Is for Republicans To Repeal And Replace

Republicans are finding their plan to repeal and replace the Affordable Care Act (ACA) is running into obstacles both expected and unexpected. One major issue is public opinion. According to a recent survey from the Kaiser Family Foundation, just 31 percent view the American Health Care Act (AHCA) favorably. Even fewer support individual elements of the bill. Catch up with Business Insider on what the public thinks about the AHCA.

3. At Trump’s Urging, States Try to Tilt Medicaid in Conservative Directions

From Maine to Arizona, states are seizing on an invitation by the Trump administration to redesign Medicaid. For example, Wisconsin is preparing to recast BadgerCare, its version of Medicaid, to require low-income adults to undergo drug screening to qualify for health coverage and set time limits on assistance unless they work or train for a job. The Washington Post takes a look at the states at the forefront of a movement intended to inject “a brand of moralism and individual responsibility” into Medicaid.

4. Senate Strategy on House Health Care Bill: That’s Not Ours

Senate Republicans have a plan to avoid answering questions on the House legislation to repeal large portions of the 2010 health law: to say it’s not their bill. Facing possible constituent inquiries about the Congressional Budget Office’s (CBO) recent score of the bill, Sen. Marco Rubio (R-FL) and other GOP senators have emphasized that the House bill is distinct from the Senate’s draft bill. Roll Call explores Republican senators’ reactions to the House bill’s CBO score and what they say about their own legislation.

5. CMS Chief Hints at Changes to Medicaid

“We need a solution for low-income, non-disabled Americans…I question whether Medicaid is the best vehicle,” said Seema Verma, Centers for Medicare and Medicaid Services (CMS) administrator, in a recent interview. She said she believed there should be a mechanism that allows people in poverty to pay for medical coverage, but suggested it occur through the private market. Read more from the Washington Examiner on her comments and why she is also more “open” to state flexibility in Medicaid and work requirements.

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