work requirements

Ryland Barton

For the past four years, Kentucky officials have been trying to institute a policy requiring some Medicaid recipients work or do community service to keep their health coverage. It’s been a pillar of Republican Gov. Matt Bevin’s policy priorities, but with Bevin soon leaving office and Democratic Governor-Elect Andy Beshear opposed to the requirement, it would be up to the legislature to continue that effort.

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State officials in Kentucky have delayed the start of some new eligibility rules for a portion of its Medicaid population.

Kentucky is one of 36 states to expand its Medicaid program under former President Barack Obama's health care law to cover more people. President Donald Trump's administration gave Kentucky permission to require those people to do things like get a job, go to school or do community service work to maintain their coverage. The Bevin administration calls these rules the "community engagement" requirements.

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Between 86,000 and 136,000 Kentuckians could lose their Medicaid health insurance after the state rolls out changes to the program in April, according to an updated analysis from The George Washington University.