Governor-elect Jeff Landry of Monroe is considering work requirements and co-payments for people enrolled in Louisiana’s Medicaid program. Proposal are popular among republicans But controversial in the health care field.
We’re working to move people from dependence to independence, Landry said during a news conference at the University of Louisiana at Monroe on Wednesday, when asked about possible work requirements and co-payments.
He said, the more freedom you give a person, the more opportunities you give them to work, the more effort they are able to put into their labor, the more rewarded that person is. Apparently, this is why you see older people who continue to work well into their 70s and even 80s.
“So I will tell you that we are going to put everything on the table,” he said.
Medicaid work requirements generally force able-bodied adults to work, volunteer, or enroll in school in exchange for coverage. Co-payments are a form of cost-sharing for health care plans. Under such a proposal, Medicaid recipients would be responsible for paying a portion of their health care bills. During medical visits.
Democrats and public health advocates have questioned whether Medicaid work requirements actually achieve their stated purpose of encouraging people to get jobs.
The majority of Medicaid recipients in Louisiana are children. Thousands of others have a disability that makes it impossible to get a job. Low-income people enrolled in Medicaid are often already employed; They don’t make enough money to be able to afford private insurance.
“Certainly, I hope that’s not the plan because we know work requirements don’t work,” said Jan Moeller, head of the Louisiana Budget Project, a left-wing organization that advocates for low-income people. “It puts another barrier in front of people who just want to go to the doctor when they’re sick.”
At the behest of Republican state lawmakers, Louisiana briefly Focus on implementing work requirements for Medicaid in 2018 But when it appeared that the work mandate might cost the state more money than it was saving, he quickly abandoned the proposal.
At the time, state health officials said the order would require them to create an entirely new bureaucracy. Louisiana would then have to hire more state employees and invest in new technology to track whether Medicaid recipients are complying with the proposed work demands.
Republican and Democratic state legislators also became concerned that the work requirement would create an additional barrier to enrollment and inadvertently exclude from Medicaid those who should still be eligible.
when arkansas Briefly established work requirements in 2018, thousands of people were dropped from Medicaid, partly because they didn’t fill out the paperwork properly. After all, a federal judge Directed Arkansas to completely end its work mandate,
Madeline Guth and Marybeth Musumeci wrote for the health care policy think tank KFF in 2022, “Data from Arkansas show that these requirements were confusing to enrollees and resulted in substantial coverage loss, including among eligible individuals.”
In Georgia, Republican Governor Brian Kemp has also struggled to get the Medicaid program off the ground this year. After three months only 1,300 people had signed up for coverage, even though the Kemp administration had projected enrollment would reach 100,000. According to the Associated Press,
Co-payments for people enrolled in Medicaid also face strong opposition from hospitals and other medical providers.
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People on Medicaid, by definition, are low-income or living with a disability. They are often unable to pay a portion of their bill out of pocket. Health care providers have said hospitals and doctors often lose money when Medicaid patients are asked to pay for part of their services.
We’ve always been against co-payments, said Randy Morris, president of the Louisiana Rural Hospital Coalition and owner of West Carroll Health Systems.
Earlier this year, Mississippi eliminated co-payments for its Medicaid enrollees because local hospitals said it was difficult for them to collect the money from patients.
Landry took over from Democratic Governor John Bel Edwards on January 8.
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