Three states – Kentucky, Indiana and Arkansas – have now gotten permission from the Centers for Medicare and Medicaid Services to add work requirements to Medicaid. More are in the wings – possibly including two states with Democratic governors who are looking for some way to compromise with Republican legislators to expand Medicaid under the Affordable Care Act .
In our latest tip sheet, TPM’s Alice Ollstein explains some of the debates reporters need to understand as they cover this topic.
The most pressing questions in the states focus on the fiscal commitments to future Medicaid spending, the cost of actually instituting the work rules, and whether the work requirements themselves will survive legal challenges.
The new tip sheet also has links to other resources – including data on whether work rules imposed in Temporary Assistance for Needy Families (TANF) actually increased labor force participation.