Skip to content Skip to footer

Trump’s Medicaid Chief Endorses Work Requirement Schemes

States that want to force work requirements for Medicaid recipients an ally in the Trump administration.

Seema Verma, administrator of the Centers for Medicare and Medicaid Services, listens as Vice President Mike Pence speaks during a meeting on health care reform in the Roosevelt Room at the White House in Washington, DC, on Monday, June 05, 2017. (Photo: Jabin Botsford / The Washington Post via Getty Images)
Seema Verma, administrator of the Centers for Medicare and Medicaid Services, listens as Vice President Mike Pence speaks during a meeting on healthcare reform in the Roosevelt Room at the White House in Washington, DC on Monday, June 05, 2017. (Photo: Jabin Botsford / The Washington Post via Getty Images)Seema Verma, administrator of the Centers for Medicare and Medicaid Services, listens as Vice President Mike Pence speaks during a meeting on health care reform in the Roosevelt Room at the White House in Washington, DC, on Monday, June 05, 2017. (Photo: Jabin Botsford / The Washington Post via Getty Images)

States that want to force Medicaid recipients to get a job before qualifying for healthcare have an ally in the Trump administration, according to remarks made on Tuesday by the head of the Centers for Medicare and Medicaid Services (CMS).

Speaking to the National Association of Medicaid Directors, Seema Verma gave a nod to the several states across the country that had hoped to enact Medicaid work requirements only to be shot down by the Obama administration.

“Those days are over,” Verma said in prepared remarks.

“Believing that community engagement requirements do not support the objectives of Medicaid is a tragic example of the soft bigotry of low expectations consistently espoused by the prior administration,” she added.

Arizona, Arkansas, Indiana, Kentucky, Maine, New Hampshire, Utah, and Wisconsin are all seeking to implement work requirements on the low-income public health insurance program. The proposals would require non-disabled Medicaid recipients to get a job or engage in community service in order to receive health care benefits.

A Kaiser Family Foundation survey found that about 60 percent of non-elderly, non-disabled Medicaid recipients are currently employed.

More than half of the states seeking waivers also accepted Medicaid expansion under the Affordable Care Act, in which the federal government footed most of the bill for expanding the program’s reach to 11 million more people who make below $16,600 annually.

Verma suggested work requirements were an appropriate response to the expanded Medicaid population.

“The thought that a program designed for our most vulnerable citizens should be used as a vehicle to serve working age, able-bodied adults does not make sense,” she claimed, noting that the Obama administration “fought state led reforms that would’ve allowed the Medicaid program to evolve to meet the needs of these new individuals.”

New York Medicaid Director Jason Helgerson, who was on hand to hear Director Verma’s speech, told The Washington Post that her remarks were “completely reprehensible.”

“Shocked, appalled would be the two primary reactions I have,” he added.

Kentucky’s Medicaid chief Stephen Miller, however, said his state was “right in sync” with Verma. Miller told the Post he expects his Kentucky’s work requirement waiver to approved “soon.”

Truthout Is Preparing to Meet Trump’s Agenda With Resistance at Every Turn

Dear Truthout Community,

If you feel rage, despondency, confusion and deep fear today, you are not alone. We’re feeling it too. We are heartsick. Facing down Trump’s fascist agenda, we are desperately worried about the most vulnerable people among us, including our loved ones and everyone in the Truthout community, and our minds are racing a million miles a minute to try to map out all that needs to be done.

We must give ourselves space to grieve and feel our fear, feel our rage, and keep in the forefront of our mind the stark truth that millions of real human lives are on the line. And simultaneously, we’ve got to get to work, take stock of our resources, and prepare to throw ourselves full force into the movement.

Journalism is a linchpin of that movement. Even as we are reeling, we’re summoning up all the energy we can to face down what’s coming, because we know that one of the sharpest weapons against fascism is publishing the truth.

There are many terrifying planks to the Trump agenda, and we plan to devote ourselves to reporting thoroughly on each one and, crucially, covering the movements resisting them. We also recognize that Trump is a dire threat to journalism itself, and that we must take this seriously from the outset.

Last week, the four of us sat down to have some hard but necessary conversations about Truthout under a Trump presidency. How would we defend our publication from an avalanche of far right lawsuits that seek to bankrupt us? How would we keep our reporters safe if they need to cover outbreaks of political violence, or if they are targeted by authorities? How will we urgently produce the practical analysis, tools and movement coverage that you need right now — breaking through our normal routines to meet a terrifying moment in ways that best serve you?

It will be a tough, scary four years to produce social justice-driven journalism. We need to deliver news, strategy, liberatory ideas, tools and movement-sparking solutions with a force that we never have had to before. And at the same time, we desperately need to protect our ability to do so.

We know this is such a painful moment and donations may understandably be the last thing on your mind. But we must ask for your support, which is needed in a new and urgent way.

We promise we will kick into an even higher gear to give you truthful news that cuts against the disinformation and vitriol and hate and violence. We promise to publish analyses that will serve the needs of the movements we all rely on to survive the next four years, and even build for the future. We promise to be responsive, to recognize you as members of our community with a vital stake and voice in this work.

Please dig deep if you can, but a donation of any amount will be a truly meaningful and tangible action in this cataclysmic historical moment. We are presently looking for 143 new monthly donors before midnight tonight.

We’re with you. Let’s do all we can to move forward together.

With love, rage, and solidarity,

Maya, Negin, Saima, and Ziggy