Title

Stewart v Azar and the Purpose of Medicaid: Work as a Condition of Enrollment

Document Type

Article

Publication Date

3-2019

ISSN

0033-3549

Publisher

Sage Publications, Inc.

Language

en-US

Abstract

On June 29, 2018, a federal district court found that the US Department of Health and Human Services (HHS) did not properly approve Kentucky’s application for a controversial Medicaid waiver, the first to require work as a condition of eligibility.1 Because HHS’s approval was vacated, Kentucky’s Medicaid program was required to continue as if no waiver existed, but 3 other states had already received HHS approval to proceed with work requirements. This article provides context for understanding the relevance of work requirements to implementation of Medicaid expansion under the Patient Protection and Affordable Care Act (hereinafter, Affordable Care Act),2 discusses the district court’s decision, and considers what may come next.

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