Medicaid Work Requirements Need Real Enforcement |
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Medicaid Work Requirements Need Real Enforcement
Americans overwhelmingly support commonsense work requirements for able-bodied adults receiving Medicaid benefits, not policies that are easily gamed.
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President Ronald Reagan famously embraced the Russian proverb “Trust, but verify” during negotiations with the Soviet Union over nuclear arms reductions. Reagan understood that when there are incentives to cheat, verification is essential.
That same principle applies to government welfare programs, including the forthcoming Medicaid work requirements. In the Working Families Tax Cut Act — also known as the One Big Beautiful Bill — Congress required able-bodied, working-age adults to work, volunteer, or participate in job training to receive Medicaid unless they qualify for an exemption. More than 80 percent of Americans support such requirements.
The work requirements are more important because of Obamacare. The federal government pays states roughly seven times more for able-bodied, working-age adults on the program per state dollar than it does for traditional Medicaid enrollees — such as children, pregnant women, seniors, and individuals with disabilities. To protect the most vulnerable, the federal government must put guardrails on spending for expansion enrollees.
The work requirements do not apply to people with disabilities, parents with........