Trump opens door to low-income Americans being forced to work in order to receive Medicaid

In a major departure from more than 50 years of US healthcare policy, the Trump administration will let states move towards imposing work requirements on people as a condition for obtaining health insurance under the Medicaid government program for the poor. The proposed change will allow states to deny access to Medicaid – the largest single health insurance provider in the country – to certain low-income adults, as part of a sweeping welfare reform that many Republicans have demanded for years. A letter from Centres for Medicare and Medicaid Services (CMS) deputy administrator Brian Neale declared the Trump administration was “incentivising work and community engagement” by allowing states to exempt certain adults from the programme if they were not working or participating in “community engagement”.

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