Michigan Medicaid Waiver

The State of Michigan Legislature is applying for an ACA Waiver as I pointed out in my post Why States Should Not Be Allowed to Alter the ACA with Waviers

This is a relief valve for “counties” with high unemployment. In effect if Michigan counties have a high unemployment rate (8.5% or above), the unemployed workers in that county can have Medicaid until such time as the Unemployment Rate drops to 5%. Then the workers are expected to seek employment to be eligible for Medicaid. Ok, that should cover Detroit, Flint, Saginaw, Muskegon, etc. high unemployment rate. which exceeds 8.5%. Or does it qualify them?

The issue with SEC 107B is the word “Counties.” By using solely the word counties, SEC 107B does not make an exception for townships, villages, or cities. For example, Wayne County has an unemployment rate of 5.5% and not 8.5% or greater. As a result, Detroit which does have an unemployment rate greater than 8.5% and sits in Wayne County does not qualify for a Medicaid exemption because it is not a county. Neither would the other Michigan cities in other counties with low unemployment rates qualify. Set this aside for a moment.

The waiver strips predominantly Black populated Michigan cities of Medicaid if the county in which the city resides has an unemployment rate lower than 8.5% even though the city has an unemployment rate higher than 8.5%. Additionally and besides a work requirement of 29 hours per week, the bill will end Medicaid and expanded eligibility for residents after they’ve been on Medicaid for 48 months for those earning between 100% and 133% FPL and eliminate the option to extend coverage by completing healthy behaviors.

To force the issue with lame duck governor Rick Snyder, the Senate on Thursday (May 7th) approved a $56.6 billion budget which includes a suspension of the salaries of Health and Human Services Director Nick Lyon and other top officials in the department if Governor Snyder does not request and secure a federal waiver to implement the Republican legislation passed Medicaid work requirement, and other proposed parts of the legislation. The CMS has already blocked a lifetime limitation on healthcare in Kentucky’s waiver request. When the legislature includes a particular mandate on a budgetary piece of legislation, it can not be overturned by a vote. Both the House and the Senate are controlled by Repubs.

It is unlikely the CMS will approve Michigan’s waiver as they have already blocked Kansas and I believe Kentucky.

Sponsor of the Legislation Sentaor Shirkey:

“This is personal for me, because I laid a lot of political capital on the line to try to get this done,” (Shirkey coaxed fellow Republicans to support the Medicaid expansion in 2013 but is now leading the reform effort).

I still believe it was the right thing to do, but I’m not going to go back on the promises that were made to get those votes.”

Republican Michigan State Senators Shirkey and Joseph Hune have lifetime healthcare benefits which they passed for themselves in 2012.

run75441 @ Angry Bear Blog

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