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Montana May Be Model For Future Medicaid Work Requirement

NPR

By: Eric Whitney

Montana’s senator, Ed Buttrey, is not a fan of the Affordable Care Act, but he does want everyone to get benefits by linking healthcare coverage with job training to find a better job or better pay, and get the most benefits out from it. However, Joan Alker, CCF’s executive director, mentioned that that was a good idea, but that the bad thing was that it would not support every single person in need of healthcare coverage.

But health policy researcher Joan Alker, who runs the Center for Children and Families at Georgetown University, warns that it could backfire. “I think it’s great and well worth doing — to link people who might not be aware of existing job training programs or other kinds of work supports that can help them work. What I think is problematic is when this becomes a stick and not a support,” she says.

Alker says many people on Medicaid already have jobs, often low-paying ones that don’t offer health insurance. These people often have little time for new training. In Montana, about two-thirds of people on Medicaid are employed. Alker says if people fail to meet a work requirement and then lose health benefits as a result, they’ll likely just get sicker and become less able to work.

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