Statement by Joan Alker, Executive Director of the Georgetown University Center for Children and Families and Research Professor at the McCourt School of Public Policy:
“This rule gives states a raw deal, but more importantly, puts health care at risk for people with illnesses and chronic conditions like cancer or a substance use disorder. It provides vague guidance about a convoluted process with harsh consequences for any missteps.
HHS has made the work reporting requirements even harsher than what Congress passed and far more complicated to implement than states had anticipated based on guidance and technical assistance from CMS. The rule makes it impossible for states to implement on time and in ways that mitigate enrollment losses – particularly for those with chronic conditions who desperately need health coverage. This new rule contributes to a developing pattern where the Trump Administration doubles down on Medicaid cuts and coverage losses stemming from H.R.1 making them even worse.
In addition, it imposes more red tape and paperwork than is required for people to maintain their health coverage, forcing states to collect private medical documentation and other personal information from people, health care providers, and others to turn it over to federal regulators when asked. Health care providers, community-based organizations and others will face huge unfunded paperwork burdens that they are not expecting. The only winners from this rule are tech vendors who will profit from the excessive verification requirements.”
Georgetown CCF researchers are analyzing the rule and will have more to share with you in the coming weeks. In the meantime, state-by-state information on the work reporting mandate is available here.