What is the new requirement to maintain health coverage in the US and who is exempt?

Home International What is the new requirement to maintain health coverage in the US and who is exempt?
What is the new requirement to maintain health coverage in the US and who is exempt?

Since January 1 of this year, the Donald Trump Government updated the work requirements to obtain Medicaid coverage. The new provision forces people to work longer hours.

According to media such as Infobaethe rule was introduced by the Centers for Medicare and Medicaid Services (CMS), and states that people who do not want to lose coverage under the US medical program, they must work or study at least 80 hours per month.

According to the Government, this requirement seeks to encourage the search for employment and social integration. However, Infobae clarifies that the measure It could even make people more likely to lose health coverage.

Infobae notes that, starting in the first year, Medicaid beneficiaries must declare on their forms that meet that condition to be exempt.

He adds that this measure is temporary while states develop verification systems. The media details that, starting in 2028, Medical benefit programs will require proof from beneficiaries.

Who is exempt from this rule?

The media points out that the provision allows exemptions for some specific groups, so they will not lose the Medicaid benefit, free or low-cost health insurance.

Some of the exempt groups are:

  • pregnant women
  • Parents or caregivers of young children
  • Veterans with disabilities
  • People considered “medically fragile”
  • Other groups defined by each state

Infobae points out that, starting in 2028, states will verify the information presented by beneficiaries of Medicaid through medical records and administrative data.

The authorities recognize that this is a measure that could facilitate false declarations by some people to meet the requirements, but they consider it necessary while controls are perfected.

Finally, on whether the measure will be beneficial or not, Infobae states that, due to these new requirements, more than Five million people could lose Medicaid coverage by 2034.

Also read: What Trump’s new agreement to lower the price of weight loss drugs means

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