9 Matching Annotations
  1. Feb 2020
  2. www.cbpp.org www.cbpp.org
    Trump Administration’s Harmful Changes to Medicaid
    9
    1. LynseyAg 28 Feb 2020
      Beginning February 24, 2020, DHS immigration officials will be able to reject immigration applicants if they have received, or are judged likely to receive in the future, any of an array of benefits, including Medicaid. Timing for the DoS implementation of the policy has not yet been announced.

      I am so glad that this was mentioned in the article. I work trafficking survivors where public charge would not apply, but they still discuss fear around using these benefits and it is really discouraging.

    3. LynseyAg 28 Feb 2020
      These changes have caused low-income people — including eligible children with complex health care needs — to lose coverage and forgo needed medical care while trying to re-enroll in Medicaid. Pressure for added paperwork and verification may have contributed to some states’ large declines in Medicaid enrollment, and will likely worsen the problem going forward.

      This is so discouraging for multiple reasons:

      1. Accessing healthcare SHOULDN'T be hard
      2. Adding additional document requirements is burdensome and can be a lengthy process, especially if there are people who aren't accessing the care they need in the meantime
      3. If one isn't familiar with the enrollment process/re-enrollment process, they may have to go out of their way to find a physical location that has services to help them which can be challenging for all people, especially those with disabilities
    4. LynseyAg 28 Feb 2020
      In both states, evidence suggests that people who were working and people with serious health needs who should have been eligible for exemptions lost coverage due to red tape.

      I would imagine many older adults would be in this category.

    5. LynseyAg 25 Feb 2020
      The Trump Administration has also given states unprecedented authority to require people in poverty to pay premiums for their health coverage, in spite of extensive research showing that premiums significantly reduce low-income people’s participation in health coverage.

      Interesting from the linked article, "Even relatively small levels of cost sharing in the range of $1 to $5 are associated with reduced use of care, including necessary services."

      A ripple effect to think about is when this low-income population gets older, there are going to be even more health problems as they become elderly because of the barriers to service when they were younger. It's just setting the up for an unhealthy life.

    6. LynseyAg 25 Feb 2020
      In May 2019, the Office of Management and Budget issued a notice requesting comment on a proposal to use a lower inflation measure to calculate annual adjustments to the federal poverty line.

      This is like the equivalent of gerrymandering?! Ridiculous, and also does not solve any problem, yet ignores it!

    7. LynseyAg 25 Feb 2020
      Older adults. While Medicare-eligible seniors would be excluded, early retirees receiving Social Security but not yet eligible for Medicare could be affected.

      I can also imagine in low-income families, there could be a burden for older adults/parents to help contribute/provide for their adult-aged children since this could cut access for both of them. There is almost always some kind of domino effect with policies involving health care, especially when it includes a reduction.

    8. LynseyAg 24 Feb 2020
      States with block grant waivers could deny coverage for prescription drugs, allow states to impose higher copayments on people in poverty, and waive standards for managed care plans

      I'm curious what they expect to be the alternative for people who this will be affecting? It's difficult for me to wrap my head around the idea that they would take this essential funding away from underserved populations and yet imposing higher taxes for wealthy is considered crazy.

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    cbpp.org/research/health/trump-administrations-harmful-changes-to-medicaid