The Wall Street Journal: States may be allowed to impose new Medicaid requirements

The Trump administration will work with states that want to alter their Medicaid programs by imposing work requirements, premiums, emergency-room copayments and other changes, part of a Republican effort to give states more authority over the program’s implementation.

The action is expected to allow states to obtain waivers from the federal government that some health analysts say could add several first-ever obligations for beneficiaries and pare back coverage.

The move is part of the plan envisioned by congressional Republicans and the White House to replace the Affordable Care Act, which includes legislation now before the House.

Health and Human Services Secretary Tom Price and Seema Verma, the newly installed administrator of the Centers for Medicare and Medicaid Services, on Tuesday issued a letter to governors pledging to work with states on waivers that would allow them to try new approaches to Medicaid.

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