The Centers for Medicare & Medicaid Services recently rejected a proposal from Kansas to place a three-year lifetime cap on some adult Medicaid enrollees. Arizona, Utah, Maine and Wisconsin have also requested lifetime limits on Medicaid.  Since Medicaid began in 1965, no state has restricted how long beneficiaries could remain in the entitlement program.

 This was the first time the Trump administration has rejected a state’s Medicaid waiver request regarding who is eligible for the program.  CMS has approved work requirements for adults in four states —New Hampshire, Kentucky, Indiana and Arkansas.

All these states expanded Medicaid under the Affordable Care Act to cover everyone with incomes of more than 138% of the federal poverty level ($16,753 for an individual). The work requirements would apply only to adults added through that ACA expansion.


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