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Ohio Dept Insurance – Ohio Governor John Kasich (in office 2011-2019) announced in early 2013 that the state would expand Medicaid using federal funds to cover most costs ( the federal government paid the full cost until 2016, the federal government will continue to pay at least 90% of the cost to cover the new eligible population).

Ohio lawmakers opposed to the Medicaid expansion filed a lawsuit against the Kasich administration in an effort to block the expansion, because the entire legislature did not participate in the decision to expand Medicaid – done through the Board of Directors (six legal advisors overseeing budget reform. ). in the state – most states do not have such a thing) after the Ohio House and Senate voted to block Medicaid expansion and Kasich vetoed the measure.

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Finally, in late 2013, the Ohio Supreme Court ruled in favor of Governor Kasich, and the Medicaid expansion went into effect in 2014. During the 2015 legislative session, the lawmakers to allow the Medicaid transition to continue, even if only partially. grant approval – no special rules for Medicaid expansion.

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By early 2022, Ohio will have approximately 3.2 million Medicaid/CHIP enrollees, a 48% increase from 2013, before the ACA’s Medicaid expansion took effect. And nearly a quarter of those enrollees gained coverage as a result of the ACA’s Medicaid expansion: For the 2022 fiscal year, which began in July 2021, the state said 831,425 people enrolled to expand Medicaid (this population is called Group VIII. , or the expansion group).

Medicaid enrollment has changed over the years. As of June 2019, 526,100 Ohio residents are enrolled in Medicaid. This number is down from 700,000 registered at the beginning of 2018.

Medicaid enrollment, including Group VIII and other enrollment categories, has increased dramatically during the COVID-19 pandemic. This is partly due to the widespread loss of jobs and income, especially in the early days of the pandemic. But most of that was driven by the Families First Coronavirus Response Act, which calls for additional federal Medicaid funding to not be cut off from Medicaid enrollment until the public health emergency ends. COVID. The public health emergency has been declared several times in 90-day periods since the beginning of the epidemic, and is expected to continue until the fall of 2022. The result is Medicaid enrollment has been steadily increasing since spring 2020, no. the common process of re-determining the input and description.

Ohio’s Medicaid enrollment growth is in line with the national average, increasing 50% since 2013 (including the 12 states that did not expand Medicaid under the ACA).

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In its 2018-2019 budget, the Ohio legislature asked the state to seek federal approval for a work requirement that would affect the growing Medicaid population. Even then-Gov. While Kasich has vetoed many items in the budget that affected Medicaid, he has not vetoed work requirements.

In February 2018, the Ohio Department of Medicaid posted the state’s work requirements for a one-month period for public comment. The official application for the job requirement was submitted to CMS in April 2018. Although the Centers for Medicare and Medicaid Services (CMS) approved the waiver in May 2019, it was not implemented. Ohio planned to implement work requirements in early 2021, but delayed due to the COVID pandemic. In August 2021, CMS will officially withdraw approval for the waiver. And despite the federal government’s appeal of that decision, the Medicaid repeal was rejected or withdrawn by the Biden administration, and none took effect until 2022.

It is important to note that a few months after the state’s application was submitted to CMS, the Ohio Department of Medicaid released a major report on Medicaid transfer, which included 98.3% of those who enrolled. continue to enroll in Ohio’s expanded Medicaid.

Worked, went to school, cared for family members, participated in an alcohol or drug treatment program, or experienced severe physical or mental health problems (often serious illnesses) .

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” In other words, it confirms the idea that the majority of the state-expanded Medicaid population is either in compliance with the work requirements, or they should be excluded. (The government said about 36,000 new recruits will start working or enroll in job training, education, or some volunteer work, for a total of 20 hours per week , to avoid Medicaid eligibility.)

Advocates argue that Ohio’s work requirements for SNAP benefits (which are closely modeled after the Medicaid work requirement) have made Ohioans less likely to receive food assistance, but have not improved their employment. However, reliance on food banks and soup kitchens has increased, and food insecurity is a bigger problem than before the implementation of the work requirement for SNAP. Advocates worry that the same thing will happen with Medicaid — no work requirements will improve people’s job prospects, but will harm their health and make it harder to keep a job.

A state analysis of the Medicaid expansion shows that a majority of enrollees (about 84%) say the expansion made it easier to keep a job, and 60% of unemployed enrollees who says it makes getting into Medicaid easier for them. job search When you take away health coverage from people, it’s hard for them to find or keep a job. But in Arkansas, the first state to implement a Medicaid work requirement, 12,000 people lost their Medicaid in the first six months after the work requirement was implemented. There is no doubt that Medicaid work requirements can cause people to lose their accounts. In its 2018 repeal proposal, Ohio said about 18,000 people will lose their Medicaid programs because of failure to meet the state’s work requirements.

While the Obama administration did not approve work requirements for Medicaid, the Trump administration approved work requirements in several states. But most of those were struck down by the courts or government officials blocked it in early 2020, and then the COVID-19 pandemic (and the Families First Coronavirus Response Act, a federal funding supplement department in commerce so that no one is taken from Medicaid) very unenforceable. Medicaid work requirements. In 2021, the Biden administration will rescind the agreement on job requirements issued by the previous administration.

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Former Ohio Governor John Kasich is not a fan of the Affordable Care Act (ACA), but he was one of the few Republican governors who supported the Medicaid expansion portion of the ACA early in the work, and Ohio’s Medicaid scandal had the power to question. himself in the ACA, in January 2014. Kasich has remained a supporter of Medicaid expansion, including during his 2015 presidential campaign.

In early January 2017, Republican lawmakers began to repeal the ACA. Kasich warned his fellow Republicans that repealing the ACA — without a strong replacement — would be a disaster. He pointed to the 700,000 Ohioans who gained coverage as a result of the Medicaid expansion (a number that rose to 725,000 in July 2017, dropped to 640,000 in mid-2018, and then increased to 831,000 during the COVID pandemic), and asked Republican lawmakers to explain how those people will continue to have access to insurance coverage and health care if Medicaid is not extended.

Kasich also said Ohio’s Medicaid expansion has played a big role in the state’s fight against opioid abuse, as it allows people — without insurance — to receive rehab services covered by Medicaid.

Kasich is a long-term incumbent and was unable to run for re-election in 2018. His lieutenant governor, Mary Taylor, is one of the candidates running for governor in 2018. Taylor served as lieutenant governor and director of the Ohio Department of Insurance during the Kasich administration. , but resigned from the insurance executive position in 2017. Taylor has been vocal in his opposition to the ACA. Although he championed Kasich’s expansion of Medicaid while serving as insurance commissioner, he said as governor he would end Medicaid expansion. Taylor’s proposal, which limits Medicaid coverage to those who are unable to work, is not based on income, as the ACA’s Medicaid expansion was.

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Finally, Mike DeWine was the GOP’s candidate for governor in 2018 and won the election, narrowly defeating Democrat Richard Cordrey. Although DeWine has opposed Medicaid expansion in the past, he embraced it in mid-2018 and vowed to maintain eligibility guidelines as governor.

Ohio lawmakers passed their budget bill in June 2017 and sent it to Governor Kasich, who had just two days to review it before the state’s June 30 deadline.

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