Clipboard with a sheet of paper with "Medicaid" written at the top on a desk with stethoscope and other medical equip ment.

Work Requirements for Medicaid Could Be Returning as Republicans Take Back the Power

During the first Trump Administration, states were encouraged to submit waiver requests to implement Medicaid work requirements, a decision which signaled the weaponization of the Section 1115 authority as a means of achieving a long-standing Republican policy goal. Ultimately, thirteen such waivers were approved. Federal lawsuits soon followed and stories about how these requirements could impact rural communities began to emerge. 

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Farm in Maine in Autumn. Woods with fall colors.

‘Grotesque Catch-22’ – Sickest Rural Adults Are the Least Likely to Be Able to Pay for Healthcare

Research on cost barriers to health care found that rural adults were more likely than urban adults to report being unable to pay their medical bills or have problems paying their medical bills. Rural adults also were more likely to use medications in ways not prescribed (like taking pills every other day or only filling prescriptions every other month) to save money on medication.

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