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Michigan is the sixth state to receive a work requirement waiver from the federal Centers for Medicare and Medicaid Services. Ten other states have applied for similar waivers and are awaiting federal approval.

Snyder said the waiver will ensure continued operation of his flagship Healthy Michigan plan, which is available to residents in households with earnings between 100 percent and 133 percent of the federal poverty level, which is about $33,000 a year for a family of four.

But Democrats and many health advocates argue the requirements unfairly target a population of low-income residents that includes those with chronic health conditions or other issues making it difficult for them to work.

“The approval of this waiver puts into place work requirements for Medicaid recipients, affecting our state’s most vulnerable residents,” said Gilda Jacobs, president and CEO of the Michigan League for Public Policy.

“It also imposes a premium hike for folks just over the poverty line, charging low-income earners an unprecedented five percent of their income for healthcare.”

Jacobs cited data from the University of Michigan that shows a majority of people who are enrolled in Healthy Michigan are already working, and unemployed recipients face barriers such as chronic illnesses, poor health, advanced age or other limitations.

“Medicaid is a health care program, not a jobs program, and this attempt to change that is terribly misguided.” Dec 21, 2018 – The Detroit News

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