CMS Considers Withdrawing Medicaid Work Requirements

The Biden administration is considering rescinding a controversial Trump-era rule requiring Medicaid beneficiaries to work in order to receive coverage.


Recently, the Centers for Medicare and Medicaid Services sent letters to several states that received approval for a Section 1115 waiver. Nine states received a letter, including Ohio.


The letters cited the administration’s “serious concerns about testing policies that create a risk of substantial loss of health care coverage in the near term,” as well as the COVID-19 pandemic’s impact on health and accessibility.

Through the letters, CMS informed Ohio and other states that the Biden administration will commence a process to determine if the policy should be withdrawn, giving them 30 days to submit information contesting the decision.


Instead of providing a nine-month decision process, states received a written notice and an opportunity to request a hearing before determining whether to suspend, modify or withdraw the waiver. No work requirements are currently in effect due to rulings by federal courts, and the policy is up for review by the Supreme Court on March 29.