Republicans Push Ahead on Medicaid Restrictions

Republicans Push Ahead on Medicaid Restrictions

U.S. President Trump listens to reporters during bill signing ceremony in the Oval Office of the White House in Washington
JOSHUA ROBERTS
By Michael Rainey

The Trump administration on Friday approved Ohio’s request to impose work requirements on Medicaid recipients. Starting in 2021, the state will require most able-bodied adults aged 19 to 49 to either work, go to school, be in job training or volunteer for 80 hours a month in order to receive Medicaid benefits. Those who fail to meet the requirements over 60 days will be removed from the system, although they can reapply immediately.

The new work requirements include exemptions for pregnant women, caretakers and those living in counties with high unemployment rates and will apply only to those covered through the expansion of Medicaid under the Affordable Care Act. There are currently about 540,000 people on Medicaid in Ohio who receive coverage through the expansion, according to Kaitlin Schroeder of The Dayton Daily News, compared to roughly 2.6 million Medicaid recipients in the state overall.

Once implemented, the work requirements are expected to result in 36,000 people losing their Medicaid eligibility, according to state officials, though critics say the reductions could be significantly larger. Similar work requirements in Arkansas pushed 18,000 people off the Medicaid rolls in six months.

A larger GOP project: The creation of new work requirements is part of a larger effort by Republicans to limit the expansion of Medicaid, says The Wall Street Journal’s Stephanie Armour. Since the Affordable Care Act passed in 2010, 36 states have expanded their Medicaid programs under the ACA and the number of people in the program has grown by 50 percent, from roughly 50 million to about 75 million. But many red-state governors have expressed concerns about the cost of Medicaid expansion and worries about a lack of self-sufficiency among the able-bodied poor, and are embracing new limitations on the program for both fiscal and political reasons.  

In 2017, the White House in 2017 gave states the green light to explore ways to limit the reach and expense of their Medicaid programs. Governors have proposed a variety of new rules, which require waivers from the federal government to enact. Kentucky, for example, wants to drug-test Medicaid recipients, and Utah wants a partial expansion and a cap on payments. Kaiser Health News summarizes the variety of waivers states have requested, which are governed by Section 1115 of the Social Security Act, in the chart below. 

Legal challenges: Efforts to restrict Medicaid have received legal challenges, and U.S. District Judge James Boasberg blocked work requirements in Kentucky last year. The same judge, who has expressed doubts about the administration’s approach to Medicaid, will rule on the legality of work requirements in both Kentucky and Arkansas by April 1.

The bottom line: The Trump administration is seeking fundamental changes in how Medicaid works. Even if Boasberg rules against work requirements, expect the White House and Republican governors to continue to push for new limitations on the program.

Fast Cars and Rampaging Dinosaurs Help Universal Shatter Box Office Record

Jurassic World
Universal Pictures
By Millie Dent

High-speed car chases, dinosaurs run amok and yellow, pill-like creatures helped Universal Pictures bring in more money this year than any other studio in movie history.

Universal announced Wednesday that the studio has grossed  $5.53 billion in worldwide box office so far this year, setting an industry record. The Comcast-owned studio has pulled in $3.59 billion internationally and $1.94 billion domestically.

Related: ‘Jurassic World’ set to become fastest film to gross $1 billion

Three global box office hits -- “Furious 7,” “Jurassic World” and “Minions” -- were the most successful films for the studio. “Furious 7” and “Jurassic World” have each brought in over $1 billion already, with “Minions” expected to top $1 billion after its Sept. 13 debut in China. Universal is expected to become the first studio to release three films in one year that each took in over $1 billion.

And there are still some big films slated to be released by Universal before the year is out, including the N.W.A. biopic “Straight Outta Compton,” “Steve Jobs,” and the Tina Fey and Amy Poehler comedy “Sisters.”

20th Century Fox held the previous record for annual box office, grossing $5.52 billion in 2014. 

These Women Are Now Earning Almost as Much as Men

Businesswoman pulling rope
iStockphoto
By Beth Braverman

That women earn 77 cents for every dollar a man makes has been chronicled and discussed at length, but a new analysis by economists at the Federal Reserve Bank of New York finds a far smaller gap among recent grads.

The country’s youngest (ages 22 to 27) female workers earn roughly 97 cents on the dollar compared to their male peers, when controlling for major and field of employment. For many majors, they actually earn more.

Any early advantage disappears, however, once workers hit mid-career, with men earning 15 percent more than women across the board. Even in majors where women earned more during the early years of their careers, men earn more by age 35.

Related: 10 Worst States for Working Mothers

Researchers point to several potential reasons for the reversal, including possible gender discrimination and women’s tendency to scale back their careers to bear and raise children.

“Because raising a family often requires more flexible schedules, those with family responsibilities who have difficulty satisfying time-sensitive work demands may face lower wages in these types of jobs,” the authors write. “In fact, in jobs where such time demands are largely absent, and more flexibility is possible, the pay gap has been found to be much smaller.”

For some women, that means leaving the workforce entirely. The percentage of women age 25 to 54 who are working has fallen to 69 percent since peaking in 1999 at 74 percent, following a 60-year climb. 

Top Reads From The Fiscal Times:

Facebook Patents a Technology That Could Use Your Social Network Against You

A picture illustration shows a Facebook logo reflected in a person's eye, in Zenica, March 13, 2015. REUTERS/Dado Ruvic
DADO RUVIC
By Millie Dent

All that data Facebook has been gathering on you and your friends could someday be used to approve -- or deny -- your application for a loan.

Facebook was just granted an updated technology patent for “authorization and authentication based on an individual's social network.” This innocent-sounding technology can no doubt be applied in a multitude of ways, many of them benign. But one troubling use of the technology consists of assisting lenders in discriminating against a borrower based on his or her social network connections.   

The patent application explains that a lender can use the technology to examine the credit ratings of members of the social network of the individual who is applying for a loan. If the average credit rating of the social network reaches a minimum, pre-defined level, the lender moves forward with the loan process. If the average credit score is too low, the loan application is rejected.

Related: Now Facebook Wants to Know Where You Buy Your Toothpaste

The new technology raises concerns about potential unjust bias, but banks would most likely use it as an additional factor in the loan approval process, not as an end-all metric. The Equal Credit Opportunity Act imposes strict guidelines as to what factors creditors can use when determining whether to approve a loan. It’s unclear if Facebook’s new technology falls under the criteria the federal law defines – things like income, expenses, debt and credit history.

Another fear involves predatory lenders. People rejected for loans through this process would make a nice customer list for unscrupulous financial operators.

Some of the less worrisome uses of the technology include preventing spam email and inappropriate content and improving the accuracy of searches. At this point, it’s not clear how Facebook plans to implement the new technology. Let’s hope the social networking giant stays on the sunny side of the street on this one.

Top Reads from the Fiscal Times:

Facebook Patents a Technology That Could Use Your Social Network Against You

A picture illustration shows a Facebook logo reflected in a person's eye, in Zenica, March 13, 2015. REUTERS/Dado Ruvic
DADO RUVIC
By Millie Dent

All that data Facebook has been gathering on you and your friends could someday be used to approve -- or deny -- your application for a loan.

Facebook was just granted an updated technology patent for “authorization and authentication based on an individual's social network.” This innocent-sounding technology can no doubt be applied in a multitude of ways, many of them benign. But one troubling use of the technology consists of assisting lenders in discriminating against a borrower based on his or her social network connections.   

The patent application explains that a lender can use the technology to examine the credit ratings of members of the social network of the individual who is applying for a loan. If the average credit rating of the social network reaches a minimum, pre-defined level, the lender moves forward with the loan process. If the average credit score is too low, the loan application is rejected.

Related: Now Facebook Wants to Know Where You Buy Your Toothpaste

The new technology raises concerns about potential unjust bias, but banks would most likely use it as an additional factor in the loan approval process, not as an end-all metric. The Equal Credit Opportunity Act imposes strict guidelines as to what factors creditors can use when determining whether to approve a loan. It’s unclear if Facebook’s new technology falls under the criteria the federal law defines – things like income, expenses, debt and credit history.

Another fear involves predatory lenders. People rejected for loans through this process would make a nice customer list for unscrupulous financial operators.

Some of the less worrisome uses of the technology include preventing spam email and inappropriate content and improving the accuracy of searches. At this point, it’s not clear how Facebook plans to implement the new technology. Let’s hope the social networking giant stays on the sunny side of the street on this one.

Top Reads from the Fiscal Times:

This Is What America’s 'Dream Home' Looks Like

Trulia
By Beth Braverman

The dream home for today’s American consumer is just over 2,000 square feet and located outside of a major city, according to a report out today by Trulia.

Consumers polled by the real estate Web site said the top features in their dream home were a backyard deck, a gourmet kitchen, and an open floorplan.

Owning a home is still part of the American dream for 70 percent of those polled, down from 77 percent five years ago. The portion of Americans who want to buy a home one day was highest—hitting almost 90 percent—among millennials.

Related: 10 Luxury Home Amenities that Are Trending Up

Those findings echo the results of a Wells Fargo poll in June, which found that nearly two-thirds of consumers say that home ownership is a “dream come true” and an accomplishment to be proud of.

Despite the desire for home ownership, only 14 percent of those surveyed by Trulia said they would buy a home this year. Nearly 70 percent said they planned on waiting at least two years to make a purchase.

The country’s home ownership rate fell to 63.7 percent in the first quarter, the lowest level since 1989. The rate peaked at 69.2 percent in the fourth quarter of 2004, right before the housing bubble burst.

Just 36 percent of millennials who want to buy a home are currently saving to purchase one. As rents in many cities continue to skyrocket, however, homeownership may become more appealing.