Republicans Push Ahead on Medicaid Restrictions
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.
When It Comes to Fees, These Credit Cards Are the Worst
Two credit cards from First Premier Bank have the most fees of 100 cards researched for a CreditCards.com report released today.
The average number of fees per credit card analyzed was six, but the First Premier Bank Credit Card and the First Premier Bank Secured MasterCard carry 12 potential fees each. The PenFed Promise Visa Card was the only one in the survey that levied no fees at all.
A quarter of the cards surveyed charged an annual fee, although 10 percent waived that fee for a consumers’ first year. All cards except for the PenFed Promise Visa Card charged a late payment fee, which can run up to $25.
Related: What to Know Before Your Teen Gets a Credit Card
Penalty fees tend to be easier for consumers to avoid (don’t make late payments), and it’s worth shopping around for cards that don’t have fees for the transactions you need.
Most cards carry a cash advance fee, typically the greater of either $10 or 5 percent of each cash advance. Among cards that allow balance transfers, 90 percent charge a fee for doing so, typically $5 or 3 percent of the transfer.
Another common fee was the foreign transaction fee, typically about 3 percent per transaction, charged by 77 percent of cards. “If you travel internationally a lot, a credit card that doesn’t charge foreign transaction fees is a great value,” CreditCards.com senior industry analyst Matt Schulz said in a statement.
If you’re hit with an unexpected, one-time fee, try calling your issuer and asking them for a refund. Often customer service reps are authorized to do so on a case-by-case basis.
MOST POTENTIAL FEES
- First Premier Bank Credit Card (12)
- First Premier Bank Secured MasterCard (12)
- Credit One Visa Platinum (9)
- Fifth Third Bank Platinum MasterCard (9)
- Navy Federal Credit Union Platinum (9)
- Navy Federal Credit Union Cash Rewards (9)
- Regions Visa Platinum Rewards (9)
FEWEST POTENTIAL FEES
- PenFed Promise Visa Card (0)
- ExxonMobil SmartCard from Citi (3)
- Spark Classic from Capital One (3)
- Capital One Spark Cash Select for Business (3)
- Spark Miles Select by Capital One (3)
Amazon vs. Walmart: A Graphic Look at the Numbers on Prime Day
Amazon’s campaign to create a Christmas-in-July shopping frenzy online seemed to be working on Wednesday, if the sheer number of blog posts debating the pros and cons of its big sales event are any measure.
Marking the company’s 20th anniversary while promoting Amazon Prime -- the $99 a year program which provides free shipping, online video and other perks -- Prime Day promises “more deals than Black Friday,” according to the retailing giant.
While some shoppers complained about lackluster offerings, critics were missing the point. Amazon’s likely goal was not to boost revenues through a massive sale, but to sell more Amazon Prime memberships. As always, Amazon has its eye on the prize of becoming the world’s largest retailer.
Walmart, the current retailer champion, didn’t the challenge sitting down, announcing its own massive online sale beginning July 15. It looks like the battle is on for control of the mass market online shopping space.
How do the two retailing giants stack up? This graphic from WebpageFX provides some basic facts.
Created by WebpageFX
Obama All but Calls Cosby a Serial Rapist
For months, comedian Bill Cosby has come under relentless attack amid allegations that he raped dozens of women over the years after slipping them drugs. As the controversy grew, some on Capitol Hill questioned whether something should be done to strip the long-celebrated actor of a Presidential Medal of Freedom awarded him in 2002 during the Bush administration.
Today at a White House news conference, President Obama abruptly veered from an extensive defense of the Iran nuclear deal to a thinly veiled denunciation of Cosby as a serial rapist. In response to a reporter’s question of whether he would consider rescinding the medal, Obama said, “There’s no precedent for revoking a medal,” and that “we don’t have the mechanism.”
Then, after noting that he rarely publicly discusses pending civil law suits that might result in criminal charges, he made this startling pronouncement: “I’ll say this: If you give a woman -- or a man for that matter -- without his or her knowledge a drug and then have sex with that person without consent, that’s rape.”
It was a dramatic moment as the first African American president in U.S. history denounced from the White House pulpit the conduct of one of the most prominent and (once) beloved black actors and comedians of modern times.
Related: Bill Cosby's Moralizing Comes Back to Haunt Him
Cosby and his lawyers for months have dismissed as fantasy claims by more than two dozen women that they had been sexually assaulted by the actor over the past several decades – frequently after having been given knock-out drugs to make them groggy or put them to sleep.
But this ‘he said-she said’ controversy came to an end earlier this month after Cosby had admitted in a deposition giving Quaaludes to women he wanted to have sex with.
The documents, dating back to 2005, stem from a civil lawsuit filed by Andrea Constand -- one of the dozens of women who have publicly accused the comedian of sexual assault. The records were made public after The Associated Press went to court to compel their release.
Following that report, Sens. Kirsten Gillibrand (D-NY) and Claire McCaskill (D-MO) said it was an outrage that Cosby continued to hold the highest civilian honor in America. In a statement to Politico, a spokeswoman for Gillibrand said Cosby's medal must be revoked "because we need to set a clear example that sexual assault will not be tolerated in this country."
Obama apparently agrees with the senators, but just doesn’t know what he could do to take the medal back.
Garage or Backyard? Here’s What First-Time House Buyers Want
More than two-thirds of potential first-time homebuyers want a house in move-in condition, and 43 percent are looking for a place in the burbs.
Beyond that, first-time buyers are most interested in a home with a backyard or pool, striking design, and smart or energy efficient technology, according to the TD Bank First-Time Home Buyer Pulse.
“It’s encouraging to see interest from the first-time homebuyers who have been cautious for much of the housing recovery,” TD Bank Head of Pricing and Secondary Markets Scott Haymore said in a statement. “Consumers are gaining confidence in the economy and many are looking to enter the housing market within the next two years.”
Related: Why First-Time Home Buyers Are Flocking to Tennessee
Last year, first-time homebuyers comprised 38 percent of the market, according to the National Association of Realtors.
Among those surveyed, 62 percent want to make a down payment of at least 20 percent, but nearly two-thirds said they were still saving up for it. Almost half said they needed to pay down debt before they could buy a house.
The average down payment in the first quarter of 2015 was $57,710, reports RealtyTrac. Entry-level buyers usually put down less money than repeat buyers, and are more likely to take advantage of Federal Housing Administration loans, which allow down payments of as little as 3 percent for those who qualify.
Those who can’t get an FHA loan can still put down less than 20 percent by buying private mortgage insurance, with annual premiums of between 0.5 percent and 1 percent of the loan amount.
Obama Faces Widespread Public Distrust on Iran Deal
President Obama will try to drum up support for the U.S.-Iran nuclear deal Wednesday afternoon at a news conference. But with widespread public disdain and distrust of Iran, Obama may have trouble convincing Americans of the wisdom of dealing with a long-time arch enemy in the Middle East.
The U.S. and Iran on Tuesday announced an agreement that would potentially block Iran’s development of a nuclear weapon for at least a decade while lifting international economic sanctions against Tehran. However, a new AP-GfK poll that was conducted just ahead of the announcement found that Americans only narrowly back diplomatic relations with the hardline Islamic government, and many want to see the sanctions kept in place.
Related: The 8 Most Important Things to Know About the Iran Nuclear Deal
Just 51 percent of those interviewed said the U.S. should have diplomatic relations with Iran while 45 percent said it shouldn’t. At the same time, 77 percent of those interviewed said the harsh U.S. and international economic sanctions against Iran should be preserved at current levels or even increased.
Only 12 percent of those interviewed thought sanctions should be decreased and seven percent said they should be eliminated altogether.
The public’s wariness and distrust of dating back to the 1979 Iranian revolution and U.S. hostage crisis matches the reception the nuclear agreement has received on Capitol Hill where most Republicans and some Democrats say they fear Obama has conceded too much to a country that has fomented terrorist activities throughout the Middle East and has repeatedly vowed to destroy Israel.
Fifty-six percent of Americans consider Iran to be an enemy, according to the poll conducted last Thursday through Monday, while an additional 31 percent consider Iran to be unfriendly but not an enemy. More than 70 percent of Republicans, half of all independents and 45 percent of Democrats described Iran as the enemy.
Related: Clinton Cautious in Her Praise of a Nuclear Deal She Helped to Orchestrate
Before the agreement was announced, six in ten Americans said they disapproved of Obama's handling of the U.S. relationship with Iran, while just over a third approved.
Obama is likely to prevail in pushing the nuclear non-proliferation agreement through Congress over the next two months, despite near-unanimous opposition from Senate Majority Leader Mitch McConnell, House Speaker John Boehner and other leaders and rank and file Republicans. Still, he will need to hold in place at least 34 of the 46 Democrats in the Senate to create a veto-proof firewall in the event Republicans push through a resolution of disapproval of the nuclear deal.
That means that Obama cannot afford any more than 12 Democratic defections to keep the agreement alive. Yesterday, Obama and Vice President Joe Biden began working the phones to shore up support on Capitol Hill, and the president will continue that effort during this afternoon’s White House press conference.
During an interview yesterday with Tom Friedman of The New York Times, Obama stressed that the deal prevented a pathway for Iran to develop a nuclear weapon while making it clear he shared Americans’ distrust of the Iranian government and had limited expectations of improved relations down the road.
Related: Iran Agrees to Limit Nuclear Weapon in Historic Deal
When announcing the deal yesterday, Obama said, “This deal is not built on trust -- it's built on verification…. We will, for the first time, be in a position to verify that Iran is meeting all of these commitments. International nuclear inspectors will have access to Iran's nuclear program -- where necessary, when necessary. This is the most comprehensive and intrusive verification regime that we have ever negotiated. If Iran tries to divert raw materials to covert facilities, inspectors will be able to access any suspicious locations.”