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.

One Woman Gets Revenge on Unrelenting Telemarketers

		<p>35% said these are disappearing</p>
Getty Images
By Millie Dent

We all hate telemarketers, just as much as we hate cable companies. Put them together and it’s a lethal combination. One woman got her revenge from both yesterday when a judge ordered Time Warner Cable to pay her $229,500 after the company harassed her with 153 computer-controlled “robocalls.”

Even after Texas resident Araceli King requested and then demanded that the company stop contacting her, she received 74 more calls from Time Warner in less than a year. The company was actually leaving messages for Luiz Perez, an individual who once had her same phone number. But even after she explained her identity to a company representative the calls kept coming and King filed the lawsuit. The calls began in the summer of 2013 and King filed her lawsuit in March 2014.

Related: 18 Companies Americans Hate Dealing with Most

U.S. District Judge Alvin Hellerstein ruled that Time Warner Cable violated the Telephone Consumer Protection Act of 1991, which stipulates that consumers can sue for $500 for every unwanted call received. The judge tripled the penalty to $1,500 in this case because of the enormous number of calls.

Time Warner Cable countered that since the company believed it was calling Perez, who had consented to the calls, it was not responsible to King under the Act.

According to a telemarketer, before the National Do Not Call Registry came into effect in 2004 as an amendment to the Act, more than 137 annual calls were directed – on average -- at a single individual.  

And as we all know, they usually came at dinner time or early on a Saturday morning when all you wanted to do was sleep.

One Woman’s $229,000 Revenge on Unrelenting Telemarketers

Time Warner Cable office is pictured in San Diego
MIKE BLAKE
By Millie Dent

We all loathe telemarketers, probably even more than we hate cable companies. Put them together, though, and you reach a whole new level of consumer fustration. But one woman got a little bit of vindication from both entities when a judge on Wednesday ordered Time Warner Cable to pay $229,500 after the company harassed her with 153 computer-controlled “robocalls.”

Even after Texas resident Araceli King requested that the company stop contacting her, she received 74 more calls from Time Warner Cable in less than a year. The company was leaving messages for Luiz Perez, an individual who once had her same phone number, even after she explained her identity to a company representative and filed the lawsuit. The calls began in the summer of 2013 and King filed her lawsuit in March 2014.

Time Warner Cable countered that since the company believed it was calling Perez, who had consented to the calls, it was not responsible to King under the Telephone Consumer Protection Act of 1991, which stipulates that consumers can sue for $500 for every unwanted call received.

U.S. District Judge Alvin Hellerstein ruled that Time Warner Cable violated the Act. The judge tripled the penalty to $1,500 in this case because of the enormous number of calls.

The Hole Truth: Celebrating a Huge Day in Doughnut History

20th Century Fox Television
By Suelain Moy

Whether you’re a Dunkin’ devotee or are crazy for Krispy Kremes, July 9 is a date you should celebrate.

On that date back in 1872, the doughnut took a big step toward becoming the billion-dollar business it is today: John F. Blondel of Thomaston, Maine received a patent for a “new and useful” improvement in doughnut-cutters that would speed the production and consumption of the humble pastry in the United States.

The device described in Patent No. 128,783 was intended to automate the process of cutting those dastardly doughnuts — holes and all — as efficiently as a hole punch. The desired edge could be plain or scalloped. This ingenious contraption would push the dough out of the center tube, leaving it free for making the next doughnut.

Related: Made in the USA: 24 Iconic American Foods

But as Art Cashin — the director of floor operations for UBS Financial Services who regularly sprinkles historical tidbits into his commentary — pointed out in a note Wednesday, before you can talk about Blondel’s doughnut innovation, you have to know the story of one Hanson Crockett Gregory, the young genius who forever changed what you and I get when we order our plain, glazed or chocolate with sprinkles. While the history of the doughnut is disputed, Gregory claimed to have invented “the first doughnut hole ever seen by mortal eyes” as a 16-year-old sailor on a lime-trading ship and then taught the technique to his mother, Elizabeth Gregory.

In case you’re still hungry for more doughnut history, this Friday, July 10, Krispy Kreme is celebrating its 78th birthday by offering a sticky sweet deal at participating locations: Buy any dozen doughnuts at regular price and get a second dozen for 78 cents.

Oh, and if you want to purchase those pesky doughnut holes that get unceremoniously shoved from the middle? You can buy those, too. They’re simply called Doughnut Holes, and they can be bought by cup or box in assorted flavors of Original Glazed, Dipped Chocolate, Powdered, Chocolate Cake, Blueberry Cake and Plain Glazed Cake.

Hanson Crockett Gregory would no doubt be amazed. 

Are Internet Ads Gender Biased?

Flickr/Daniel Oines
By Millie Dent

In the most-watched soccer game in U.S. history, the U.S. trounced Japan in a 5-2 victory in the Women’s World Cup final. The U.S. team will receive $2 million from FIFA for the win. Last year, the German men’s team, which won the World Cup, collected a cool $35 million.

While FIFA is notorious for sexism among other dubious behaviors, a Carnegie Mellon University study confirms that other companies are also biased about women—especially when it comes to money. One troubling example: female job seekers on Google were less likely to be shown ads for high paying jobs than male job seekers. 

Using an automated tool called AdFisher, researchers explored how Google’s automated ad server reacted when users with identical profiles--except for their gender--interacted with Google’s ads. The technology found that males were shown ads for a career coaching service for “$200k+” executive positions 1852 times, but the female group was shown those highly paid positions a mere 318 times. While the premier career coaching service ads were the top ads shown to males, the top ads shown to females were a regular job posting service and an auto dealer. 

Google allows its advertisers to target a particular audience, so any company is allowed to promote different ads based on gender. In addition, the survey wasn’t able to pinpoint the source of the discrimination, whether it was Google, the advertiser, both of them, or the algorithm that was tracking the user behavior. Regardless of the cause, the research proves the inherent perils of customization and targeted ads.

The study was released just before a wave of criticism hit the tech industry, which was accused of gender bias in hiring practices. In general, at major companies like Facebook, Yahoo and Google, women hold few leadership posts and make up around 30 percent of employees. 

To be fair, women have not exactly flocked to get degrees in computer science and related math and science areas. Those are the jobs tech companies value most since all new digital products require coding skills.

Two-Thirds of Parents Are Making This Big Financial Mistake

By Beth Braverman

More than a third of Americans with young children don’t have any life insurance, and another third have policies with payouts of less than $100,000, according to a new analysis by Bankrate.com

The survey found that 42 percent of all Americans haven’t purchased life insurance, and about half of those with insurance have policies worth $100,000 or less, including 25 percent of those with a household income over $75,000.

Of course not everyone needs life insurance, but people who have family members depending on them financially should have a policy. The amount you need varies, depending on your future financial obligations, outstanding debts, and current assets.

Related: How to Calculate Your Life Insurance in 3 Easy Steps

Part of the reason for inadequate coverage could be that people underestimate the benefits they’re receiving from work (which don’t roll over from job to job), or they’re failing to update their policy after major life changes like the birth of a child or the purchase of a home.

Another factor: They’re misinformed about the price of life insurance. Eight in 10 consumers have incorrect ideas about the price of life insurance, with millennials overestimating the cost by 213 percent and Gen Xers overestimating it by 119 percent, according insurer trade organization LIMRA.

In addition to your age and health, the price of life insurance could be impacted by your credit history, driving record, and lifestyle.

The LIMRA study found that 30 percent of Americans think they need more life insurance, but more than half said it was unlikely that they’d purchase a policy in the next year.