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.

Hillary Too Expensive? Get Chelsea Clinton at a Discount

Graduating seniors line up to receive their diplomas during Commencement at Wellesley College in Wellesley, Massachusetts, U.S., May 26, 2017.   REUTERS/Brian Snyder
Brian Snyder
By Eric Pianin

If you’re turned off by the astronomical speaking fees commanded by the former Secretary of State and her former president husband, you have an option: You can go Clinton shopping.

Hillary and Bill Clinton earned in excess of $25 million for delivering 104 speeches between 2014 and the first three months of 2015, including $11 million that Hillary Clinton collected delivering 51 speeches, according to reports filed with the Federal Election Commission.

Related:  Hillary Clinton’s Achilles' Heel: Trust

While Hillary’s fees varied, they typically exceeded a quarter-million-dollars a pop and went as high as $300,000, although she generally donated the funds to the Clinton family’s global foundation.

But at least one sticker-shocked university balked at her price and settled for a bargain basement alternative – daughter Chelsea Clinton.

As The Washington Post recounted on Tuesday, officials of the University of Missouri at Kansas City were in the market for a celebrity speaker to headline a gala luncheon marking the opening of a women’s hall of fame in early 2014. Initially, they thought of inviting Clinton’s 34-year old daughter to deliver brief remarks at the event.

When Chelsea’s speaking agency responded that she probably wouldn’t be available, university officials decided to “shoot for the moon” and invite her mother, the presumptive 2016 Democratic presidential candidate, to appear instead. However, they were stunned when the answer came back that Hillary Clinton indeed would be available but it would cost them $275,000.

Related: College Students Outraged over Hillary Clinton’s Massive Speaking Fees   

University officials regrouped and resumed their hunt for a speaker. Then word came back that Chelsea Clinton was available to speak after all – and for the relatively modest fee of $65,000. Likely still reeling from the Hillary demand,  university officials jumped at the offer.

Chelsea Clinton appeared at the luncheon on Feb. 24, 2014, and here’s what her schedule called for:  a 10-minute speech followed by a 20-minute, moderated question-and-answer session and a half-hour posing for pictures with VIPs off-stage. As with Hillary Clinton’s paid speeches at universities, Chelsea Clinton directed her fee to the Bill, Hillary and Chelsea Clinton Foundation.

School officials said Chelsea’s appearance, which was covered by private donations, was well worth the money. Reactions to the story on social media were less positive, with anti-Clinton commentators having a field day mocking America’s one-time and perhaps future first family.  

The Washington Post Closes a Window on Hackers and Big Government

A lock icon, signifying an encrypted Internet connection, is seen on an Internet Explorer browser in a photo illustration in Paris April 15, 2014.  REUTERS/Mal Langsdon
Mal Langsdon
By Millie Dent

The Washington Post is pushing back against government surveillance, hackers and other nosy folks trying to get a peek at you and your data.

Starting Tuesday it will begin to encrypt parts of its website to make it more difficult to track the reading habits of visitors. The encryption will apply to the Post’s homepage, stories on the site’s national security page and The Switch, its technology policy blog.  

A display icon of a small lock in the web address bar will signal readers that pages are encrypted. In addition, the secure pages will start with the letters “https,” rather than the standard “http.”

The encryption also has the potential to make it tougher for governments to censor content. If censors are monitoring website traffic, they can see only the domain a person is visiting, not the specific page. A country would have to block the entire website if it wanted to block content.

The Post acknowledges that the additional security measures could make online advertising less attractive to companies. Advertisers might also be driven away by having to make sure their content is also secure, an extra step some companies might not be willing to take. 

The Post is the first major news organization to introduce such security measures. Last fall, The New York Times published a blog post imploring websites to implement secure connections, but it has yet to follow through on its own challenge.

However, other smaller news sources, such as the Intercept and TechDirt, use https technology by default.

Encrypted traffic is becoming increasingly common for many sites, including online banking and web-based email services. Earlier this month, the Obama administration ordered all public federal websites to begin using https technology by the end of 2016.

The social media giant Facebook announced in early June that users could encrypt notifications sent from the website to a user’s personal email address, protecting potentially sensitive emails. Facebook – as well as hackers, spies and others -- will be denied access to the user’s private encryption key.

This move prevents hackers who have accessed a user’s email inbox from being able to understand emails from Facebook without knowing their private key. While a user’s activity on the actual site will not be encrypted, this announcement could be the first in a series of moves to protect Facebooks’ user privacy.

Apple and Google have also implemented more security measures for user privacy over the last year.

The Sweet Credit-Card Perk You Have But Don’t Know About

REUTERS/Lisi Niesner
By Beth Braverman

You know that your credit card offers rewards like cash back and airplane miles, but many cards also offer automatic travel insurance, which could prove valuable on your next trip. 

Nearly 90 percent of reward credit cards offer accident insurance while you’re on vacation and 63 percent cover luggage if you use you card to pay for the trip, according to a new report by CardHub. On nearly a quarter of cards that offer travel accident insurance, coverage is more than $300,000. 

Almost three-quarters of cards that cover luggage will pay you for lost bags, while nearly half cover delayed luggage. 

Related: Credit Cards Can Be Your Best Friend—or Worst Enemy 

The report found that the Chase Sapphire Preferred Rewards Card offered the best travel insurance, followed by Discover It, Wells Fargo Propel 365 and Citi Prestige. 

Coverage amounts vary and restrictions apply, so check in with your issuer to get the details of what your card offers. 

Travel insurance isn’t the only time credit cards come in handy for travel. Some cards also offer roadside assistance. If your car breaks down, runs out of gas, or you lock your keys inside most credit cards will send roadside assistance to help you out. 

That perk, while convenient, isn’t free. The issuers usually charge you a discounted rate for the service and bill it directly to your credit card. Discover, for example, charges $70 per incidence but covers 24-hour towing, assistance and locksmith services.

Jeb Bush Wasn’t Bashful About Trading on Family Name

Republican presidential candidate Jeb Bush waves as he arrives to address a legislative luncheon held as part of the "Road to Majority" conference in Washington
REUTERS/Carlos Barria
By Eric Pianin

While Jeb Bush frequently is touted as both a two-term governor and a successful businessman, his often dubious record as an entrepreneur and investor has been widely documented over the past three decades. 

The 62-year-old scion of a powerful political family and now an announced candidate for the 2016 GOP presidential nomination was involved in a myriad business ventures dating back to the mid-1980s, The Washington Post noted on Monday in the latest media examination of Bush’s entrepreneurial exploits as he tried to amass his fortune. 

Related: Jeb Bush Shows Some Fire in Campaign Launch 

Bush brokered numerous real estate deals in Miami, helped to arrange bank loans in Venezuela, marketed shoes in Panama, sought out Mexican investors for a building-materials company, advised transnational financial services firms — you name it. He also made a boatload of money by sitting on a handful of corporate boards. And ever since he left the Florida governor’s office in 2007, Bush — like Democrat Hillary Clinton — has raked in substantial income by giving speeches while also consulting and managing investments for others. 

“Jeb Bush had a successful career in commercial real estate and business before serving as Florida’s governor,” Kristy Campbell, a spokeswoman for Bush, told the Post. “He has always operated with the highest level of integrity throughout his business career.” 

And yet the Post’s lengthy review of Bush’s business career — culled from records, lawsuits, interviews and newspapers accounts dating back more than 30 years — reveals a picture of a young man on the make who “often benefited from his family connections and repeatedly put himself in situations that raised questions about his judgement and exposed him to reputational risks.” 

Related: Can Jeb Bush Unite the GOP’s Establishment and Religious Wings?   

Five of Bush’s former business associates have been convicted of crimes; one remains an international fugitive on fraud charges. Bush has disavowed any knowledge of the wrongdoing and conceded that some of the businessmen he met in Florida took advantage of his relative youth and naiveté. 

One thing that comes through loud and clear in the Post report is that Jeb Bush had no compunction about trading on his family name in trying to make a buck. 

Major case in point: In early 1989, seven weeks after his father, George H.W. Bush, took office as president, Jeb Bush took a trip to Nigeria with the executive of a Florida company called Moving Water Industries. Bush had just been hired to help market the firm’s water pumps. 

With no less than a special escort from the U.S. ambassador to Nigeria, Bush and his new boss met with the nation’s political and religious leaders as part of the company’s effort to land a deal that would be worth $80 million. 

“My father is the president of the United States, duly elected by people that have an interest in improving ties everywhere,” the young Bush told the group. “The fact that you have done this today is something I will report back to him very quickly when I get back to the United States.” 

Just days after Bush returned to the U.S., his father sent the president of Nigeria a handwritten note thanking him for hosting his son. Not surprisingly, Moving Water Industries eventually landed the deals it was seeking, according to the Post.

How to Save Greece? Try a Fundraiser

A Greek national flag and a European Union flag flutter under storm clouds in Athens May 28, 2015. REUTERS/Alkis Konstantinidis
© Alkis Konstantinidis / Reuter
By Suelain Moy

With Greece facing a loan payment of 1.6 billion euros to the International Monetary Fund on Tuesday, a man in London named Thom Feeney took it upon himself to launch a fundraising campaign for the financially strapped country on Indiegogo, an international crowdfunding site. As of late Monday afternoon, more than 400 people have pledged about 7,000 euros to the “Greek Bailout Fund,” and those numbers are climbing steadily.

Feeney says on Indiegogo that he is frustrated with European ministers and “all this dithering over Greece.” As Feeney states, “The European Union is home to 503 million people, if we all just chip in a few Euro then we can get Greece sorted and hopefully get them back on track soon. Easy."

He says he can clear the whole mess up with a contribution of just over three euros from each European. “That’s about the same as half a pint in London or everyone in the EU just having a Feta and Olive salad for lunch.”

Incentives for donors include a postcard with an image Alex Tsipras, the Greek Prime Minister, for a donation of three euros, and a Greek feta and olive salad for six euros. Ten euros gets you a small bottle of ouzo, and a pledge of 25 euros will earn you a bottle of Greek wine.

So far at least 90 donors will be expecting postcards, 35 can look forward to a salad, 40 have signed up to receive a bottle of ouzo, and 30 can expect a bottle of wine. But whether anyone will actually receive their rewards remains to be seen. Like the Greek creditors, the donors will have to wait and see if their payments ever arrive.

Update: As of Tuesday morning, more than 10,000 people have donated about 170,000 euros, and the numbers continue to rise. Feeney has stated that all the money will be returned if the fundraiser fails to reach its target.