Republicans Push Ahead on Medicaid Restrictions

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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
March 19, 2019

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.

How Snapchat Wants to Win the 2016 Election

By Millie Dent
June 26, 2015

Snapchat is getting a lot of attention for its presidential ambitions.

In an effort to both appeal to the youth vote and bolster its events coverage built on a growing volume of video posted by its users, the app recently posted a job opening for a Content Analyst in Politics & News.

The new hire will curate photos and videos for the app’s “Our Story” curated events coverage of the presidential race and other news events. That stories feature has already proven to be a massive success. On average, Snapchat’s Our Stories draws around 20 million people in a 24-hour window, director of partnerships at Snapchat, Ben Schwerin, told Re/code. The three-day story in April about Coachella, the music festival, generated 40 million unique visitors.

Political events might not be draws on that same scale, but Snapchat apparently believes its massive influence with younger Americans could attract millions millennials to engage in the political process at a time when voter turnout is at its lowest levels since World War II. In the 2012 mid-term election, the national turnout rate was 35.9 percent. Of that, only 13 percent were between the ages of 18 and 29.

Related: Can ‘Project Lightning’ Give Twitter a Fresh Jolt?

Boasting more than 100 million daily users, Snapchat is valued at $16 billion — giving it the reach and the financial clout to become a force in 2016 campaign coverage. About 60 percent of U.S. smartphone users aged between 13 and 24 have used the app, according to The Financial Times. The largest demographic of users is between the ages of 18 and 24 (45 percent), followed by those between 25 and 34 (26 percent).

To capitalize on that user base, Snapchat recently hired former CNN political reporter Peter Hamby to oversee its expanding news team. Snapchat wants to promote content from debates, rallies, appearances and other election events and allow users to follow along. But this isn’t purely an experiment in civic participation. Candidates can pay for political ads to appear on the social media app.

The social media app has an ace up its sleeve to incentivize candidates to purchase ads. The app already has age-gating technology and a form of geographic targeting. Originally put into place to make sure underage kids wouldn’t see alcohol ads, the age gate could be used to reach only voting-age users. The geographic targeting allows Our Stories to only be viewable by people in the same city or area, so politicians could target specific areas, especially ones in a tight race.

Snapchat, best known as the service that allows users to send disappearing photos, claims that ads inserted into “Our Stories” have an advantage over other social media advertisements because they leave more lasting impressions.

If campaigns buy into that and turn to Snapchat as a way to connect with a hard-to-reach demographic, the social media company could be the big winner in the 2016 election.

Coming Soon: Free Wi-Fi From Google’s Sidewalk Labs

Google’s latest startup wants to use technology to improve city life.

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Reuters
By Suelain Moy
June 25, 2015

Google is about to hit the streets with Sidewalk Labs, a Google startup that will focus on developing new technologies to improve urban life. Billing itself as an “urban innovation company,” Sidewalk Labs was founded to tackle urban problems such as housing, pollution, energy consumption, and transportation with the goal of making cities “more efficient, responsive, flexible and resilient.”

The first project? In New York City, LinkNYC will replace aging pay phones with slim, aluminum pillars that provide free high-speed Wi-Fi. The hubs also will allow people to charge their mobile devices and look up directions on touch screens. Qualcomm will be the wireless provider

Related: Why Google’s Internet Balloons May Be a $10 Billion Business

According to the Federal Communications Commission, 17 percent of the population, or 55 million people, in the United States don’t have access to high-speed broadband. Sidewalk Labs hopes that projects like LinkNYC can help bridge that gap.  

For the LinkNYC initiative, Google acquired and merged two companies -- Control Group and Titan -- into a new venture called Intersection, which aims to provide free, public Wi-Fi in cities around the world using such familiar urban infrastructure as bus stops and pay phones.

Related: Google Spends More Than Any Other Tech Giant to Influence Congress

Daniel L. Doctoroff, a former Bloomberg CEO and deputy mayor for New York City, has been tapped to head Sidewalk Labs. Doctoroff, who conceived the idea for Sidewalk Labs with a Google team headed by CEO Larry Page, told Wired, “The vision really is to make cities connected places where you can walk down any street and have access to free ultra high speed Wi-Fi. The possibilities from there are just endless.”   

Just don’t give us any automated, self-driving taxis, please.

Presidential Candidates Respond to SCOTUS Obamacare Ruling

REUTERS/The Fiscal Times
By Josh Stelzer
June 25, 2015

The Supreme Court’s 6-3 ruling Thursday may have kept the health care law and its insurance subsidies in place, but that doesn’t mean Republican efforts to “repeal and replace” the law are done. Major GOP presidential candidates took to Twitter following the Supreme Court’s announcement to blast the high court’s decision. Here are their responses and those from the Democratic candidates.

This Is America’s Biggest Financial Fear

iStockphoto
By Beth Braverman
June 25, 2015

More than 60 percent of Americans are losing sleep at night because of financial concerns, and the biggest concern is that they’re not saving enough for retirement, according to a new report from CreditCards.com.

The second-biggest worry is about the cost of education, with half of those between the ages of 18 and 29 saying that concern keeps them up at night.

The percentage of Americans worried about education costs has been growing for the past eight years and is the only category that has become a bigger problem since the Great Recession. “Unless something slows the rapid rise in college costs, this could soon be Americans’ biggest financial fear,” CreditCards.com senior analyst Matt Schultz said in a statement.

Related: 12 Smart Money Moves Millennials Should Make Right Now

That echoes a Gallup poll released in April, which found that 73 percent of parents with kids under age 18 ranked paying for college as a financial worry, more than were concerned about saving for retirement or covering medical expenses.

Nearly one in three Americans are losing sleep because of medical bills, 27 percent are worried about their mortgage or rent payment, and 21 percent fret over credit card debt.

Older Americans and those with higher incomes seem to have fewer financial anxieties than younger generations. Less than half of those age 65 or older are losing sleep over their finances, versus more than two thirds of adults 64 or younger. Of those making less than $75,000 per year, 69 percent had financial worries, compared to just 51 percent of those making more than $75,000.

Millennials Still Don’t Trust the Stock Market

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Reuters
By Yuval Rosenberg
June 24, 2015

Goldman Sachs has released the latest in a long line of surveys about millennials and money. The findings won’t shock you if you’ve seen other such surveys: millennials get financial advice from their parents, they’re less concerned with privacy, they still want to own a home … someday.

But one familiar finding may be worth highlighting. Even as the stock market reaches record highs, millennials by and large remain wary of investing. Fewer than 20 percent of those surveyed by Goldman said that stocks are “the best way to save for the future.” Another 45 percent said they’re willing to dip a toe in the market or to put money into low-risk options. More than a third of those surveyed said they don’t know enough about stocks or felt that the market is too volatile or too stacked against small investors.

Part of that may because many millennials haven’t yet reached the life stage or the level of financial stability that would lead them to consider investing. But the lingering scars of the recession are evident in the results, too — and financial institutions clearly have a long way go to restore the public’s confidence in them. For example, Gallup just published a report called, “Why It’s Still Cool to Hate Banks.”

Related: The Rise of a New Economic Underclass—Millennial Men​

Goldman didn’t release the details about how many millennials it surveyed or when (and it hadn’t yet responded to an email asking for those details by the time of publication), but the results it got are broadly in line with those of earlier surveys. And they’re another reminder that not everyone is benefitting from the stock market’s record-setting rally. Millennials are still missing out.

Here is a chart produced by Goldman Sachs summarizing the results of their survey: