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.
3 Big Reasons You’re Getting Nothing Done at Work
Cell phones often get blamed for the always-on work culture that keeps us tethered to our jobs around the clock.
Turns out they might be the reason we’re not getting our work done during office hours in the first place. More than half of employers say that cell phones and texting are the biggest productivity killers at work, making them the number one distraction, according to a new survey from CareerBuilder.com.
Other top productivity killers included the Internet, named by 44 percent of employers, gossip (37 percent), and social media (37 percent).
Related: 10 Ways to Boost Happiness at Work
“There are so many stimulants in today’s workplace, it’s easy to see how employees get sidetracked,” Rosemary Haefner, Career Builder’s Chief Human Resources Officer said in a statement “The good news is, taking breaks from work throughout the day can actually be good for productivity, enabling the mind to take a break from the job at hand and re-energize you.”
Nearly half of employers said that such distractions compromised the quality of work, and 30 percent said they caused lower morale since other workers had to pick up slack for their preoccupied peers. A quarter of employers said that distractions hurt the boss/employee relationship.
Nearly 3 in 4 employers have been proactive about battling productivity killers, with a third blocking certain Internet sites and 23 percent banning personal cell phone calls and usage on the job.
Haefner recommends that workers stay focused by scheduling breaks, surrounding themselves with productive people and taking walks to rejuvenate the brain.
Now 16-Year-Olds Can Double Your Car Insurance
As if you don’t have enough to worry about when your 16-year-old hits the road for the first time, get ready to see your insurance bill nearly double.
The average insurance premium for a married couple goes up 80 percent on average when adding a teen, but it spikes a full 16 percent more for adding a 16-year-old, according to a new report by InsuranceQuotes.com.
Requesting a “good student” discount is one way to offset the premium hike. “I’ve seen discounts as high as 25 percent for students who maintain at least a B average in high school or college,” InsuranceQuotes.com senior analyst Laura Adams said in a statement.
Related: The Best Time to Buy Car Insurance
And once a teen hits the ripe old age of 19, insurance increases by just 60 percent.
It’s much more expensive to insure teenage boys, with premiums increasing 92 percent for teen males versus just 67 percent for girls.
The analysis found that teenagers cost the most to insure in New Hampshire (115 percent increase), but parents will also see premiums double in Wyoming, Illinois, Maine and Rhode Island.
Hawaii is the only state that prohibits insurance companies from basing insurance quotes on age or length of driving experience, so it has the lowest increase in the nation (17 percent). Other states where parents won’t take as big a hit are New York (53 percent) and Michigan (57 percent).
Parents may be able to nab better car insurance rates by shopping around with several insurers.
Thinking Ahead Could Be Holding Women Back
Different attitudes in how men and women prepare for their futures might be a factor contributing to the gender gap, a new study published in Gender & Society finds.
In imagining their work paths, women were disproportionately more likely to think and worry about parenthood than men. And in anticipation of the responsibilities and challenges that parenthood brings, women were more likely than men to downscale or alter their career goals.
Brooke Conroy Bass, who wrote the article, conducted in-depth interviews with 30 heterosexual couples between 25 and 34 who have not (yet) had children.
Related: Millennial Women Are Taking Charge – at Home and at Work
Preparing for the future has emotional and behavioral consequences for women that men don’t suffer as much from, she found. Because of these “gendered anticipations of parenthood,” the inequality in the market starts much earlier than we tend to think.
Bass told Futurity that career trajectories among men and women shift as parenthood approaches, with men investing more effort in their jobs and women dialing back.
The study suggests that part of the problem contributing to the gender wage gap, penalization for maternity leave and the difficulty of making it to the top is anticipating the future.
But should women be penalized for displaying foresight, a characteristic that employers usually value?
American Kids Aren’t Such Stoners After All
Turns out the young people of America are not as high as you thought they were. The use of illicit drugs, alcohol and tobacco among young people has been falling, according to new data.
While the nationwide rate of illicit drug use has gone up, the percentage of youths using illicit drugs has declined, according to a report from the Substance Abuse and Mental Health Service Administration (SAMSHA), part of the Department of Health and Human Services. The illicit drugs include marijuana/hashish, cocaine (including crack), hallucinogens, heroin, inhalants or prescription-type psychotherapeutics.
Among youths aged 12 to 17, the rate of illicit drug use was down to 8.8 percent in 2013 from 9.5 to 11.6 percent in the years 2002 to 2007, the SAMSHA study said.
Related: New Lifetime Estimate of Obesity Costs: $92,235 Per Person
But in 2013, drug use among those 12 or older was up to 9.4 percent from the 7.9 to 8.7 percent found between 2002 and 2009. The rise was attributed to increased rates of marijuana use, both medical and nonmedical, among adults aged 26 and older — and that rise probably doesn't fully reflect the recent legalization of recreational marijuana in Colorado, Washington, Oregon and Alaska.
The report also suggested that alcohol is losing some of its allure for the young.
Between 2002 and 2013, the percentage of underage people who drank declined from 28.8 percent to 22.7 percent. In addition, the proportion of binge drinkers — those who consumed five or more drinks during one occasion — decreased from 19.3 percent to 14.2 percent in the same years.
In additional good news, tobacco and cigarette use among all age groups has declined sharply since 2002.
Your Airplane Carry-on Bag Is About to Shrink
Are you one of those people who likes to brag about how you can fit a week’s worth of stuff into your carry-on suitcase? If so, your job is about to get harder.
The International Air Transport Association, a trade group representing some 250 airlines, has introduced a proposal to reduce the maximum allowable carry-on suitcase size. Under the proposed rule change, carry-on bags would have to be less than 21.5 x 13.5 x 7.5 inches. Current rules for carry-on size vary by airline, but they’re generally larger than that.
The organization claims that this would allow all passengers on a plane to store their bags in the cabin. “The development of an agreed optimal cabin bag size will bring common sense and order to the problem of differing sizes for carry-on bags,” IATA Senior Vice President for Airport, Passenger and Cargo Security said in a statement. “We know the current situation can be frustrating for passengers.
Related: 6 Sneaky Fees That Are Making Airlines a Bundle
Several major airlines have signaled interest in introducing the guidelines, according to IATA. Luggage manufacturers will start labeling bags that meet the new criteria as “IATA Cabin OK.”
The rule change may force more consumers to check luggage and pay the checked-bag fees many airlines have introduced in the past few years. Airlines typically charge $25 for the first bag, $35 for the second, and more than $100 for a third bag.
Some airlines, including Spirit, Allegiant and Frontier, also charge passengers for carry-on bags.