In June, Arkansas became the first state to ever implement a work requirement in Medicaid, after winning approval for the reform from the Trump administration in March. This speedy implementation—and pursuit of the work requirement in the first place—was, arguably, the most significant policy achievement of Arkansas Governor Asa Hutchinson’s tenure. And the implementation wasn’t just swift—it was methodical and thoughtful as well, and the Hutchinson administration has bent over backwards to make compliance as simple as possible, giving more able-bodied Arkansans a path out of the welfare trap.
Yet advocates of perpetual welfare dependency have been apoplectic, even filing a lawsuit to move Arkansas backwards. They claim that reporting work is too complex and onerous for Medicaid enrollees to possibly understand. In addition to being incredibly condescending, this claim couldn’t be further from the truth. Continue reading
It may not make the news every day, but welfare fraud is a serious problem – not only because of its volume, but also because of its impact on the truly needy. On the front end of welfare enrollment, lax eligibility verification by states has resulted in an unknown number of individuals signing up for benefits they don’t actually qualify for. And within the program itself, infrequent and insufficient monitoring has resulted in potentially millions of enrollees staying in the program longer than they should.
Enter: the welfare walking dead.
Across the country, thousands of deceased individuals have been found on state welfare rolls. And what might sound like a late-night punchline or a topic for a new AMC mini-series is a serious problem. This type of fraud, although easily preventable, steals limited resources from truly needy individuals who depend on the safety net to survive. Continue reading
It’s officially 2017. A new year, full of new beginnings and opportunities. But for taxpayers and the truly vulnerable in ObamaCare expansion states, it’s the continuation (and acceleration) of a nightmare. As of January 1, states are on the hook for 5 percent of the expansion’s costs. And with more enrollees than states expected to ever enroll, this fiscal nightmare will be even worse than expected, putting taxpayers and the truly needy at even greater risk. Continue reading
Experts have long raised questions about the budget gimmickry involved in the Obama administration’s approval of Arkansas’ Obamacare expansion waiver. The Government Accountability Office even warned that the administration and Arkansas cooked the books to secure the waiver. But now, the state’s own evaluation of the program – spearheaded by one of the program’s architects – shows just how badly Arkansas got it wrong. Continue reading
Arkansas’ Obamacare expansion, commonly known as the “Private Option,” has been a nightmare. Costs have run significantly over budget and the truly needy are being pushed to the back of the line. The Government Accountability Office reported that Arkansas’ approach was simply a more expensive way to expand Obamacare. And, surprise, the promised economic stimulus from expansion never materialized.
The program has proven wildly unaffordable for taxpayers and has become a political landmine for state legislators. Facing mounting cost overruns and serious questions about long-term sustainability, the legislature and governor agreed last year to terminate the expansion at the end of 2016.
But now Governor Asa Hutchinson has decided that the state desperately needs to keep Obamacare expansion and has called a special session that will begin April 6th to extend it. Hutchinson’s plan will also make cosmetic tweaks to the expansion and give the program a new, Orwellian name: “Arkansas Works.”
One of the key bugs, errr, “features” of this new plan is to begin utilizing employer-sponsored health insurance plans for Medicaid expansion enrollees. But there are several elements of this proposal that are cause for serious concern. Continue reading
For years, hospital lobbyists have promised that Obamacare’s Medicaid expansion would kick start states’ economies and produce thousands of new jobs. (Expanding welfare always stimulates the economy, right?)
This piece of their Obamacare sales pitch is critical because, according to their calculations, these new jobs will generate the necessary revenue to pay for states’ share of the Obamacare expansion costs. The Arkansas Hospital Association, for example, made a similar guarantee, promising that most of the state’s share would be covered by new tax revenue generated by new jobs.
But now that expansion has been up-and-running for more than two years, the data is starting to paint a clearer picture of the real economic impact. And, believe it or not, Obamacare expansion isn’t living up to the hype. Continue reading
According to state law, Arkansas’ failed Obamacare expansion is set to expire at the end of this year. But Governor Asa Hutchinson has proposed overriding that deadline – which he signed into law last year – to continue providing welfare to able-bodied adults forever.
Hutchinson’s chief argument is that ending the program would create “a $100 million annual budget hole” due to lost budget “savings.” It’s a familiar refrain, used by former Democratic Governor Mike Beebe for years. There’s just one problem: it’s not true.
Arkansas’ so-called Private Option Medicaid expansion isn’t saving taxpayers money and allowing it to end won’t necessitate a massive tax increase or trigger the zombie apocalypse. In fact, allowing expansion to sunset would save taxpayers billions of dollars. Continue reading