Friday Five: Funding Medicaid expansion is challenging, but raises employment for disabled individuals

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July 27, 2018

In this week’s Friday Five, MAXIMUS is reading about changes to child support determination, Medicaid expansion funding, employment for disabled individuals, health savings accounts, and reforming the VA.

1. New law will overhaul Ohio’s child support system

Ohio has updated their criteria for determining the amount of child support non-custodial parents must pay, partly in order to address a high non-payment rate among low income parents. The Blade reports that Ohio’s new bill will update economic tables for the first time in more than 25 years and account for healthcare expenses and shared parenting time. In the future, the economic tables will be updated by the Department of Job and Family Services, rather than the legislature.

2. As federal Medicaid money fades, how are states funding expansion?

Federal funds paid 100% of the cost of Medicaid expansion when it was introduced, but that funding will drop to 90% by 2020. This article in Governing lays out different ways that states are planning to make up the difference – the majority are using general funds, while 13 states have proposed different funding mechanisms.

3. Medicaid expansion boosts employment for people with disabilities, study finds

According to Healthcare Finance, new research has found that people with disabilities are more likely to be employed in states that expanded Medicaid coverage. Researchers suggest that the increased income limits allow more employment without cutting off access to vital health services, and that the same results may also apply to newly eligible non-disabled adults.

4. House next week will consider bills to boost health savings accounts

The House plans to consider Republican-introduced changes to health savings accounts before leaving for the August recess. According to the Washington Examiner, those changes could include raising the contribution limit, as well as more over-the-counter products and “catastrophic” health insurance plans as qualified expenses.

5. Video: Dr. Richard Stone talks challenges, opportunities in reforming the VA

In this video from Federal Times, the Veterans Affairs’ principal deputy undersecretary for health talks about the need to centralize and integrate healthcare services in order to offer the same level of quality and services across disparate sites, while still allowing room for creativity and innovation.


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