A federal judge has again struckdown Kentucky Governor Matt Bevin’s changes to the Medicaid program, including community engagement requirements that would have made some people work to keep coverage.
The Medicaid changes were set to partially go into effect April 1. Wednesday’s decision is the second time U.S. District Judge James Boasberg struck down Kentucky’s proposal – the first was in June 2018.
In his decision, Boasberg wrote that federal approval of Kentucky’s changes didn’t follow the intent of the Medicaid program, which was signed into law in 1965.
Boasberg wrote that the main goal of Medicaid is insurance coverage and enrollee health, not making Kentucky’s Medicaid program more financially sound or helping enrollee’s become financially independent through finding jobs.
Bevin proposed requiring enrollees to make mandatory payments to keep coverage — currently, the expanded insurance is mainly provided for free — and other tracking requirements. Those changes, called a waiver, were approved by the federal government in 2018, but a lawsuit kept the waiver from going into effect.
Bevin has said he will take away Medicaid expansion coverage from about half a million Kentuckians if a court blocks Kentucky’s changes. In January of last year, he issued an executive order directing the secretary of the Cabinet for Health and Family Services and the Medicaid commissioner to terminate Kentucky’s Medicaid expansion if any part of his plan is struck down in court and once all appeals are exhausted.
Health and Family Services Secretary Adam Meier released a statement Wednesday. In part, it said, “In Kentucky, we want more than to simply give someone a Medicaid card they can put in their wallet—we want a program that focuses on actually improving health outcomes. “Although a setback to our implementation schedule, we believe that we have an excellent record for appeal and are currently considering next steps.”
