On Monday night, Ohio Gov. John Kasich (R) officially submitted a request to the Department of Health and Human Services for permission to force the roughly 700,000 people enrolled in the state’s Medicaid expansion to prove they’re working at least 80 hours per month. If the waiver is approved, Ohioans unable to find work would have to get placed with an organization in their county and work without pay to earn the value of their health care benefits.
Ohio’s non-profit Center for Health Affairs estimates that 18,000 people could lose coverage due to the requirement, though advocacy groups say that number could be much higher if eligible people are deterred by the bureaucratic hoops they have to jump through to document their employment status or prove they’re exempt due to a disability.
“We believe they’re vastly underestimating,” Katie McGarvey with the Legal Aid Society of Ohio told TPM. “There’s not an automatic way to do those exemptions, so each county will have to contact each individual, get documentation, and do an assessment. What if the person doesn’t get the mail or doesn’t have transportation to the appointment? It’s a huge administrative barrier and a lot of people who need the exemption and are eligible will fall through the cracks.”