Mississippi Medicaid expansion at crossroads over work requirement

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Mississippi Medicaid expansion at crossroads over work requirement
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Bracey Harris is a national reporter for NBC News, based in Jackson, Mississippi.

In Mississippi, the poorest state in the nation, Republican lawmakers have loosened their decadelong resistance to expanding Medicaid and making health insurance available to roughly 200,000 of the state’s low-income residents. But some Republican leaders have said they will not approve a bill without a work requirement, a provision critics say could still leave the most vulnerable Mississippians behind.

Several backed away from them after legal challenges. Under the Biden administration, the Centers for Medicaid and Medicare Services has also revoked previous approvals for the requirements. Arkansas, which no longer has a work requirement, was the only state whose Medicaid program penalized beneficiaries who failed to work. At least 18,000 residents lost coverage while the requirement was in effect.

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