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WASHINGTON听鈥� A federal judge ruled against the U.S. Department of Health and Human Services鈥� approval of Medicaid waiver projects in Kentucky and Arkansas that include work mandates and other cuts to coverage. This marks the second time the court vacated HHS鈥檚 approval of the Kentucky project, Significantly, the rulings mean that the states cannot move forward with the projects at this time.听 听听
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National Health Law Program Legal Director Jane Perkins said, 鈥淲e are gratified by the court鈥檚 rulings today. They mean that low-income people in Kentucky and Arkansas will maintain their health insurance coverage -- coverage that enables them to live, work, and participate as fully as they can in their communities. Coverage matters: plain and simple. The court鈥檚 decision is clear: Federal agencies must engage in reasoned decision making. That did not happen here. Rather than consider the Medicaid Act鈥檚 aim of furnishing medical assistance, the Secretary doubled down on his consideration of other aims for Medicaid -- including the administration鈥檚 stated aim of exploding the ACA鈥檚 Medicaid expansion.鈥�
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Kentucky Equal Justice Center Executive Director welcomed the decision saying, 鈥淐onditioning access to Medicaid on work requirements has always been about blocking low-income individuals and families, many of whom are working numerous jobs or caring for sick family members, from accessing Medicaid. Today鈥檚 decision reaffirms congressional intent of Medicaid and will save more than 100,000 Kentuckians from losing their vital access to Medicaid.鈥�
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Legal Aid of Arkansas Attorney said, 鈥淭his is a great day. Everyone on Arkansas Works can go to bed tonight knowing that tomorrow they'll be able get the healthcare they need to work and live a full life.鈥澨�
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Southern Poverty Law Center Deputy Legal Director said, 鈥淭he court reaffirmed the rights of financially insecure individuals to access health care, and concluded once again, that these 鈥榳aivers鈥� are arbitrary and capricious. The ruling is a significant rebuff of the Trump administration鈥檚 nefarious attempts to turn Medicaid, a program designed to ensure access to health care, into a work program.鈥澨�
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The and Southern Poverty Law Center are counsel in both cases, Stewart v. Azar (Ky.) and Gresham v. Azar (Ark.). The law firm of Jenner & Block is working with the National Health Law Program.
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These counsel are joined by Kentucky Equal Justice Center in representing individuals in Kentucky who would be harmed by the State鈥檚 project, which conditions Medicaid coverage on compliance with work and premium mandates, imposes lockout penalties on individuals who fail to meet administrative deadlines, and eliminates some previously covered benefits. According to the State鈥檚 own data, nearly 100,000 Kentuckians are likely to lose health care coverage because of these radical changes to Medicaid.听
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In Arkansas, the National Health Law Program and Southern Poverty Law Center are joined by Legal Aid of Arkansas in representing individuals in Arkansas who have been harmed by that State鈥檚 Medicaid waiver thathas already cut more than 18,000 people from health care services.听
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See the decision in (Ark.) and in (Ky.)

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