The Trump Administration took several steps this past week in support of its efforts to transform the Medicaid program. In testimony before Congress on Thursday, March 14, HHS Secretary Alex Azar confirmed the agency is engaging in discussions with states interested in receiving federal Medicaid funding through block grants. The same day, oral arguments were heard in challenges to the Section 1115 work and community engagement waivers granted in Kentucky and Arkansas, with Judge Boasberg indicating he will issue an opinion by April 1, 2019. On March 20, residents of New Hampshire filed a lawsuit in the United States District Court for the District of Columbia challenging approval of New Hampshire’s 1115 waiver that requires enrollees to engage in 100 hours a month of work or community engagement as a condition of eligibility. The case is Philbrick v. Azar. CMS released guidance to help states evaluate 1115 demonstrations. Section 1115 of the Social Security Act requires…
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