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Medicaid Expansion and Work Requirements in Georgia
Journal of Legal Medicine ( IF 0.417 ) Pub Date : 2021-04-02 , DOI: 10.1080/01947648.2020.1854136
C. David Whitson

Abstract

Georgia’s Section 1115 waiver application, titled “Georgia Pathways to Coverage,” seeks to simultaneously expand the state’s Medicaid program and condition eligibility on work requirements. Though Section 1115 waivers have become a common vehicle for state Medicaid expansion, the imposition of work requirements is a novel departure. This article explores whether approval of Georgia Pathways to Coverage by the U.S. Department of Health and Human Services can withstand judicial review. Recent precedent, beginning with the seminal Stewart v. Azar case, strongly suggests that a legal challenge would be successful on the merits. The features and justifications of Georgia Pathways to Coverage, examined in light of current data on work requirements in entitlement programs, make it likely that approval of the program would be found arbitrary and capricious under the Administrative Procedure Act. However, unique aspects of Georgia Pathways to Coverage, as compared with similar state waivers, raise significant hurdles related to constitutional standing requirements and the appropriate judicial remedy.



中文翻译:

乔治亚州的医疗补助扩张和工作要求

摘要

佐治亚州第1115条豁免申请题为“佐治亚州覆盖途径”,旨在同时扩大该州的医疗补助计划和满足工作要求的条件。尽管1115节豁免已成为州医疗补助扩展的通用工具,但对工作要求的强加却是一个新的突破。本文探讨了美国卫生与公共服务部批准乔治亚州覆盖范围的途径是否可以经受司法审查。最近的先例,始于开创性的Stewart诉Azar此案强烈暗示,就案情而言,法律上的挑战将是成功的。根据权利计划中有关工作要求的最新数据对佐治亚州覆盖途径的特征和理由进行了审查,从而有可能根据《行政程序法》认定对该计划的批准是任意的且反复无常的。但是,与类似的州豁免相比,佐治亚州覆盖率途径的独特方面,在宪法地位要求和适当的司法补救方面带来了很大的障碍。

更新日期:2021-04-02
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