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Medicaid work mandate will create uncertainty in some states

Kentucky Gov. Matt Bevin announces federal approval of Kentucky's Medicaid waiver in the Capitol Rotunda in Frankfort, Ky., Friday, Jan. 12, 2018.
Kentucky Gov. Matt Bevin announces federal approval of Kentucky's Medicaid waiver in the Capitol Rotunda in Frankfort, Ky., Friday, Jan. 12, 2018. Kentucky Gov. Matt Bevin announces federal approval of Kentucky's Medicaid waiver in the Capitol Rotunda in Frankfort, Ky., Friday, Jan. 12, 2018.

LITTLE ROCK, Ark. (AP) – Republicans this past week began to realize their long-held goal of requiring certain adults to work, get job training or perform community service in exchange for getting health coverage through Medicaid.

Whether that’s a commonsense approach or an added burden that will end up costing many Americans their health insurance will now be debated in states across the country considering the landmark change to the nation’s largest health insurance program.

To Medicaid recipients such as Thomas J. Penister of Milwaukee, it’s created uncertainty about their ability to have health coverage.

He’s been unemployed for the last four or five years and has received Medicaid for the past two. He sees a behavioral health specialist to deal with anxiety and said Medicaid has made a big difference in his life.

Penister, 36, said he is not yet ready to rejoin the workforce and is unnerved by the prospect of potentially losing Medicaid. His state, Wisconsin, is one 10 that applied to the federal government for a waiver seeking to implement work and other requirements for single adults.