Federal Judge Reinstates Work Requirement in Georgia’s Partial Medicaid Expansion Proposal
A federal judge has ruled that the Centers for Medicare & Medicaid Services (CMS) violated federal law in revoking a work requirement that was part of Georgia’s partial Medicaid expansion proposal.
The Trump Administration approved Section 1115 demonstration waivers that, among offering states flexibility to test new approaches in how they operate their programs, imposed work and reporting requirements as a condition of Medicaid eligibly. Similar work requirements have been struck down by federal courts and in other states.
However, Judge Lisa Godby Wood stated the decision by CMS was “arbitrary and capricious,” as the agency failed to explain its decision. She also stated that CMS measured Georgia’s proposal against full Medicaid expansion, rather than measuring against Georgia’s partial expansion proposal.
Georgia’s initial waiver request was approved by CMS in the final days of the Trump administration, but that decision was reversed by the Biden administration in December 2021.
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