A recently signed federal spending bill includes notable changes to Medicaid, though experts indicate that most current South Carolina beneficiaries are unlikely to lose their coverage immediately.
The legislation introduces new work requirements for Medicaid eligibility. However, South Carolina is among the ten states that have not expanded their Medicaid programs. Consequently, these new work requirements will primarily affect individuals within the expansion population, specifically those aged 18 to 64 with incomes under 138% of the federal poverty level (approximately $15,500 for a single individual). Since South Carolina has not expanded its program, the direct impact of these work rules on the state’s existing Medicaid recipients will be limited.
Despite this, the state could still experience other effects from the federal legislation. One significant change requires all Medicaid recipients to recertify their eligibility every six months, initiating the application process anew each time. This measure could create substantial administrative hurdles for beneficiaries.
Additionally, the bill imposes limits on state-directed payments to hospitals and providers that treat Medicaid patients. It also restricts federal funding to clinics that offer abortions, including organizations like Planned Parenthood. This could lead to a reduction in the network of available reproductive healthcare providers for Medicaid patients.
Further provisions within the bill include expanded immigration verification processes and increased oversight of Medicaid providers, potentially adding new administrative burdens for the state’s healthcare system.
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