The Senate makes expansion depend on President Joe Biden’s administration approving its work requirement. But the administration has consistently revoked work requirement waivers, arguing people should not face roadblocks to getting health care. Only Georgia has managed to tie a work requirement to a partial expansion of Medicaid benefits. But the state only requires people to document 80 monthly hours of work, 40 hours less than what Mississippi senators have proposed. Georgia’s program has seen abysmal enrollment. The House proposal would have allowed expansion to continue without a work requirement, but the Senate version would disallow Medicaid expansion without one. Blackwell said he is counting on Biden losing in November to a Republican whose administration would welcome a work requirement. Under the reduced eligibility level approved by the Senate, Mississippi would also lose an additional financial bonus for expanding Medicaid that would be available under the House’s version.
