Unions Could No Longer Get Medicaid Money Under New Trump Proposal
This news comes just two weeks after the
In the announcement,
"This proposed rule is intended to ensure that providers receive their complete payment, and any circumstances in which a state does divert part of a provider's payment must be clearly allowed under the law," said Hill.
For the most part, federal law prohibits Medicaid payments from going to anyone other than a provider. But the Obama administration created an exception to this rule in 2014 and allowed some unions to take a cut of home health care aides' Medicaid payments.
Eleven states --
Rolling back Medicaid money to unions has been a quiet hobby of some conservative politicians and think tanks who see the payments as unions cheating the system and using Medicaid money for unintended purposes.
"This classification allows states to skim an estimated
Unions argue that the Trump administration's proposal would further destabilize wages and the well-being of these workers in an industry known for unstable hours, low pay and burnout. Home health workers and family caregivers are one of the fastest-growing jobs in health care -- but also one of the lowest-paid. It's estimated that around 90 percent of home health aides make no more than
"The proposed rule targets these home care workers and is designed to stop them from contributing their own wages to support their union in the same way that teachers, police and firefighters do. This proposal is a transparent attempt to interfere with workers' freedom to choose to join together in a union and advocate for higher wages, better training and basic benefits like affordable health care and paid sick time that are crucial to ensure quality home care for our parents, grandparents and children," said the
A couple of major court cases have thrown the legality of the rule in doubt. In 2014, the
Before the 2014
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