The American Rescue Plan Act (ARPA) was signed into law on March 11, 2021 as a signature effort to assist in the recovery from the COVID-19 pandemic and the related economic downturn. Included as part of the sweeping legislation is a program to fully subsidize COBRA coverage for six months starting in April of 2021. This expert perspective provides a short overview of COBRA and mini-COBRA, the major elements of the ARPA COBRA Assistance program, and considerations for state policymakers related to the program.
Medicaid Work Requirements/Community Engagement: Federal Activity and State Considerations
At least seven states have submitted 1115 waivers requesting authority to introduce work requirements for some Medicaid beneficiaries, and last week CMS Administrator Seema Verma signaled the administration’s interest in considering proposals that promote community engagement and work activities. In this webinar, the Robert Wood Johnson Foundation’s State Health and Value Strategies (SHVS) program, together with technical assistance experts from Manatt Health, will examine key design considerations for states, including the populations to which work requirements or community engagement may apply; exemptions based on health status or community conditions (e.g. rates of unemployment; access to transportation); definition of work (how many hours per month? Per year? Will school, job training, and volunteer work satisfy a work requirement?); and, use of verification and attestation in determining whether work requirements and community engagement apply and are being met. We also will look at state operational issues including integrating work requirements with a streamlined online, electronic application and renewal process.