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Michigan passed a law to impose work requirements on Medicaid beneficiaries. Gov Whitmer now wants to renegotiate how they will work, based on evidence that up to 183K people could lose health insurance as a result 1/ huffingtonpost.co.uk/entry/medicaid…
The analysis that Whitmer is relying on basically looks at Arkansas, which has implemented the work requirement, and asks what would happen if the same pattern occurred in Michigan (accounting for differences in the Michigan law). Report is here: 2/ manatt.com/Manatt/media/M…
The key takeaway we are seeing from Arkansas is not that the people who do not meet the work requirement are not working. Instead, its that poor people are struggling with the reporting part of the process - the administrative burdens. 3/ 
The effects of administrative burden can be really large. Applying the Arkansas experience to Michigan, up to 27% or 183K people are losing it b/c of administrative burdens. 4/
Oops, reconnecting the thread 5/
Every opponent of work requirements needs to ask the same question: is it fair or a good idea for poor people to lose health insurance because of paperwork requirements? Because that is what proponents of work requirements are arguing for. 6/
For some, like the Trump admin, I do not expect them to acknowledge the reality of the evidence, which scholars like myself, @PhilipRocco @povertyscholar @pamela_herd and others have presented in rule making comments & court cases. 7/
What we see repeatedly in the area of healthcare, and elsewhere, is the Trump admin deliberately using administrative burdens to limit access to public services. The effects are not unanticipated. Blocking access is the point. 8/ statnews.com/2019/01/15/adm…
In the short term, I hope that politicians and policy wonks who have argued for evidence-based policy acknowledge the growing evidence on the role of administrative burdens in work requirements. Coz takes like these are not aging well. 9/ washingtonpost.com/opinions/trump…
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