2018 Senate Bill 897 / Public Act 208

Impose work requirement on able-bodied Medicaid recipients

Introduced in the Senate

March 8, 2018

Introduced by Sen. Mike Shirkey (R-16)

To require the Michigan Department of Health and Human Services to petition the federal government for a “waiver” that would allow the state to impose work, job-training or community service requirement as a condition of able-bodied individuals accepting Medicaid health coverage benefits. The bill would also require beneficiaries to verify family income on a quarterly basis, and impose similar requirements on food stamp recipients. See also House Bills 5317 and 5590.

Referred to the Committee on Michigan Competitiveness

April 19, 2018

Reported without amendment

With the recommendation that the substitute (S-2) be adopted and that the bill then pass.

Amendment offered

To permit Department of Health and Human Services officials to add more conditions on Medicaid benefits for able-bodied adults.

The amendment passed by voice vote

Amendment offered by Sen. Rebekah Warren (D-18)

To reduce the require hours of weekly work from 29 to 20.

The amendment failed by voice vote

Amendment offered by Sen. Vincent Gregory (D-11)

To exempt veterans from Medicaid work requirements.

The amendment failed 16 to 21 (details)

Amendment offered by Sen. Rebekah Warren (D-18)

To raise the exception for parents of children under age six to children under age 13.

The amendment failed 13 to 24 (details)

Amendment offered by Sen. David Knezek (D-5)

To exempt beneficiaries who are unemployed due to a having a seasonal job that has ended.

The amendment failed 13 to 24 (details)

Amendment offered by Sen. Jim Ananich (D-27)

To revise a temporary exception for able-bodied Medicaid beneficiaries who experience a divorce or domestic violence to include miscarriage or other pregnancy complications.

The amendment failed 15 to 22 (details)

Amendment offered by Sen. Rebekah Warren (D-18)

To require state officials to hire a research institution to do a cost benefit study on the cost of imposing work requirement versus the amount of money it saves the state.

The amendment failed 12 to 25 (details)

Amendment offered by Sen. Curtis Hertel (D-23)

To require legislators to attend at least 29 hours a week when the legislature is in session.

The amendment failed 15 to 22 (details)

Amendment offered by Sen. Steve Bieda (D-9)

To exempt beneficiaries are the caretaker for a elderly or frail person over age 65.

The amendment failed 17 to 20 (details)

Passed in the Senate 26 to 11 (details)

To require state welfare officials to seek a federal “waiver” that would allow requiring able-bodied individuals enrolled in the Medicaid expansion authorized by the federal health care law to work at least 29 hours a week, or be in school, job-training or volunteer work. The bill authorizes exceptions for a parent with children under age six, individuals getting disability benefits, a disabled person's caretaker, and more.

Received in the House

April 19, 2018

Referred to the Committee on Appropriations

June 6, 2018

Reported without amendment

With the recommendation that the substitute (H-2) be adopted and that the bill then pass.

Amendment offered by Rep. Yousef Rabhi (D-53)

To change the monthly work requirement from "80 hours" to "zero hours".

The amendment failed by voice vote

Amendment offered by Rep. Jon Hoadley (D-60)

To require the work or work substitutes the bill would impose be "scheduled" ones.

The amendment failed by voice vote

Amendment offered by Rep. Kristy Pagan (D-21)

To exempt a parent with a child under age 18 from the work requirements, rather than a parent with a child under age 6.

The amendment failed by voice vote

Amendment offered by Rep. Tom Cochran (D-67)

To exempt individuals above age 50 from the work requirement (instead of those older than 62).

The amendment failed by voice vote

Amendment offered by Rep. Kristy Pagan (D-21)

To tie-bar the bill to House Bill 5247, meaning this bill cannot become law unless that one does also. HB 5247 would require that employers who offer paid time off for illness must grant this if requested by an employee for issues arising from sexual assault, domestic violence or stalking in his or her family.

The amendment failed by voice vote

Amendment offered by Rep. Pam Faris (D-48)

To exempt from work requirements a Medicaid recipient who is homeless.

The amendment failed by voice vote

Amendment offered by Rep. Kristy Pagan (D-21)

To tie-bar the bill to House Bill 4803, meaning this bill cannot become law unless that one does also. HB 4803 would repeal a “training” wage provided as an exception to the state minimum wage law.

The amendment failed by voice vote

Amendment offered by Rep. Fred Durhal (D-5)

To remove provisions that would require Medicaid expansion benefit recipients complete a "healthy behavior with intentional effort toward making subsequent year healthy behaviors be incrementally more challenging," and would impose a coverage premium equal to of 5 percent of their income.

The amendment failed by voice vote

Amendment offered by Rep. Fred Durhal (D-5)

To prohibit cutting off a benefit recipient who fails to meet the work or training requirement unless officials have screened the recipient for possible exemptions, and provided services intended to overcome any employment barriers to the individual.

The amendment failed by voice vote

Amendment offered by Rep. David LaGrand (D-75)

To exempt benefit recipients from work requirement if the individual "has received an axis I or axis II diagnosis from a mental health professional".

The amendment failed by voice vote

Amendment offered by Rep. Lee Chatfield (R-107)

To terminate benefits to the Medicaid expansion population if the net savings from resulting from this bill and other provisions of the law are not sufficient to cover the amount of state must contribute to the program in matching funds.

The amendment passed by voice vote

Passed in the House 62 to 47 (details)

To require state welfare officials to seek a federal “waiver” that would allow requiring able-bodied individuals enrolled in the Medicaid expansion authorized by the federal health care law to work at least 80 hours a month for at least nine months a year, or be in school, job-training or volunteer work. The bill authorizes exceptions for a parent with children under age six, individuals getting disability benefits or above age 62, a disabled person's caretaker, and more.

Received in the Senate

June 7, 2018

Passed in the Senate 25 to 11 (details)

Signed by Gov. Rick Snyder

June 22, 2018