A new federal law has added layers of bureaucracy to the Medicaid application process, compounding the challenges of a program that is already complex to navigate and administer. 
 

When states implement complex work requirement reporting systems, many Medicaid enrollees are unaware that the rules apply to them or struggle to navigate the reporting process. These challenges are compounded by barriers such as unstable housing or homelessness, limited access to phones and the internet, and irregular or shifting employment. Although exemptions exist, the process to obtain them is often confusing and underused, creating obstacles for those with disabilities in particular. 

Because of these federal changes, more than 300,000 eligible Pennsylvanians may lose coverage, most likely without ever knowing when or why it was terminated. These disruptions in care will affect every district in the Commonwealth. 

Many trusted community organizations play a critical role in helping residents navigate the Medicaid application process. With the anticipated spike in caseloads and the need to meet recipients in their communities, these organizations will be needed more than ever. 

To help shield Pennsylvania from the poor health outcomes, increased uncompensated care rates and hospital closures expected to result from the federal changes, my legislation will: 

• Direct DHS to engage in proactive outreach and develop clear, user-friendly materials that community organizations and other partners can use to support applicants and recipients;
• Establish a grant program for certified community organizations that assist in the Medicaid application process and perform outreach; and 
• Streamline access to Medicaid systems for these community organizations. 

Please join me in co-sponsoring legislation to help eligible applicants and recipients receive and maintain access to healthcare coverage.