2026-06-01 22:24:48 / 路透社
2026年4月18日，美国华盛顿特区白宫椭圆形办公室，美国总统唐纳德·特朗普签署一项关于放松包括伊博格碱在内的精神健康治疗限制的行政命令后，美国医疗保险与医疗补助服务中心负责人穆罕默德·奥兹发表讲话。路透社/内森·霍华德/档案照片 购买授权，打开新标签页
纽约6月1日（路透社）——负责管理美国医疗保险（Medicare）和医疗补助计划（Medicaid）的联邦机构于周一发布临时指南，指导各州如何为纳入医疗补助计划的美国人实施新的工作要求。
这项去年作为唐纳德·特朗普总统减税与支出法案一部分公布的新规要求，参保者每月需完成80小时工作，才有资格领取医疗补助——这一面向低收入美国人的医保计划。
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参保者的资格至少每六个月或在计划续保期间需要重新核验一次，但各州可以选择更频繁地开展核查。
“这些人挤占了原本专为真正有需要的人群设计的项目空间，”美国医疗保险与医疗补助服务中心负责人穆罕默德·奥兹说道。
奥兹表示，该举措旨在推动具备劳动能力的参保者转向雇主赞助的医保计划，并“为我们最脆弱的人群释放项目中的关键资源”。
医疗补助计划由州和联邦政府共同出资，而面向老年人的医疗保险则完全由联邦资金支持。各州将合计获得2亿美元拨款，用于支持新规落地。
美国众议院议员、新泽西州民主党人弗兰克·帕隆表示，这些要求会让美国人更难获得医疗保障。
“日常开支飙升之际，民众本已艰难度日，如今数百万美国人将失去医保，并非因为他们没有工作，仅仅是因为他们被文书工作压垮了，”帕隆在一份声明中说道。
新要求将于2027年1月1日生效，但医疗保险与医疗补助服务中心的一名官员表示，在2028年之前，医疗补助计划的参保者可以自行证明符合工作要求。
怀孕、接受产后护理、残疾或被认定为身体虚弱的参保者可免于工作规定。那些已经满足补充营养援助计划（SNAP，即食品券项目）中工作要求的人也可获得豁免。
医疗补助计划主管丹·布里尔曼表示，该机构计划依托现有电子数据开展实时核验，例如医疗索赔信息。
2028年起，参保者仅能在首次符合新要求时自行证明，之后必须提供相关文件。对于申请医疗豁免的人员，各州必须首先核查健康保险索赔历史，以确认其身体虚弱状况，一名医疗保险与医疗补助服务中心的官员说道。
“我们对自行申报中的欺诈行为零容忍，”奥兹说道。“我们将与不同执法机构合作，确保民众明白这不是玩笑。”
阿米娜·尼亚斯 纽约报道；比尔·伯克罗特 编辑
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US agency announces interim guidance on Medicaid work requirements
2026-06-01 22:24:48 / Reuters
Administrator for the Centers for Medicare & Medicaid Services Mehmet Oz speaks, after U.S. President Donald Trump signed an executive order about easing restrictions on mental health treatments, including, ibogaine, in the Oval Office of the White House in Washington, D.C., April 18, 2026. REUTERS/Nathan Howard/File Photo Purchase Licensing Rights, opens new tab
NEW YORK, June 1 (Reuters) – The U.S. agency that runs the Medicare and Medicaid programs on Monday announced interim guidance on how states should implement new work requirements for Americans enrolled in Medicaid health plans.
The rule announced last year as part of President Donald Trump’s tax cut and spending bill requires 80 hours of work per month to be eligible to receive Medicaid, the health program for low-income Americans.
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Eligibility for enrollees must be verified at least every six months or at plan renewals, but states can choose to conduct checks more frequently.
“These folks are crowding out programs that were originally designed for those truly in need,” said Centers for Medicare & Medicaid Services Administrator Mehmet Oz.
Oz said the initiative aims to move able-bodied enrollees to employer-sponsored health plans and “free up critical space in the program for our most vulnerable populations.”
Medicaid is jointly funded by state and federal governments, unlike Medicare for older Americans, which is fully federal. States will receive a combined $200 million in grants to support implementation.
U.S. Representative Frank Pallone, a New Jersey Democrat, said the requirements make it more difficult for Americans to receive care.
“People are already struggling to get by as prices on everyday expenses skyrocket, and now millions of Americans will lose their healthcare not because they’re not working, but simply because they got buried in paperwork,” said Pallone in a statement.
The new requirements go into effect January 1, 2027, but a CMS official said before 2028 Medicaid members can self-attest to having met the requirements.
Members who are pregnant, receiving postpartum care, disabled or deemed to be medically frail are exempt from the work rules. Those who have already met work requirements introduced for receiving food assistance under the Supplemental Nutrition Assistance Program, or SNAP, are also exempt.
Medicaid Director Dan Brillman said the agency aims to conduct real-time verifications by relying on existing electronic data, such as medical claims information.
Beginning in 2028, enrollees will only be able to self-attest once that they have met the new requirements and will have to provide documentation. For those seeking medical exemptions, states must first check health insurance claims history to confirm frailty, a CMS official said.
“We are serious about the consequences of dishonesty in self-attestation,” said Oz. “We will be speaking with different enforcement bodies to make sure that folks know that is not a joke.”
Reporting by Amina Niasse in New York; Editing by Bill Berkrot
Our Standards: The Thomson Reuters Trust Principles.
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