A new issue brief from the Kaiser Family Foundation highlights proposed changes to Medicaid programs in Wisconsin and Maine that include work requirements and time limits in both states, as well as drug screenings for some beneficiaries in Wisconsin. The waiver authority sought by both states would impose welfare-like restrictions and include a number of provisions that have never been approved for traditional, non-Medicaid expansion populations, such as locking beneficiaries out of coverage for failure to pay premiums.

Both states’ waiver proposals estimate less coverage and higher costs as a result of the waivers. The brief includes tables that summarize the key provisions of the proposed waivers for each state.

The requests from Wisconsin and Maine, which will be submitted to the U.S. Department of Health and Human Services, come at a time when the Trump Administration has signaled to states that the federal government would be open to considering waiver requests from states that want to redesign their Medicaid programs.