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  • 1Timothy Stoltzfus Jost ( jostt@wlu.edu ) is an emeritus professor at the Washington and Lee University School of Law and a contributing editor at Health Affairs. [Published online February 12, 2018.] Readers can find more detail and updates on health reform on Health Affairs Blog ( http://healthaffairs.org/blog/ ).

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The Trump administration introduced Medicaid work requirements and proposed expanding religious and moral exemptions for healthcare providers. These policy shifts marked a significant departure from previous federal approaches to healthcare access and provider rights.

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Area of Science:

  • Public Health Policy
  • Healthcare Law
  • Social Determinants of Health

Background:

  • Previous administrations did not authorize work requirements for Medicaid.
  • Healthcare providers' rights to refuse treatment based on religious or moral objections were less broadly defined.

Purpose of the Study:

  • To analyze the policy changes implemented by the Trump administration regarding Medicaid work requirements.
  • To examine the proposed expansion of religious and moral exemptions for healthcare providers.

Main Methods:

  • Policy analysis of federal regulations and proposed rules.
  • Review of legislative and administrative actions.

Main Results:

  • Medicaid work requirements were authorized, diverging from prior policy.
  • Significant proposals were made to broaden rights for healthcare providers to refuse treatment on religious/moral grounds.

Conclusions:

  • The Trump administration enacted substantial changes to Medicaid policy and healthcare provider rights.
  • These changes represent a notable shift in federal healthcare policy direction.