Before we get to this month’s topic, we want to clarify some confusion (and comments we received) about last month’s column comparing Pennsylvania to Florida, especially in the area of income taxes.
To clarify, Pennsylvania does not tax retirement income. (So, add that to your considerations before heading to Florida.) Now, on to something that affects all states.
Last year on Independence Day, the One Big Beautiful Bill Act became law. A major aspect of this law is a requirement that Medicaid recipients may have to work (or prove otherwise) in order to receive those benefits.
As a reminder, Medicaid is a joint federal and state program providing healthcare and related services to millions of Americans, many of whom are poor, disabled or minors. The Centers for Medicare & Medicaid Services runs the Medicaid program at the federal level and delegates a broad range of implementation strategies by state Medicaid agencies.
In Pennsylvania, Medicaid’s program is called Medical Assistance, and it is administered by the Pennsylvania Department of Human Services through its 67 local County Assistance Offices.
The law mandates that states must implement work requirements for certain individuals no later than Jan. 1, 2027.
This is a tremendous undertaking to be developed over the next several months. In preparation, on June 1, 2026, CMS issued an interim final rule known as “Medicaid Program; Community Engagement Requirement for Certain Individuals.” At almost 400 pages, this...
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