Kentucky is one of four states where the U.S. Department of Health and Human Services has approved Medicaid work requirements. "Seven others — Arizona, Kansas, Maine, Mississippi, Ohio, Utah, and Wisconsin — have proposals waiting for approval," Dylan Scott of Vox reports.
Boasberg sent the issue back to HHS for review. State Health Secretary Adam Meier issued a statement calling the ruling "very narrow" and saying the state would work with the Centers for Medicare and Medicaid Services "to quickly resolve the single issue raised by the court so that we can move forward."
UPDATE, July 3: Writing for The Commonwealth Fund, Sara Rosenbaum has "three takeaways" from Boasberg's ruling: "1. Work requirements may not be unlawful per se, but any Medicaid waiver demonstration conducted under Section 1115 of the Social Security Act must be carefully assessed for its impact on people’s health care coverage. Providing health insurance, after all, is Medicaid’s reason for being. 2. Where Medicaid’s fundamental purpose and statutory protections are concerned, expansion beneficiaries stand on equal footing with 'traditional' populations. Judge Boasberg spends considerable time debunking what has become an especially contested aspect of the debate surrounding the Affordable Care Act (ACA)’s Medicaid expansion population: namely, that these individuals are somehow less worthy . . . 3. Comprehensive, high-quality evidence is the heart of lawful administrative decision-making."