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Utah Senate advances pilot that would require select Medicaid recipients to perform community service
Summary
The Utah Senate voted to advance House Bill 211, directing the Department of Health to design a pilot that would identify fewer than 100 able-bodied Medicaid enrollees to perform community service as part of a limited program contingent on a federal waiver. The measure prompted heated floor debate over whether the pilot is punitive or a narrow test of work-readiness strategies.
The Utah Senate voted to advance House Bill 211, a measure directing the Department of Health to develop a community-service pilot program for certain Medicaid recipients enrolled in the Primary Care Network. Sponsor Senator Bramble told colleagues the pilot would "identify less than 100 Medicaid recipients who are capable of providing community services" and that it would exclude children and people with significant disabilities and "require a waiver from CMS" before implementation.
Proponents framed the proposal as a narrow test intended to increase beneficiaries' engagement and to evaluate whether limited service requirements could help participants develop work-related skills. Senator Bramble said the program would "provide a mechanism for them to contribute back in exchange for the services that they're being…
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