In light of a series of calls throughout the year by the Nations Governors. the administration and this Congress have been asked to provide States with greater flexibility to more efficiently administer their Medicaid programs. This provision is incredibly ironic and in sharp contrast to everything that we have been discussing in Medicaid policy over the last 2 years. For a Medicaid case worker. who already has to learn the complex requirements of the Medicaid program. he or she now must also learn immigration law. As a study by the National Conference of State Legislatures notes. this would require an extensive citizenship verification made for all applicants to the Medicaid Program. According to the Conference of State Legislatures: These [deeming] mandates will require States to verify citizenship status. immigration status. sponsoring status. and length of time in the U.S. in each eligibility determination for a deemed Federal program. They will also require State and local governments to implement and maintain costly data information systems. In addition to all these costs.
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immigration