SPDP

  State Policy Documentation Project

 

 

 

Table 8: States Exercising the Option to Terminate the Medicaid Coverage
of a Non-Pregnant Head of Household Who Loses TANF for Refusal to Work

The 1996 federal welfare law gave states the option to terminate the Medicaid coverage of a Head of Household (as long as she is not pregnant) who loses her TANF-funded cash assistance for refusing to work. Pregnant women cannot be terminated from Medicaid under this or any other sanction option. Similarly, children cannot be terminated from Medicaid under this or any other sanction option except if they are the head of household (and not pregnant). Table 8 provides information on which states have elected this option.

Table 8
States Exercising the Option to Terminate the Medicaid Coverage
of a Non-Pregnant Head of Household Who Loses TANF for Failure to Work

 

Exercised the sanction option?

Totals 13 Yes
38 No
Alabama Yes
Alaska No
Arizona No
Arkansas No
California No
Colorado No
Connecticut No
Delaware No
District of Columbia No
Florida No
Georgia No
Hawaii** No
Idaho Yes
Illinois No
Indiana Yes
Iowa No
Kansas Yes
Kentucky No
Louisiana Yes
Maine No
Maryland No
Massachusetts** No
Michigan Yes
Minnesota No
Mississippi Yes
Missouri No
Montana No
Nebraska * Yes
Nevada Yes
New Hampshire No
New Jersey No
New Mexico Yes
New York No
North Carolina No
North Dakota No
Ohio (23) Yes
Oklahoma No
Oregon No
Pennsylvania No
Rhode Island No
South Carolina Yes
South Dakota No
Tennessee No
Texas * No
Utah * No
Vermont No
Virginia No
Washington No
West Virginia No
Wisconsin No
Wyoming Yes

NOTES

23. Non-pregnant heads of household are not terminated from Medicaid unless they are facing their third TANF sanction. After losing their Medicaid coverage, these heads of household have the opportunity to regain Medicaid if they comply with TANF rules.
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This page last updated September 02, 2023

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