The Portland Press Herald: Maine becomes first state to approve Medicaid expansion by popular vote

Thirty-two states and Washington, DC have expanded Medicaid under the ACA. On Tuesday, Maine became the first state to do it at the ballot box, with 59 percent of voters supporting expansion. Other states have expanded through an act of the state legislature or the governor’s executive authority.

Bangor Daily News: As Mainers endorse expanding MaineCare, feds back LePage methods to shrink it

As Mainers were going to the polls on Tuesday, the Administrator of the Centers for Medicare and Medicaid Services (CMS) was telling state Medicaid directors about her agency’s plans to “refit” the state-federal program. She promised to work closely with states that want to use the waiver process to impose new conditions on Medicaid enrollees. Maine currently has such a waiver awaiting CMS approval.

Washington Post: States will be allowed to impose Medicaid work requirements, top federal official says

Administrator Seema Verma’s speech to the National Association of Medicaid Directors (NAMD) forcefully endorsed work requirements (or “community engagement requirements”) for Medicaid members and condemned the Medicaid expansion for covering “able-bodied” adults. The speech pleased officials from the half-dozen states trying to implement work/community engagement requirements.

Washington Examiner: Trump readies executive order to unravel Obamacare’s individual mandate, GOP senator says

An executive order to scuttle the ACA’s individual mandate may be coming soon, according to one GOP senator. The executive order, which could broaden hardship exemptions and stop the collection of fines, was put on hold while Congress debates whether to repeal the individual mandate in the tax bill.    

Kaiser Family Foundation: How Many of the Uninsured can Purchase a Marketplace Plan for Less Than Their Shared Responsibility Payment?

Open enrollment for the ACA’s health insurance marketplaces runs through December 15th in most states. The tax penalty for not having insurance is still in play. According to this issue brief from the Kaiser Family Foundation, 70% of people who are eligible for subsidies but still uninsured (5.8 million people) could get a bronze plan in 2018 for less than they would pay in individual mandate penalties for staying uninsured.