Universal Health Care Action Network Trump is Allowing States to Add a Work Requirement for Medicaid. What Could it Mean for Ohio? By Andy Chow • Jan 11, 2018 ANDY CHOW / UNITED HEALTH CARE ACTION NETWORK The Trump administration is clearing the way for states to attach work requirements for peole on Medicaid. The announcement has sparked outrage among health-care advocates and could mean some changes for the Ohio's program. The Centers for Medicare and Medicaid Services released new guidelines that allow states to require a Medicaid recipient to work in order to get their health-care coverage. Medicaid Expansion Freeze Could Gut Ohio's Opioid Fight, New Report Finds By Jo Ingles • Jun 21, 2017 A new analysis from the Associated Press shows Medicaid expansion accounted for 43 percent of total Ohio Medicaid spending on substance abuse and mental health treatment. Advocates for the poor worry a proposed amendment in the state Senate budget that would end Medicaid expansion enrollment would be a disaster for Ohio’s opioid crisis.