Medicaid Will No Longer Pay Home Health Workers Union Dues Overturning a 2014 Rule

Sharon Hamilton MS, RN, CFDS
Clinical Consultant – Briggs Healthcare

A final rule, scheduled to be published May 6, 2019, “removes the regulatory text that allows a state to make Medicaid payments to third parties on behalf of an individual provider for benefits such as health insurance, skills training, and other benefits customary for employees.”

“A large number of commenters, both in opposition and support of the proposed rule, mentioned unions and/or union dues, and some commenters mentioned the benefits workers receive from union membership.” One commenter expressed that, “§ 447.10(g)(4) has been rescinded due to an bias against Unions.” CMS responded with, “The intent of the rule is to ensure that Medicaid practitioners paid fully and directly for their services as required by law. The Department, in no way, intends to prevent or discourage union membership.”

The regulations will go into effective 60 days after the date of publication in the Federal Register.

To read the rule click here.