The Trump administration’s choice to run the Medicaid program nationwide is Mary Mayhew, a strident Medicaid critic who has urged states not to join the Affordable Care Act’s Medicaid expansion.
Mayhew previously served in the administration of Maine Gov. Paul LePage, who has refused to implement a Medicaid expansion that voters approved more than a year ago (despite court orders that he do so).
As the Portland Press Herald describes it, Mayhew has “been at the forefront of LePage’s bid to revamp programs that affect thousands of Mainers, including efforts to tighten requirements for Medicaid enrollees, re-establish work requirements for food stamps, clamp down on welfare fraud, and advocate for other changes, such as forbidding junk food purchases with food stamps.”
“States like Maine and Utah must balance their budgets,” Mayhew wrote in an op-ed earlier this year, published in a Utah newspaper. “With limited resources, safety net programs must fulfill their core mission. Maine fell into the same trap as many other states of expanding Medicaid rolls while the very real needs of seniors and individuals with disabilities went unfunded and unmet. I can only hope Utah will not have to learn these hard lessons the same way.”
Those requirements are having consequences. Arkansas, the first state to have its work requirement go into effect, announced today that 8,426 low-income people there have lost coverage as a result of the policy change.
Mayhew left the LePage administration in mid-2017, before Maine passed a ballot initiative to expand the Medicaid program that the governor has so far refused to implement. But she was critical of the ballot initiative in her failed 2018 run for the Republican nomination for governor.
Here is the full announcement on Mayhew that Medicare administrator Seema Verma sent out earlier Monday:
Please join me in welcoming Mary Mayhew as the Deputy Administrator and Director of the Center for Medicaid and CHIP Services beginning today. Prior to coming to CMS, she served for several years as the Commissioner for Health and Human Services under Governor Paul LePage in Maine. Her other experience includes being a partner in the public affairs firm of Hawkes & Mayhew and serving for 11 years as a Vice President at the Maine Hospital Association. She has a bachelor’s degree in political science from the University of Arkansas. I look forward to having Mary join the CMS leadership team and would like to thank Tim Hill for his leadership as Acting Center Director.
- Annie Lowrey wrote a fantastic piece from Maine for the Atlantic last year, detailing what Mayhew’s welfare reforms look like on the ground — and including an interview with Mayhew.
- My Vox colleague Dylan Scott writes that Medicaid work requirements are part of Trump’s “hidden war on Medicaid.”
- Margot Sanger-Katz at the New York Times is doing an excellent job covering the Arkansas Medicaid work requirement. This is her latest.