Trump Plans to Undo Obama Rule Letting Unions Skim Dues From Medicaid Payments

The Trump administration is taking steps to prevent labor unions from withholding dues for home healthcare workers from their Medicaid payments, an Obama-era innovation that many observers believe is illegal.

Last Tuesday, the Centers for Medicare and Medicaid Services (CMS) proposed undoing a 2014 rule allowing states to skim public-sector union dues from Medicaid payments to independent home healthcare providers on the theory that those providers are de facto public employees — a privilege that has netted unions anywhere from $71 million (CMS’ estimate) to $200 million (State Policy Network) annually.

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