Pay to Play? California Discusses Paying People to Stay Sober
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Pay to Play? California Discusses Paying People to Stay Sober
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概要
A story came out last week about California trying to become the first state to incentivize people financially to stay sober.
Story here
Most people who complete the treatment without any positive urine tests during a set period of time will get a few hundred dollars put on a gift card. The governor calls it “contingency management,” and he wants it to be paid through Medicaid.
The bill already made it through the democratic-lead senate without opposition, and now it’s pending in the assembly.
All told the public cost would depend on the number of people participating, but it’ll be less than 1 million dollars which isn’t much compared to their 250 billion budget.
Since Medicaid would be the organization likely paying for it, what they’re debating in California is whether state law allows something like this to be paid for, and then even if the state itself can change the law, they’ll have to figure out whether or not it violates federal law.
In this episode, I go over some of the details of the bill, give my own perspective on the discussion, and share a few personal stories.
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