A group of state legislators in Kentucky are trying to advance a bill that would block out‐of‐state individuals from establishing residency in the state in order to receive Medicaid‐funded substance use treatment. One of the measure's leading proponents has been quoted as suggesting that some treatment centers in the state are “gaming the system” to collect Medicaid payment, while supporters also say some discharged patients from outside the state end up living on the streets in communities near the treatment centers.
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Gary Enos (2024) studied this question.
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