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Johnson, the bill author, told the Senate committee he was following the lead of Arkansas and Kentucky, which recently passed their own work requirements for Medicaid.

“I understand that it’s difficult to bootstrap yourself off [Medical Assistance], but some may need a little extra incentive to do that,” Johnson testified.

Critics point out that Minnesota is not like other states that have passed similar work requirement laws. According to the Bureau of Labor Statistics, Minnesota has the second-highest workplace participation rate in the country, at 71.2 percent. Kentucky's 59.7 percent workforce participation ranks 43rd (59.7 percent) and Arkansas sits at 46th (58.5 percent).

“Minnesota works, and one of the reasons our people can work is because we’ve made a commitment to make sure that they have their health,” said Lourey.

Opponents also say the bill would be an administrative nightmare. If it becomes law, the state government would be required to monitor Medical Assistance recipients’ employment status. Doing so would mean the Department of Human Services and counties across Minnesota would have to go on a hiring bonanza, inflating the bureaucracy with hundreds of new case workers. The DHS estimates the bill could cost the state $7 million or more by 2021.

Lourey acknowledges the contributions of 201 state legislators would hardly have made a dent in the influx of new responsibilites. But he says determining who’s eligible for Medicaid would help them understand the reality of what it’s like to be on Medicaid.

“This [bill] is based on a fallacy,” said Lourey. “Most people use these programs when they need them and move on.”

A recent study from the American Economic Association found Medicaid expansion caused little to no reduction in employment levels, while an article in the Journal of the American Medical Association argued that Medicaid work requirements are a costly solution for a nonexistent problem.

“It’s not clear how much it would cost to implement such a program and whether that cost might exceed the savings,” the American Medical Association article stated. “It’s not even clear whether this program would achieve even the most basic rationale of incentivizing more able-bodied beneficiaries to work.”

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A biceps tear – also called a biceps rupture – is a tear or break in the tendon that connects your biceps muscle in the upper arm to your shoulder or elbow.

Tendons are strong cords of tissue that connect muscles and bones. Over time, the much-used connections in the shoulder and elbow can begin to wear and eventually break.

Biceps ruptures are a common injury that we repair successfully with surgery. If you have a less serious biceps tear, you may only need nonsurgical treatments like ice, physical therapy or medication.

When your shoulder, arm or elbow hurts, you want to relieve the pain and get back to your usual activities as soon as possible. We have extensive experience in treating and repairing biceps injury, whether the cause is sports, an accident or regular wear and tear.

We offer:

Injury evaluation when you need it: Convenient locations: Coordinated care:

A biceps tear or biceps rupture can happen suddenly or gradually. Biceps tears are most common among people between the ages of 40 and 60.

A biceps rupture is a complete tear of the tendon. In a biceps rupture, the biceps tendon breaks off from where it attaches the muscle to the top of the shoulder. A biceps rupture can happen because of an accident, like a sudden fall, or an activity, like lifting a weight.

A person who has another condition like a rotator cuff injury or shoulder impingement (when arm motion squeezes the shoulder tissue) is more likely to experience a biceps rupture.

Sometimes, another condition like a rotator cuff injury or tendonitis causes shoulder pain.Learn more about treatments for shoulder pain .

With a biceps rupture, most people report feeling or hearing a “pop” at the shoulder or elbow when the tendon breaks.

People also notice:

During a physical exam, your doctor will check for pain, bruising and changes to your strength and range of motion.

If we suspect a biceps rupture, you may have additional tests including:

X-ray: Magnetic resonance imaging (MRI):

Learn more about orthopedic diagnosis .

Your treatment for a biceps tear will depend on the type of injury and your lifestyle. Nonsurgical treatments work best for smaller tears or people who won’t be bothered by having less arm strength. In other cases, surgery might be the right path.

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