Episode Details

Starting January 1st, millions of lower-income adults without young children may lose Medicaid coverage due to new work requirements in several states. This shift, mandated by last years tax-cut law, will necessitate significant upgrades to outdated computer systems, costing states billions. Affected individuals must now log at least 80 hours of work or community service monthly, or enroll in half-time education. Eligibility checks will occur every six months instead of annually. These changes could result in 6 million fewer insured individuals, saving the federal government $388 billion over a decade. However, states face challenges in implementing these rules, with potential administrative costs and concerns about access to care. Penalties for errors will begin in October 2029.

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