How Will States Implement Medicaid Work Requirements?
This event convened policy experts and state leaders to explore how states can operationalize new Medicaid work reporting mandates—covering technical, legal, and implementation challenges.
Participants discussed the procedural and administrative obstacles states will face when applying and enforcing work reporting rules under H.R. 1, such as verifying compliance, designing exemption pathways, and aligning with other benefit systems.
They also highlighted the importance of automation, data integration, and user-centered design in minimizing burden and avoiding wrongful disenrollments. Finally, the speakers shared early lessons from waiver experience and practical guidance for states to plan effectively for the 2027 implementation timeline.
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