States must upgrade their eligibility and enrollment systems, technology platforms, and administrative capacity to comply with HR 1’s work reporting requirements and more frequent renewals for Medicaid expansion adults. Implementing these new requirements is an enormous upfront and year-over-year cost to taxpayers, adding bureaucracy and red tape while taking away health coverage from low income adults.
This page includes more details on the administrative, staffing, and technology costs that state and federal governments incur as a result of work reporting requirements – costs that are both upfront and recurring expenditures for state and federal governments.
