Work Reporting Requirements
H.R.1 imposed a mandate on states to establish new work reporting requirements (WRR) for adults covered through Medicaid expansion or similar coverage offered through a waiver.
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The U.S. dollar wrapped by red tape
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Critical Threats to Child and Family Health Intensify in 2026: Here is What We are Watching at CCF
The policy landscape for child and family health has undergone a dramatic transformation following the passage of H.R. 1, the budget reconciliation bill known as the One Big Beautiful Bill Act, and related policy changes enacted during the first year of the Trump administration. As we enter the second year of this administration, the Georgetown…
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Let’s Start a Conversation about Data to Monitor the Impact of H.R. 1’s Work Reporting Requirements
Monitoring the implementation of work reporting requirements in Medicaid will be incredibly important to assessing the policy’s impact, identifying bottlenecks or glitches in the system, and enabling rapid response to address problems. We have a baseline of data from the Medicaid performance indicators, which have been in place since 2014, and were expanded to more…
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CMS Guidance on Medicaid Work Requirements Leaves States Hanging
CMS released preliminary guidance on H.R. 1’s mandatory Medicaid work requirements on December 8. The much-anticipated guidance fell far short of answering all the questions states need answered, but it did acknowledge that implementing the Medicaid work reporting requirements mandated by the One Big Beautiful Bill (H.R. 1) will be a “serious undertaking for states…
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CMS’s Georgia Waiver Extension Underscores the Failure of Medicaid Work Requirements
As regular readers of SayAhhh! know, on January 1, 2027, 42 states and DC will be required by HR 1 to impose work reporting requirements on many adults covered by Medicaid. The only state in the country that is currently implementing work reporting requirements is Georgia through a Section 1115 demonstration — officially known as…
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How Will We Know if States are Ready to Implement HR 1 and Work Reporting Requirements? Follow the State Performance Metrics Here.
States are just emerging from the unwinding of the pandemic-related Medicaid continuous enrollment provision when HR 1 presents a host of state budget impacts and new administrative hurdles for states. If states are already having trouble keeping up with their eligibility and enrollment administrative workload, adding work reporting requirements, six-month renewals, and mandatory cost sharing…