Work Reporting Requirements
Congress is considering imposing a mandatory work reporting requirement (WRR) on adults in Medicaid as part of its drive to impose large federal cuts to Medicaid.
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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…
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Are States Ready to Implement HR 1 and Medicaid Work Reporting Requirements?
Key Findings Introduction On July 4, 2025, President Trump signed into law HR 1 (P.L. 119-21), the massive budget reconciliation bill that cuts more than $1 trillion from Medicaid and Marketplace health coverage. The law strips coverage from many lawfully residing immigrants, ties the hands of states to raise revenue to cover the state share…
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Tracking State Readiness to Implement HR 1
This tracker will report on eight state-reported Medicaid and CHIP performance indicators. The analysis of state data is displayed in national maps for the most recent quarter broken into four quartiles with the top quartile reflecting the highest performing states. To smooth out monthly anomalies in state workload and allow for tracking these metrics over time,…
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Medicaid Work Reporting Requirements: Feds Forcing States to Spend Resources to Cover Fewer People
As discussed in our overview of H.R. 1, the budget reconciliation bill passed by Congress and signed by President Trump, the new law includes a harmful new work reporting requirement for Medicaid. The Congressional Budget Office estimates this work reporting requirement will result in a $326 billion cut in federal funding for states and lead…
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Webinar: Budget Reconciliation (HR1) Medicaid and Marketplace Provisions
In Partnership with Monday, July 28, 2025 the Georgetown University McCourt School of Public Policy Center for Children and Families (CCF) and Center on Health Insurance Reforms (CHIR) held a joint webinar about the Medicaid and Marketplace provisions of the new budget reconciliation law (HR1). Experts at CCF and CHIR explained the provisions of the…