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Would Benjamin Franklin’s Volunteer Fire Brigade Satisfy DHHS’s Proposed Rule on Medicaid Work Reporting “Community Engagement” Requirements?
Americans, as French political scientist Alexis de Tocqueville observed in 1831, have a special propensity for coming together outside of government as volunteers for community improvement. From Benjamin Franklin’s organization of the nation’s first volunteer fire brigade to President George H. W. Bush’s 1989 call for Americans to volunteer as a “thousand points of light,”…
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The New Medicaid Work Reporting Requirements Are Here—Don’t Let the Nebraska “Soft Start” Fool You
On May 1, 2026, Nebraska became the first state to start the new work requirements under H.R. 1, the law passed last year making historic cuts to Medicaid. We have reported extensively on why work reporting requirements are a bad idea. Nebraska was not adequately prepared to launch work reporting requirements, nor has the Centers…
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Drop in Child Medicaid and CHIP Enrollment Even Before HR 1 Policies Take Full Effect is Troubling Sign
The drop in Medicaid/CHIP enrollment means more children are likely becoming uninsured. We spend a lot of our time at the Georgetown University Center for Children and Families monitoring child and adult Medicaid and the Children’s Health Insurance Program (CHIP) health coverage trends. The latest federal CMS data confirms that child enrollment in these programs…
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What Do We Know So Far About State Materials & Consumer Outreach on Medicaid Work Reporting Requirements?
States need to do effective, consumer-friendly outreach and education to communicate new work reporting requirements to affected Medicaid expansion adults and new applicants. Mandatory work reporting is one of the biggest seismic shifts in Medicaid policy in a generation, and without strong outreach and public awareness – including through content that is easy to understand…
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2026 Report on State Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies Includes Special Edition on Medicaid Work Requirements
Yesterday, the annual KFF survey report was released with a webinar featuring highlights of two reports and a discussion that included Kate McEvoy, executive director of the National Association of Medicaid Directors, and was moderated by KFF’s Larry Levitt. The webinar and reports contain important information that should be of interest to policymakers, stakeholders, members…