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Akeiisa Coleman

@acinthedc.bsky.social
707 followers 150 following 221 posts

Health policy wonk (Medicaid #1 priority), coffee drinker, news junkie & occasional do-gooder from So Cal. Fight on Trojans!

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Reposted by Akeiisa Coleman
Center for Health Care Strategies @chcshealth.bsky.social · 24/09/2026
For states implementing federal Medicaid work requirements, engaging members and community orgs can help reduce the risk of unnecessary coverage loss. This CHCS tipsheet highlights practical strategies. bit.ly/4jcdAiY
bit.ly
From Input to Implementation: Engaging Medicaid Members and Community Partners in Work Requirements Rollout - Center for Health Care Strategies
This tipsheet highlights practical strategies for engaging Medicaid members and CBOs to inform outreach and communications strategies, support implementation decisions, and promote continuous improvem...
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Akeiisa Coleman @acinthedc.bsky.social · 24/09/2026
Amber Christ, ED of Legal Aid of Western Missouri, which is co-representing Byrd, told The Independent that by requiring people to prove that their medical condition prevents them from meeting work requirements, the rule “adds a test that Congress didn’t write.” #Medicaid #WorkRequirement
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Reposted by Akeiisa Coleman
Adrianna McIntyre @adrianna.bsky.social · 22/09/2026
Have been wondering when we would start to see real numbers out of Nebraska (the only other estimate circulating, of 200 coverage losses in the first month, cites back to a guesstimate from a pre-implementation interview)
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Reposted by Akeiisa Coleman
National Health Law Program @nhelp.bsky.social · 18/09/2026
BREAKING🚨@nhelp.bsky.social, @democracyforward.org & our partners filed a lawsuit to protect Medicaid access for people with serious health conditions. Learn more about the case and the people impacted: healthlaw.org/news/medicai...
healthlaw.org
MAJOR MEDICAID LAWSUIT
Medicaid Enrollees Challenge Rule Threatening Coverage for People With Serious Health Conditions
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Reposted by Akeiisa Coleman
National Health Law Program @nhelp.bsky.social · 17/09/2026
🚨 Beware of Medicaid scams! When new Medicaid requirements take effect, scammers may try to steal personal information or money by posing as Medicaid officials. Protect yourself! healthlaw.org/timely-tips-to-safegu…
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Reposted by Akeiisa Coleman
National Health Law Program @nhelp.bsky.social · 15/09/2026
Clear notices matter when Medicaid work requirements take effect. States must regularly notify potentially affected enrollees about changes to their eligibility and provide notices through at least two methods, such as mail, email, etc. healthlaw.org/timely-tips-to-safegu…
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Akeiisa Coleman @acinthedc.bsky.social · 15/09/2026
Cuts to dental health have impacts on overall health and when these benefits are restored, utilization does not return to prior levels www.commonwealthfund.org/blog/2026/bi...
commonwealthfund.org
What Happens When States Cut and Expand Medicaid Dental Benefits?| Commonwealth Fund
If policymakers want to protect access to dental care while managing Medicaid costs, adult dental benefits should not be treated as a go-to option for cuts.
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Reposted by Akeiisa Coleman
National Health Law Program @nhelp.bsky.social · 11/09/2026
Medicaid work requirements could disrupt coverage for people with serious health conditions. NHeLP and 70+ organizations filed an amicus brief highlighting the stakes for people with cancer, diabetes, HIV, kidney disease & more. healthlaw.org/news/nhelp-files-amic…
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Reposted by Akeiisa Coleman
National Health Law Program @nhelp.bsky.social · 11/09/2026
Doulas can help close the gaps in maternal health care. Amy Chen, senior attorney at the NHeLP, points to the racial disparities in maternal mortality and morbidity. “www.wyomingpublicmedia.org/health/2…
wyomingpublicmedia.org
More western states are letting Medicaid reimburse for doula care
Could Wyoming join Arizona, Colorado, Montana, Nevada, New Mexico and Utah to partially cover the childbirth resource?
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Reposted by Akeiisa Coleman
Edwin Park @edwincpark.bsky.social · 26/08/2026
Virginia won’t be able to cover federal SNAP, Medicaid funding cuts, governor warns cardinalnews.org/2026/08/26/v...
cardinalnews.org
Virginia won’t be able to cover federal SNAP, Medicaid funding cuts, governor warns
Gov. Abigail Spanberger issued an executive order aimed at protecting Virginians’ access to federal healthcare and food assistance programs.
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Akeiisa Coleman @acinthedc.bsky.social · 25/08/2026
A look at how the loss of enhanced ACA marketplace tax credits is impacting one of the "unhealthiest states" mississippitoday.org/2026/08/25/c... #healthpolicy #healthinsurance #diabetes #Mississippi #MSleg
mississippitoday.org
Cheaper health insurance changed their lives. Then it went away - Mississippi Today
Congress allowed enhanced subsidies for Affordable Care Act insurance plans to expire at the end of last year. Now the number of diabetic Mississippians without insurance, and thus regular care, is on...
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Akeiisa Coleman @acinthedc.bsky.social · 25/08/2026
Maine offers a window into what could be ahead for a health system increasingly squeezed by cost, revenue, & demand. The state has the oldest average population, with a high proportion of rural & government-covered patients, a particular concern for lawmakers considering the impact of the policy.
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Reposted by Akeiisa Coleman
Adrianna McIntyre @adrianna.bsky.social · 17/08/2026
Georgia is facing a Medicaid funding shortfall because the state has to adapt their work requirement policies to new federal standards, which are more lenient, vis-a-vis exemptions, than what the state had implemented and budgeted for in their partial expansion (receiving only standard FMAP).
georgiarecorder.com
Georgia officials say new federal Medicaid rules threaten state’s partial expansion program • Georgia Recorder
New federal guidelines would make the state’s Medicaid program financially unsustainable, state health officials said.
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Reposted by Akeiisa Coleman
Adrianna McIntyre @adrianna.bsky.social · 10/08/2026
Some red states are prohibiting people from attesting to being too sick to meet Medicaid work reqs, meaning people will need to gather medical paperwork to prove frailty — and states will need to be ready to process it quickly and accurately. Both of those are cracks people will slip through.
politico.com
The Trump admin offered sick Medicaid patients a 1-year lifeline. These red states are rejecting it.
Several conservative states will require proof from people who say they're too sick to work.
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Akeiisa Coleman @acinthedc.bsky.social · 10/08/2026
Starting in January, Arkansas, Idaho, Indiana, Iowa, North Carolina, North Dakota, Ohio, and Utah will impose work rules stricter than those the administration is requiring. #Medicaid #WorkRequirments #HR1 #OBBBA #healthpolicy
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Reposted by Akeiisa Coleman
Joan Alker @joanalker1.bsky.social · 06/08/2026
Arkansas healthcare providers alarmed by potential end of state’s Medicaid expansion arkansasadvocate.com/2026/08/04/a...
arkansasadvocate.com
Arkansas healthcare providers alarmed by potential end of state's Medicaid expansion | Arkansas Advocate
The Trump administration’s decision not to renew Arkansas’ hybrid Medicaid expansion is alarming medical providers and experts who say the loss of insurance for thousands would be devastating and woul...
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Reposted by Akeiisa Coleman
KFF Health News @kffhealthnews.org · 06/08/2026
“My Medicaid is still active, but when are they gonna cut that off from me? I can't get employed,” said Tywon Pugh, 46, who has recurring seizures and has been homeless since last year. @k-hought.bsky.social reports ⤵️
kffhealthnews.org
Medicaid Work Rule Leaves Homeless People in the Cold - KFF Health News
Conservatives who have long pushed for Medicaid work requirements often said vulnerable people would get a pass. But the federal government's list of exemptions left off homeless people.
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Akeiisa Coleman @acinthedc.bsky.social · 05/08/2026
Part 3 of series on IN #Medicaid now out: “We know that this is going to be confusing. We know this is going to be scary,” she said. “Anytime there is a new system or a new program put into place, there are always going to be hiccups.” publichealthwatch.org/2026/08/05/i... #healthpolicy #HR1 #OBBBA
publichealthwatch.org
More Potential Upheaval Awaits Indiana Medicaid - Public Health Watch
New work requirements, more frequent eligibility reviews and other policy changes will reshape Medicaid for many Hoosiers beginning in 2027.
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Akeiisa Coleman @acinthedc.bsky.social · 05/08/2026
ICYMI: Nebraska started implementing #Medicaid work requirements for people currently enrolled in the expansion group on 8/1. [Phase 1 (launched 5/1) only applied to new applicants.] nebraskapublicmedia.org/en/news/news... #healthpolicy
nebraskapublicmedia.org
Nebraska becomes first state to disenroll Medicaid recipients under new work requirements
The first work requirement-related disenrollments begin in Nebraska on Saturday. While the state Medicaid director estimates this will impact 200 Nebraskans, advocates are concerned that the number wi...
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Akeiisa Coleman @acinthedc.bsky.social · 04/08/2026
“It’s like you’re in fight mode...The stress is high. The anxiety is high. And then all of a sudden, ‘Oh, it’s magically better.’ But then you’re trying to come down off of it … and you’re like, ‘Well, what’s going to happen the next time?’” indianacapitalchronicle.com/2026/08/04/p... #Medicaid
indianacapitalchronicle.com
'Powerless': Indiana families describe the toll of losing Medicaid access • Indiana Capital Chronicle
Indiana families describe delayed care, confusion and financial strain as Medicaid coverage lapses ripple across the state's health system.
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Reposted by Akeiisa Coleman
Edwin Park @edwincpark.bsky.social · 27/07/2026
New @georgetownccf.bsky.social blog from me on CMS's new proposed rule implementing H.R. 1's restrictions on state use of provider taxes financing #Medicaid. It explains how the rule again goes beyond H.R. 1 requirements to make cost-shifts to states even larger: ccf.georgetown.edu/2026/07/27/c...
ccf.georgetown.edu
CMS Issues New Rule Again Going Beyond H.R. 1 Requirements to Further Restrict State Use of Medicaid Provider Taxes
On July 21, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a new proposed rule that would implement two of H.R. 1’s restrictions on states’ use of provider taxes to finance their shar...
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Akeiisa Coleman @acinthedc.bsky.social · 21/07/2026
ICYMI: Great overview of the Medicaid HCBS landscape, specifically 1915(c) waivers and strategies to protect them www.commonwealthfund.org/blog/2026/st... #Medicaid #LTSS #healthpolicy
commonwealthfund.org
State Strategies Help Older Adults Live Independently
By adopting proven strategies, states can ensure older adults and those with disabilities have the support they need to live independently in their communities.
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Reposted by Akeiisa Coleman
Adrianna McIntyre @adrianna.bsky.social · 20/07/2026
New white paper from myself + colleagues: Implementation of Medicaid Work Requirements: Key Design Considerations and Strategies to Minimize Avoidable Coverage Loss hsph.me/Medicaid-Wor... We synthesize evidence in the peer-reviewed and gray literature to identify key lessons + recommendations
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Akeiisa Coleman @acinthedc.bsky.social · 20/07/2026
Many coverage restrictions in HR1 don't apply to seniors, children, or people who are disabled. Nonetheless, the law's demands on state agencies & the computer systems they oversee will disrupt #Medicaid benefits, advocates & other healthcare experts said in interviews. www.npr.org/2026/07/20/n...
npr.org
Deloitte-run systems denied Medicaid to disabled people. New laws could make it worse
Complex computer systems that decide whether people get Medicaid benefits have a history of errors. Now, changes to comply with Trump's tax and domestic policy law are inundating those systems.
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Akeiisa Coleman @acinthedc.bsky.social · 20/07/2026
Deciding if a patient is too sick to work is a subjective, high-stakes decision, said Chen, who practices as a hospitalist. “We’re trained to take care of people...We’re not trained to make these kinds of work determinations.” www.washingtonpost.com/health/2026/... #Medicaid #WorkRequirement #HR1
washingtonpost.com
Doctors fear Medicaid changes will force them to decide who’s too sick to work
Physicians say new Medicaid rules starting Jan. 1 regarding employment will undermine their relationships with patients.
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Reposted by Akeiisa Coleman
J. Emory Parker 🏳️‍🌈 @jaspar.bsky.social · 07/07/2026
Worked with @bobjherman.bsky.social on the data for this piece. Here’s the chart I think is the showstopper: Over the last 40 years, the amount of money spent on employer-sponsored insurance premiums skyrocketed by nearly 1000%, well above baseline inflation.
Image of a line chart it shows that from 1987 to 2024 the amount of money that employers and employees spent on employer sponsored health insurance premiums increased almost 1000%. This is compared to an increase of 176%, which would be the 2024 equivalent of the 1987 spending total.
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Akeiisa Coleman @acinthedc.bsky.social · 02/07/2026
New study in @jamahealthforum.com finds that Medicaid expansion was associated with a 14% lower monthly odds of death post-release. Meaning Medicaid expansion helps prevent deaths among people leaving prisons and jails. jamanetwork.com/journals/jam... #Medicaid #Reentry #healthpolicy
jamanetwork.com
Medicaid Expansion and Mortality Among Formerly Incarcerated Individuals
This cross-sectional study reports on the association of mortality in formerly incarcerated individuals after the Affordable Care Act allowed states to expand Medicaid coverage.
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Akeiisa Coleman @acinthedc.bsky.social · 01/07/2026
The question is: how long will it take Montana and Nebraska to come into compliance with the IFR? New and renewing applicants there were already going to have a hard time navigating the changes and now things will shift again. #Medicaid #WorkRequirement #healthpolicy
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Akeiisa Coleman @acinthedc.bsky.social · 30/06/2026
Not surprised to see more than 1/2 of states subject to the #Medicaid work requirement have filed a lawsuit to pause implementation based on the interim final rule released 6/1 apnews.com/article/medi... #WorkRequirement #healthpolicy
apnews.com
Democrats in half of states sue Trump administration over Medicaid work rules
Democrats in 25 states and the District of Columbia are suing the Trump administration over its interpretation of new Medicaid work requirements.
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Reposted by Akeiisa Coleman
National Health Law Program @nhelp.bsky.social · 25/06/2026
As states prepare to implement Medicaid work requirements, managed care plans can play an important role in helping eligible people keep their coverage. healthlaw.org/timely-tips-to-safegu…
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Akeiisa Coleman @acinthedc.bsky.social · 15/06/2026
Kate Morton at Albuquerque Health Care for the Homeless, where most patients have #Medicaid, worries the new burden will fall on her & her patients. The extra paperwork will leave less time to focus on patients’ complex health needs, including high rates of SUD. www.kunm.org/medicaid-cut...
kunm.org
In a state where addiction exacts a steep toll, Medicaid work rules could endanger lives
Thousands of New Mexicans rely on Medicaid to get treatment for life-threatening substance use disorders. Keeping that coverage is about to get harder.
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Reposted by Akeiisa Coleman
Sara Luterman @slooterman.bsky.social · 15/06/2026
Vital reporting from @rosebroderick.bsky.social at @statnews.com about the impact of Medicaid “fraud” crackdowns on disabled people. www.statnews.com/2026/06/15/m...
statnews.com
As states follow Trump's Medicaid fraud playbook, people with disabilities struggle to find care
Medicaid cuts and fraud crackdown trickle down to states, threatening people with disabilities.
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Akeiisa Coleman @acinthedc.bsky.social · 12/06/2026
New in Health Affairs: "As written, the medical frailty rule not only departs from the law on which it is based but seriously endangers the health of low-income working-age adults." www.healthaffairs.org/content/fore... #Medicaid #WorkRequirement #healthpolicy
healthaffairs.org
Medical Frailty Rule Contravenes HR 1, Burdens The Health Care System, And Threatens Public Health | Health Affairs Forefront
The new rule implementing HR 1’s Medicaid community engagement provision diverges from state expectations. No last-minute change is likely more harmful than the administration’s final approach to “med...
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Adrianna McIntyre @adrianna.bsky.social · 12/06/2026
"States are going to be asked to make a determination using information that doesn’t exist in their systems." Still lots of confusion over whether/how states can automate frailty determinations for Medicaid work requirements. And states don't have the luxury of time for CMS to figure this out.
abcnews.com
Too sick to work, but can they prove it? New Medicaid rule worries patients
Blood cancer survivor DeAnna Brandon worries about new Medicaid work requirements affecting her health coverage
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Akeiisa Coleman @acinthedc.bsky.social · 12/06/2026
"California, Texas, Indiana, Florida, Georgia, Illinois, Ohio, Arizona, Virginia and Kentucky accounted for 67% of enrollment losses. The geographic and political diversity of these states underscores that this is a widespread problem." #Medicaid #CHIP #healthpolicy
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Akeiisa Coleman @acinthedc.bsky.social · 10/06/2026
Even with a new $50 billion investment in rural health, every state is projected to experience net economic and employment losses by 2029 under H.R. 1, according to a new analysis by Leighton Ku and colleagues at GWU www.commonwealthfund.org/publications... #OBBBA #healthpolicy #HR1 #RHTF
commonwealthfund.org
H.R. 1 Funding Cuts Will Overshadow Gains from the New Rural Health Transformation Program
It is predicted that the Rural Health Transformation Program’s modest economic gains will be overshadowed by losses from H.R. 1’s budgetary cutbacks.
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Akeiisa Coleman @acinthedc.bsky.social · 08/06/2026
States have some ways to tell whether someone has a diagnosis & we've heard states are working on code lists & claims data they can use to try to identify people automatically who would have this exemption...But adding an element of ‘unable to work’ — nobody knows where that data will come from.
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Akeiisa Coleman @acinthedc.bsky.social · 03/06/2026
I know a lot of #Medicaid folks are focused on digesting the work requirement rule. Don't forget the SDP rule that recently came out will also have a major impact across all states. This thread offers a good summary. #healthpolicy
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Reposted by Akeiisa Coleman
Adrianna McIntyre @adrianna.bsky.social · 01/06/2026
Great story from over the weekend on how states — red and blue — are struggling with the costs of rushing to stand up work requirements. These concerns could get worse if the IFR (expected this afternoon) includes "surprises" that contradict implementation choices states have already made
politico.com
States balk at the high price of Medicaid work requirements amid budget crunch
States dealing with budget shortfalls are facing tens of millions of dollars in new costs ahead of the federal Jan. 1 deadline.
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Akeiisa Coleman @acinthedc.bsky.social · 29/05/2026
Great thread highlighting some of the same questions I have about what will be in the guidance for #Medicaid work requirements. I'd also add: how much will states have to change systems & implementation plans in response to the regs?
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Akeiisa Coleman @acinthedc.bsky.social · 27/05/2026
When people forgo regular care & seek treatment only in an emergency, it burdens the health care system & increases costs. “It leads to more wait times for other people trying to get emergency care, it leads to understaffed clinics...and it leads to cuts in services” www.kvpr.org/health/2026-...
kvpr.org
When new California laws kicked in, thousands of immigrants dropped or lost Medicaid coverage
Driving the decline, experts say, are several state and federal policy changes that block or discourage immigrants from getting coverage.
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Akeiisa Coleman @acinthedc.bsky.social · 26/05/2026
Cheaper plans may mean less comprehensive coverage: Now in remission, Ramsey urges those considering cheaper insurance to do careful research. “Make sure it’s covering what you need to be covered,” she said. “It could be too good to be true.”
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Akeiisa Coleman @acinthedc.bsky.social · 22/05/2026
Despite promises to protect Medicaid for the most vulnerable during the reconciliation debates (OBBBA/HR1), services these individuals depend on are at risk. This piece highlights the situation in AZ www.kjzz.org/the-show/202... #Medicaid #healthpolicy #HCBS #LTSS
kjzz.org
Arizonans with disabilities depend on at-home services. Medicaid cuts could erode the program
Arizona’s Home and Community-Based Services for people with disabilities could be on the chopping block this year because of federally driven Medicaid cuts. One reason is that Medicaid isn’t required ...
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Akeiisa Coleman @acinthedc.bsky.social · 22/05/2026
I hope health researchers, @academyhealth.bsky.social, and others share their experience through the transition and any challenges that emerge. #healthpolicy #Medicare #Medicaid
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Reposted by Akeiisa Coleman
Timothy McBride @mcbridetd.bsky.social · 18/05/2026
A Look at the High Unemployment Hardship Exception to Medicaid Work Requirements Based on Unemployment Data from February 2025 to January 2026 www.kff.org/medicaid/a-l...
kff.org
A Look at the High Unemployment Hardship Exception to Medicaid Work Requirements Based on Unemployment Data from February 2025 to January 2026 | KFF
In the 39 states that are adopting or may adopt the high unemployment hardship exception, about 1.4 million or 7.5% of Medicaid expansion enrollees live in one of the 133 counties that currently meet ...
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Joan Alker @joanalker1.bsky.social · 13/05/2026
A very informative blog from my colleagues Adriana Kohler and Jade Little about state outreach materials so far on Medicaid work reporting requirements for consumers. Nebraska and Montana the two early adopters do not inspire confidence. ccf.georgetown.edu/2026/05/07/w...
ccf.georgetown.edu
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 ...
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Reposted by Akeiisa Coleman
KFF Health News @kffhealthnews.org · 05/05/2026
Across the U.S., hospitals and patient advocates are looking to state lawmakers and local officials to help shore up shaky finances. California lawmakers are mulling another $300 million in interest-free loans for troubled hospitals. Pennsylvania and Illinois are weighing similar programs.
kffhealthnews.org
States Eye Aid To Prop Up Distressed Hospitals Amid Federal Medicaid Cuts - KFF Health News
Hundreds of hospitals nationwide are bracing for Medicaid cuts as a result of the One Big Beautiful Bill Act. Some state lawmakers are eyeing loans and other forms of financial aid to distressed hospi...
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Akeiisa Coleman @acinthedc.bsky.social · 01/05/2026
Nice series on how North Carolina is preparing to implement Medicaid work requirements & educate enrollees: Part 1 www.northcarolinahealthnews.org/2026/04/29/m... Part 2 www.northcarolinahealthnews.org/2026/04/30/m... Part 3 will be published on Monday #Medicaid #WorkRequirements
northcarolinahealthnews.org
NC county social service agencies brace for deluge of work as Medicaid work requirements go into effect
About 10 percent of county social services positions dedicated to Medicaid are currently vacant, even as recertification work will double.
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Larry Levitt @larrylevitt.bsky.social · 30/04/2026
New Medicaid work requirements -- which go into effect by January 1 -- will play out differently across the country. Many states are looking to ease the effects on people where possible, but some are taking more restrictive approaches.
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Arrianna Marie Planey, PhD MA @arrianna-planey.bsky.social · 28/04/2026
"Nebraska on Friday will become the first state to enforce work, volunteer or education requirements for new Medicaid applicants, eight months before the federally mandated requirements kick in."
apnews.com
Nebraska is becoming the first state to implement a Medicaid work requirement signed by Trump
Many people applying for Medicaid in Nebraska will soon have to prove that they're working, volunteering or in school. On Friday, the state is launching the requirement.
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