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Medicaid Monitor
Monday, October 26, 2026 · Updated 6:06 AM MT · 15 stories today
Mon, Oct 26 · 15 stories todayPRO
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Federal PolicyOctober 21, 2026

Authors Argue Medicaid Work Requirements Harm Behavioral Health Patients

In an opinion piece published by Medicaid Health Plans of America, authors Craig A. Kennedy and Debbie Witchey argue that nationwide mandatory work requirements being considered in Congress's budget reconciliation package will cause significant coverage loss among Medicaid beneficiaries with mental health conditions and substance use disorders. They cite Kaiser Family Foundation data showing nearly two-thirds of non-elderly Medicaid adults already work full or part time, contesting the premise that work requirements primarily target fraud, waste, and abuse. The authors contend that despite House leadership's assurances that no "deserving" beneficiary will lose eligible coverage, the current policy design will strip coverage from vulnerable populations the legislation claims to protect.

Why it mattersState Medicaid agencies and behavioral health plans should anticipate enrollment and administrative burden impacts if federal work requirement provisions advance, particularly for enrollees with behavioral health conditions who may struggle to document exemptions.

Behavioral Health

Read the full article at medicaidplans.org →
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